Clinical Training

The goal of the Allergy and Clinical Immunology program at Yale-New Haven Medical Center is to produce physicians who are prepared to pursue a multi-dimensional career in Allergy and Clinical Immunology. Graduates of the A&I program will acquire the knowledge and skills to: 

• Provide outstanding and state of the art Allergy and Immunology clinical care to adult and pediatric patients and remain abreast of the ethical issues relevant to clinical practice.

• Have the skills to remain at the forefront of the Allergy and Clinical Immunology field through life-long learning to build on their knowledge, skills and professionalism.

• Have the capacity to participate in clinical or basic science research and the capacity to work in a variety of settings especially in academic allergy and clinical immunology. 

While training in Allergy & Immunology, fellows will be instructed on how to expertly and appropriately demonstrate the following Allergy and Immunology specific clinical competencies:

• Conduct a comprehensive and detailed medical interview with children and adults who present with suspected allergic and/or immunologic disorders (present, past, family, social, and environmental history)

• Perform a physical examination appropriate to allergic and immunologic disorders

• Select, perform, and interpret diagnostic tests or studies related to allergic and immunologic disorders

• Assess the risks and benefits of therapies for allergic and immunologic disorders (e.g., drug therapy, allergen immunotherapy, immunomodulatory therapy)

• Perform the selection and dilutions of allergy extracts for patients receiving allergy shot therapy

• Counsel and educate patients about diagnosis, prognosis, and treatment of allergic and immunologic disorders

• Coordinate the care of patients, including the use of consultation and educate other physicians and health care providers

• Apply basic and clinical science to the clinical care of patients 

Through their clinics and in patient consults, A & I fellows will have direct patient contact with children and adults with the following diagnoses: Anaphylaxis, Asthma, Atopic dermatitis, Contact dermatitis, Drug allergy, Food allergy, Immunodeficiency, Rhinitis, Sinusitis, Stinging insect hypersensitivity, Urticaria and Angioedema. 

At the end of their fellowship, A & I fellows are expected to demonstrate proficiency with the following procedures: Allergen immunotherapy, Delayed hypersensitivity skin testing, Drug desensitization and challenge, Immediate hypersensitivity skin testing, IVIG treatment, Performance and interpretation of Pulmonary function tests, Oral challenge tests and Physical urticaria testing.