Why include specific immunology training?
Infectious diseases and immunology can be considered as two sides of the same coin: infectious disease specialists are expected to know when to suspect and how to evaluate for common immune deficiencies, and to also be aware of the specific opportunistic infections that patients with immune deficiencies are susceptible to. To meet this expectation, our fellowship has specific experiences tailored to educate and train fellows in a working knowledge of primary immune deficiency.
Expert clinical care
The fellows will attend specific ambulatory clinics devoted to the evaluation of immune deficiencies as part of their ambulatory experience, staffed by board-certified pediatric immunologists. The number of immunology clinics attended by the fellow as part of their ambulatory experience will vary based on their interest, but will not number more than one session in a four-week period, with the other sessions being in the routine Infectious Diseases ambulatory clinic. The fellow will actively follow and manage patients they see for inpatient and outpatient consultations who are diagnosed with a primary immune deficiency, as part of their ambulatory experience. The fellowship will also follow patients diagnosed with HIV infection and AIDS in their routine infectious disease clinics.
Collaborative subspecialty experiences
The fellow will learn the initial evaluation and management of disorders of antibodies, complement, neutrophils and lymphocytes, including prophylactic therapies, the appropriate use of immune modulators, the indications, risks, and side effects of immunoglobulin replacement therapies, and the indications, and risks of bone marrow transplant for more serious immune deficiencies. The fellows will be involved in the initial assessment and evaluation of referrals for SCID made as part of our state newborn screening program.
The fellows will also be involved in the initial evaluation of candidates of kidney transplant seen with our nephrology transplant service, as well as providing long-term follow-up for prophylaxis as necessary for opportunistic infections, and evaluation and treatment for any infections that do occur after transplantation. Our gastroenterology and hematology/oncology divisions also have patients who had experienced solid organ or hematologic stem cell transplants.