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Education

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The University of Texas Medical Branch (UTMB) at Galveston offers a training program in Allergy and Clinical Immunology, which is fully accredited by the American Medical Association Liaison Committee on Graduate Medical Education. This is a conjoint program offered by the Allergy & Immunology Division of the Department of Internal Medicine and the Division of Infectious Diseases and Immunology of the Department of Pediatrics.

UTMB is the oldest medical school in Texas and the second oldest in the western states. The UTMB complex consists of integrated schools of medicine, graduate biomedical sciences, allied health sciences, and nursing. The core faculty for this program within the Departments of Internal Medicine and Pediatrics includes eight full-time physicians board-certified in Allergy and Immunology. The faculty has received regional, national, and international recognition for accomplishments in patient care, education, and medical research. Our program is the home of the NHLBI Proteomics Center, the NIEHS Environmental Health Center, the Child Health Research Center and the Institute for Translational Science funded by the NIH Institutional Clinical Translational Science Award (ICTSA). These facilities serve as critical parts of the Allergy and Immunology Residency Program.

Generally, physicians will be accepted for this program who have completed their training in Internal Medicine or Pediatrics and are board eligible, and after completion of this program can apply for certification by the American Board of Allergy and Immunology. A wide variety of opportunities is available for training in clinical medicine, as well as laboratory research, and all clinical fellows will be expected to participate in both of these spheres over the course of the fellowship. Fellows may elect to stay an additional one or two years to complete research training in preparation for a career in academic medicine. The program also recruits graduate students training for a PhD in microbiology-immunology and research fellows. These trainees provide additional resources for physicians training in the program.

Training Programs

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Community physician education

Started in 1970, UTMB is one of the oldest programs in Allergy and Immunology in the country. The objective of the training program is to provide advanced education in basic immunology, comprehensive training in allergy and clinical immunology, and laboratory training in basic and clinical research. UTMB has had a nearly 100% pass rate in the American Board of Allergy and Immunology certifying exam for the last 10 years. In addition, it has produced the next generation of thought leaders such as Dr. Kay Horner (Assistant Professor, Washington University), Dr. Yoshiko Ogawa (Assistant Professor, BCM), Dr. Rana Bonds (Assistant Professor at UTMB).

The overall goals and objectives of the educational program can be divided into four categories : clinical, didactic, research, and mentoring programs.

Clinical Program
Clinical Program
Brief description here...

The clinical program is defined as direct patient care in outpatient and inpatient settings, clinical care conferences, and record reviews. The majority of training in this portion of our fellowship occurs over a two year period. Approximately fifty percent of the resident's time is devoted to direct care of pediatric and adult patients. Electives are strongly encouraged in otolaryngology, dermatology, ophthalmology, and a private practice clinic. We also assist fellows with setting up elective away rotations to provide supplemental experiences in clinical training.

Didactic Program
Didactic Program
Brief description here...

The didactic program consists primarily of several conferences held each Thursday afternoon including a board review course, journal club, case conference, and procedures workshop. Presentations at these didactic sessions are given by fellows, faculty, and visiting speakers. As an introduction to the Thursday board review topic, AI Training Program Directors' reading list conference is held on Tuesday mornings. Other components of the didactic program include the General Clinical Research Center course (Clinical Research : Tools and Techniques), departmental/institutional speakers programs, joint AAAAI and ACAAI board review course, and national meetings. In addition to basic scientific and clinical knowledge, critical issues to be taught allergy-immunology residents are ethical, socioeconomic, medical/legal, cost containment, communication skills, research design, statistics, and critical review of the literature.

A significant part of this information is conveyed by the year-long General Clinical Research Center Course required for first year residents. To help all first year fellows make a smooth transition into the fellowship program, there is the Introduction to Clinical Allergy and Immunology course which is held for one week each summer. Fellows are expected to regularly review the current literature pertinent to the field of Allergy and Immunology. This is accomplished not only through independent reading, but also through the didactic program. A unique tool that is available is the divisional shared network drive. Also stored here are presentations given at program conferences, conference schedules, faculty and fellows' CV's and a multitude of other information shared among our division members.

Research Program
Research Program
Brief description here...

One year of the training program is dedicated to research with additional time interspersed in the remainder of the fellowship. At least 25% of the resident's time is allocated to research per ACGME requirements. Each resident is required to present a scientific abstract at a national meeting and to submit peer-reviewed publications. Further, they are strongly encouraged to apply for national and regional awards and grants. This is another measure of the quality of research.

Mentoring Program
Mentoring Program
Brief description here...

As the importance of mentoring as a crucial factor to the success of individuals in academic medicine has become clear, a structured mentoring program has been developed for all fellows in training. Each fellow is expected to meet on a regular basis with a research mentor. In addition, semiannual meetings with each of two advisory committees (Clinical Advisory Committee and Research Advisory Committee) for mentoring and to ensure satisfactory progress the major areas of fellowship training are mandatory

» 2011 Spring Schedule

National Resident Matching Program (NRMP)
www.nrmp.org

Accreditation Council for Graduate Medical Education (ACGME) www.acgme.org/acWebsite/home/home.asp

The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.

Currently available protocols are:
  • CAP - Community Acquired Pneumonia Orderset
  • Congestive Heart Failure (CHF)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetic Ketoacidosis Adult, ICU
  • General Medicine Admission
  • Immunodeficiency Flow Panel
  • MICU/CCU Admission Order Set
  • Oral Analgesic Medicaitons
  • Parenteral Opioids
  • Sepsis, Adult ICU

All protocols can be found in the EPIC order set section.

» For more information

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The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.

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