Allergy and Immunology Fellowship (Pediatrics)

The Allergy and Immunology (A/I) Fellowship is a 2-3 year ACGME-accredited program for pediatric-trained physicians seeking specialization in:
✔ Allergic diseases (asthma, food allergies, atopic dermatitis)
✔ Primary immunodeficiencies
✔ Autoimmune disorders
✔ Immunotherapy advancements

Key Features

  • Dual patient focus: Trains physicians to treat both pediatric and adult populations

  • Board eligibility: Prepares for ABAI certification exams

  • Flexible career paths: Academic medicine, private practice, or research

Clinical Training Curriculum

Core Rotations

Rotation Focus Areas
Adult Allergy Drug allergies, chronic urticaria
Pediatric Allergy Food challenges, eosinophilic disorders
Immunodeficiency IVIG therapy, genetic testing
Pulmonary Severe asthma management

Procedural Competencies

  • Skin prick testing

  • Spirometry

  • Drug desensitization

  • Biologic therapies administration

Notable Programs:

  • Boston Children’s/Harvard (Strong pediatric focus)

  • Johns Hopkins (Leading immunotherapy research)

  • National Jewish Health (Pulmonary-allergy integration)

Research Component

Timeline

  • Year 1: Clinical immersion + project development

  • Year 2: Dedicated research months (typically 6-12 months)

  • Year 3: Manuscript preparation

Current Research Frontiers

🔬 Oral immunotherapy (OIT) for food allergies
🔬 Biomarkers for asthma phenotyping
🔬 Gene therapy for primary immunodeficiencies

Career Pathways After Fellowship

Academic Medicine

  • 40% of graduates enter academia

  • Roles:
    ✓ Residency program directors
    ✓ Clinical researchers
    ✓ Division chiefs

Clinical Practice

  • Allergy group practices (55% of graduates)

  • Hospital-based clinics

  • Multispecialty collaborations

Salary Range:

  • Academic: $180,000-$220,000

  • Private Practice: $250,000-$350,000

Why Choose A/I After Pediatrics?

✅ Continuity with pediatric training
✅ Procedural + cognitive specialty balance
✅ Growing field with 12% job growth projected (2020-2030)
✅ Lifestyle advantages over general pediatrics

Fellow Testimonial:
“Transitioning from gen peds to A/I let me deepen my impact on chronic conditions while maintaining work-life balance.”
— Dr. Sarah Kim, UCLA graduate

Application Process

Key Requirements

  • Completed pediatrics residency

  • USMLE/COMLEX scores

  • 3-4 LORs (including PD letter)

  • Personal statement highlighting A/I interest

Match Timeline:

  • July: ERAS opens

  • Sept-Nov: Interviews

  • December: Match Day

Fellowship Comparison: Peds vs IM Trainees

Aspect Pediatric-Trained Internal Medicine-Trained
Patient Comfort Stronger with kids More adult experience
Common Focus Food allergy Drug allergy
Career Paths Often academic More private practice

Frequently Asked Questions

Q: Can I do both adult and pediatric allergy?
A: Yes! Most programs train for both (required for board certification)

Q: What’s the call schedule like?
A: Typically home call for severe reactions (better than residency!)

Q: How competitive is the match?
A: ~75% match rate (less competitive than cardiology)

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