Curriculum

Our program's primary goal is to prepare candidates for careers in allergy and immunology by offering a broad-based experience in clinical medicine and scientific inquiry. The structure of the program consists of one clinical year followed by a second (and optional third) year mainly devoted to a substantial research project emphasizing a basic science, translational, or clinical subject with dedicated time for clinical electives. All fellows in our program, regardless of career interests, are expected to present at a national meeting and to publish results from their research activities throughout the duration of fellowship.

Our fellowship is intended to provide a thorough training experience comprising of both clinical and research activities. Ultimately, many fellows develop individualized, more focused areas of clinical or research interest in which they can hone a specific skill set and become productive clinicians and scientific investigators. Graduates from our program are ABAI board-certified, with careers ranging from private practice to careers in academic medicine and industry.

The Divisions of Clinical Immunology (Medicine) and Pediatric Allergy and Immunology, by virtue of being part of a large teaching hospital located in the heart of New York City, are fortunate to offer an abundance of excellent clinical exposure to a wide array of allergic and immunologic disorders. The Mount Sinai Health System has more than 1,000 inpatient beds and several outpatient clinics that present abundant referral opportunities for fellows.

First-Year Fellowship

The first year of the fellowship program emphasizes the development of clinical skills and experience, while providing an introduction to research.  Over the course of the first year, fellows typically attend five separate clinic sessions per week, including adult and pediatric allergy and primary immunodeficiency clinic.

In addition to the outpatient clinical experience, the first-year fellows share management of the inpatient consultation service at the Mount Sinai Hospital. 

During the first year, the fellow is expected to become involved in several small mentored  projects in basic science, translational, or clinical research which can be developed further into the second year of fellowship.

Second-and Third-Year Fellowship

The second and third year of the fellowship program includes continued but limited core clinical responsibilities in order to provide the opportunity to participate in clinical electives in relevant subspecialties, based on the career goals of the specific fellow.  Common areas of electives include dermatology, ENT, drug allergy, pulmonary, rheumatology.  We maintain Program Letter of Agreements (PLA) with various neighboring institutions and private practice offices to allow for a wide elective choice.

During the second year, fellows will also expand their research projects with the goal of attaining data for scientific publication and presentation at a national meeting.

A non-ACGME third year is available to fellows who demonstrate interest in academics and/or physician scientist and have demonstrated significant scholarly activity.  The program schedule throughout the three years of training may be adjusted based on the nature of each individual's research project to ensure maximum involvement.  Our faculty have successfully mentored fellows obtaining institutional, foundation and NIH grants.

Asthma, Allergy, and Hypersensitivity Disease

The mission of the Division of Clinical Immunology led by Rachel L. Miller, MD is to diagnose, treat, and manage atopic and immune system diseases in adults and children. These range from anaphylaxis, angioedema, allergic rhinitis, asthma,  food allergies, drug allergies, hereditary angioedema, contact dermatitis, urticaria, as well as undiagnosed symptoms suggesting an immune deficiency disorder. Fellows will rotate with core faculty to clinical knowledge and gain hands on experience in procedures such as allergy immunotherapy, prick and intradermal skin testing, oral food challenges, drug testing/challenges/desensitizations, and spirometry/FENO

Elliot and Roslyn Jaffe Food Allergy Institute

The mission of the Elliot and Roslyn Jaffe Food Allergy Institute, led by Scott Sicherer, MD, is to provide comprehensive patient care, expand and improve basic science and clinical research, and lead educational efforts in the field of food allergy. Fellows will rotate with core faculty and are an integral part of the multi-disciplinary teams providing care for pediatric patients with food allergy but also associated disorders such as atopic dermatitis, eosinophilic esophagitis, allergic rhinitis and asthma.  Through this clinical experience fellows are exposed to basic, clinical, and translational research in food allergy.

Primary Immunodeficiency

The Division of Allergy and Clinical Immunology has strong experience in immunodeficiency disorders for more than a quarter of a century with a large referral population from the Northeast and across the country.  We pioneered many of the techniques used today.  Our primary immunodeficiency program is led by Charlotte Cunningham-Rundles, MD, PhD.  Fellows will rotate with Dr. Cunningham-Rundles throughout their fellowship training evaluating both adult and pediatric patients with previously diagnosed or still undiagnosed immunodeficiency diseases using state of the art and research-based testing.  We administer treatment at the Mount Sinai Therapeutic Infusion Center including intravenous immunoglobulin and numerous advanced biological therapies associated with autoimmunity, inflammatory diseases, asthma, and hereditary angioedema. 

The Fellowship Training in Allergy and Immunology has an extensive teaching program including Allergy and Immunology Grand Rounds, Immunology Institute Work in Progress laboratory meetings, and Journal Clubs.  Fellows meet weekly with the program faculty for didactics in immunologic basic mechanisms and diseases and the clinical management of allergy, asthma, hypersensitivity, and primary immunodeficiency diseases.  The Mount Sinai Health System offers a wealth of additional weekly conferences weekly in all areas of medicine and pediatric, as well as in all facets of the basic sciences which are relevant to our area of study.  We participate in Quality Improvement, Wellness, Diversity/Equity/Inclusion at a Divisional and Systems level.