Rheumatology Program | Clinician Resources

Fellowship Training Program Structure 

The Program is structured so that fellows will meet board requirements for either: the American Board of Allergy and Immunology or the sub board of Pediatric Rheumatology of the American Board of Pediatrics. 

One year (first year) of clinical training in ambulatory and inpatient allergy, immunology and rheumatology

  • Fellows rotate on the inpatient and consulting services of each program: They perform the primary evaluation and formulate diagnostic and treatment plans for presentation to the attending at daily rounds.
  • The Service admits about 100 patients per year and consults on about 300.
  • Fellows cover research patients admitted to the Clinical Research Center and patients receiving I.V. immune globulin at the Center for Ambulatory Treatment.
  • Fellows spend three half days/week in ambulatory clinics where they evaluate patients and present them to the clinic attending.
  • Fellows are trained in techniques of skin testing, allergen immunotherapy, drug desensitization and joint aspiration.
  • Fellows preparing for allergy certification rotate through the adult allergy clinic at Brigham and Women's Hospital.
  • Fellows rotate through the Clinical Immunology Lab to obtain some familiarity with the performance and analysis of flow cytometry and lymphocyte function assays.
  • Fellows participate in clinical studies often leading to publication or meeting presentation.

Second and third years doing mentored research in a basic science laboratory or clinical setting 

  • Goal is to give trainees an intensive laboratory research experience and to instill the intellectual and technical skills necessary for an independent research career.
  • First year fellows meet with faculty and attend research conferences in preparation for seleciton of a research project and mentor.
  • Once in the lab, fellows will be closely supervised in weekly small group lab meetings, the core forum for research presentation and planning.
  • Experimental design, techniques and data presentation are subjected to intensive scrutiny.
  • Fellows acquire specific skills in cellular, biochemical and molecular genetic techniques.
  • Fellows in this program have an unmatched opportunity for interaction with many top tier immunology labs in the immediate neighborhood.
  • Some fellows may elect to conduct clinical studies during the second and third years.

Supervision and mentors

Teaching of fellows is done by a full-time staff of 12 and part time clinical staff of 7 faculty with appointments at Harvard Medical School.
Each fellow is assigned one faculty mentor with whom he/she meets regularly to assess progress and discuss selection of research projects, career focus and other issues. The first year fellows each meet once a week with one of the faculty to review basic immunology concepts.