Clinical Training Program

A Message from the Johns Hopkins Allergy Training Program Director 

Saini

Sarbjit (Romi) S. Saini, M.D.

Greetings and welcome to the Johns Hopkins University School of Medicine Department of Medicine Division of Allergy & Clinical Immunology Training Program Webpage. I encourage you to browse through our site, which contains up-to-date information for those physicians interested in fellowship training for a career in discovery.

           

We are one of the largest allergy and clinical immunology divisions in the nation. Over an incredibly rich forty-year history, our fellowship program has produced internationally recognized authorities on, and fundamental advances in, the areas of pathophysiology, diagnosis and treatment of allergic rhinitis, immunotherapy, asthma, food allergy, anaphylaxis, drug allergy, eosinophilia and urticaria.  We pride ourselves in doing translational research, and we are also known for our work on human cell biology, genetics and genomics, and animal models of allergic and other forms of inflammation.  The minimum duration of Allergy and Immunology Fellowship is 24 months, but most choose to train for three years. Twelve months of rigorous clinical training take place in the first two years. Outstanding teaching comes from clinician-educators at both Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center teaching hospitals as well as from superb faculty across the School of Medicine in selected courses.  The net result is a graduate who is well prepared for the Allergy and Immunology board exam and who is eminently qualified for an academic and clinical career.

 

As you explore our website, we hope you appreciate the depth and breadth of the Hopkins Program.  Hopkins investigators receive more NIH dollars each year than most other institutions in the country, and this is true of our faculty as well. Through collaboration with world-renowned research faculty, our trainees acquire the requisite tools in genetics, genomics, proteomics, molecular biology, cell biology, basic immunology, physiology and clinical and translational research to perform productive cutting-edge investigation in fields related to allergy and clinical immunology.

 

What a website cannot readily transmit is the nurturing atmosphere experienced by all who train here. The esprit de corps among Hopkins fellows and faculty is extremely high and fostered by regular programmatic feedback sessions and an open door policy with mentors and the Program Director. Fellows and faculty are on a first name basis and frequently socialize. Collaboration between the Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center campuses, located less than four miles apart, is facilitated by a well-developed shuttle system, an integrated videoconference system, and the use of video and audio capture software.  Our trainees also enjoy the charms of Baltimore with its history, culture and cuisine; ready access to the ocean, mountains, and the Inner Harbor; and our baseball (Orioles) and football (Ravens) teams.

 

Once again, welcome to the Hopkins Allergy & Clinical Immunology Training Program. Please enjoy our website and email or call with questions.

 

CLINICAL ALLERGY & IMMUNOLOGY POSTDOCTORAL TRAINING AT JOHNS HOPKINS

 

Introduction – “How to Become a Board-Certified Allergist”

The Division of Allergy & Clinical Immunology at the Johns Hopkins School of Medicine has established a fellowship program designed to train leaders in academic allergy/immunology. The aim of the training program is to prepare physicians for a broad range of possible careers including those in basic research, clinical research, education and clinical practice.

 

Clinical training draws on a diverse patient population and on the intellectual strengths and contributions of leading clinicians, teachers and investigators from both the Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center. Maximum exposure is provided to a broad spectrum of clinical problems in an optimal teaching setting. Fellows play an important role in the education of Hopkins medical school students and the medical housestaff at each institution.

 

The research program is staffed by physician-scientists and Ph.D. investigators who specialize in cell and molecular biology, biochemistry, physiology, genetics/functional genomics and epidemiology. The depth and diversity of research activities represents one of the major strengths of the fellowship. Added to this, there are other training grants to support research in the Rheumatology and Pulmonary & Critical Care Medicine Divisions. Over the past year, our laboratories have produced numerous original research contributions published in a wide range of peer-reviewed clinical and basic science journals. Competitive awards from the NIH or other agencies such as the American Academy of Allergy, Asthma & Immunology, the American Lung Association, and the Food Allergy & Asthma Network (FAAN) largely support the allergy research laboratories at both teaching hospitals.

 

The duration of the fellowship is two to three years. The majority of fellows, however, continue their training for a third year. This is felt to be essential in preparation for a career as an academic allergist.

 

Upon completion of the clinical and research years, fellows will have acquired requisite clinical and research skills and a track record to launch a career as a basic science investigator, clinician-scientist or clinician-educator anywhere in the world.

 

 

Fellowship Curriculum

A majority of the first two years consists of clinical rotations on consultative asthma and related allergic disease medicine.  One of the greatest strengths of this training is the diversity encountered through rotations at each of our campuses.  Each brings its own strengths to the program and complements the experiences at the other hospital.  Fellows spend much of the first year involved in allergy consultation and outpatient allergy clinic.  The second year adds a focus on laboratory research, cross training in immunologic disease and pediatric allergy exposure.  As part of the first two years, fellows acquire specific skills in skin testing, pulmonary function tests, drug and food desensitizations, and immunotherapy.

         

  Internal Medicine Trainee   Pediatric Trainee
  Year
1
Year
2
Year
*3
  Year
1
Year
2
Year
*3
Supervised clinical experience: __________ (Optional)   __________ (Required)
-- Outpatient clinics
   Adult 50 25 10   0 10 0
   Pediatric   10     20 20 10
   Immunodeficiency [peds]   4     10 0 0
-- Inpatients/consultation 10 5     10 5 0
Conferences and course work 20 15 5   20 15 5
Supervised clinical or laboratory research 20 41 85   40 50 85
  (Numbers represent % of time spent in each area or activity each year)

Research Training

A major goal of the fellowship is to produce outstanding independent investigators in allergy and clinical immunology.  The depth and diversity of the world-class research community at Hopkins represents a major strength of the training program.  Program faculty sit on major advisory committees including those of the American Academy of Allergy, Asthma & Immunology (AAAAI), the American Lung Association, American Board of Allergy & Immunology as well as various grant review study sections of the National Institutes of Health.  Members of the faculty serve on the editorial boards of major allergy and biomedical journals, including the Journal of Allergy and Clinical Immunology and UpToDate, and co-edit the Middleton’s Allergy: Principles & Practice textbook.

 

The research program is constructed “without walls” with numerous possibilities for collaborative projects with colleagues at Hopkins Medical School, Hopkins Bloomberg School of Public Health, as well as other departments and neighboring institutions such as the University of Maryland and the NIH. Productive external research collaborations are encouraged.  Active programs are in place in virtually every aspect of allergic disease from genes to cells to human models of disease.  Project topics range from molecular biology to signal transduction to inflammatory cell recruitment and survival in allergic diseases to the genetic epidemiology and pharmacogenetics of asthma to clinical trials.  There exists a multidisciplinary approach to the investigation of asthma including classic cell and molecular biology, cell biology and human genetics.  There are ample opportunities for both the fellow pursuing a career in basic science research as well as the fellow whose focus lies more in clinical medicine and clinical research.  Virtually all of these research activities are supported by NIH-funded grants.

 

The synergy of intellectual talent, technology, collaboration and space provide a strong atmosphere for fellowship training.  As a result, the applicant is not automatically assigned to a project and mentor in the program.  Instead, there is a chance to broadly view the research endeavors of the program faculty during clinical training and to choose a project and mentor whose goals are consistent with those of each fellow.  Career counseling and direction are provided to assist each fellow in the selection of an area of research.  Each fellow selects a mentor at the start of the first year. This faculty member is available to assist with decision making around career choice during fellowship and beyond.  Fellows also meet with the division chief and mentorship committee to further input regarding their research experience and career plans.

 

Divisional Conferences & Teaching Programs

Conferences are concentrated on Wednesday and Friday afternoons. Fellows are given assignments for presentation at research and clinical teaching conferences at periodic intervals. Numerous optional conferences, which may be of interest to some fellows, are available throughout the University (see below).

A partial list of the conference and teaching schedule within the Asthma & Allergy Center and the Johns Hopkins Medical Institutions is as follows:

Asthma & Allergy Center

  • Clinical Teaching Conference Wednesday Afternoons (directed by Drs. S. Saini, Bruce Bochner, and Faculty)
  • Divisional Research Conferences Wednesdays Afternoons
  • Allergy & Clinical Immunology Conferences & Journal Club Fridays, 1:00 - 2:00 p.m.
  • Summer Teaching Course for new fellows - Wednesday and Friday afternoons, July - August (Dr. Brendan Canning and Faculty)
  • Asthma Center Research Symposium - One full day, annually in the Fall
  • Journal Club, Wednesday Afternoons (once per month)
  • Allergy Grand Rounds - Friday, 1:00- 2:00 pm , Quarterly
  • Evening Journal Clubs – Off-site local Baltimore area restaurants, quarterly

Johns Hopkins Medical Institutions

  • JHU Immunology Council Seminar Series - Tuesdays at 4:00 p.m.
  • Pulmonary Grand Rounds - Thursdays at 8:00 a.m.
  • Pulmonary Combined Research Seminar - Thursdays at 9:15 a.m.
  • Immunology Council Minisymposium - One full day, annually
  • Clinical Research Methods Course - Two weeks annually, in July for second year clinical fellows
  • Pediatric Allergy Conference - Monday mornings
  • Immunodeficiency Conference - Friday mornings
  • Medical Grand Rounds - Friday morning Johns Hopkins Hospital; Tuesday noon Johns Hopkins Bayview Medical Center

 

Education in General Immunology

During their fellowship period, all fellows are expected to acquire an acceptable understanding of the science of immunology. After an initial appraisal of past experience and knowledge in immunology, each fellow will be counseled privately concerning a recommended course of study in basic immunology during the remainder of his or her fellowship. The Johns Hopkins University Immunology Council (IC) offers a wide variety of intermediate and advanced courses in immunology which can be taken during fellowship. In addition, IC sponsors a weekly Tuesday afternoon seminar where current immunological research is presented by university immunologists and invited guest scientists, an annual full day mini-symposium, and the annual Kunkel Lectureship in Immunology.


Interdisciplinary Interfaces

Ongoing collaborative research efforts with the Division of Pulmonary & Critical Care Medicine have resulted in a number of joint efforts studying the problems of hyperreactive and inflamed airways. Run by both divisions, this program provides excellent facilities for training and research in mechanisms of asthma and other immunologic lung diseases. Joint research efforts with other departments of the School of Medicine have been undertaken from time to time as needs and opportunities arise.


TWO TRACKS ARE OFFERED:

Track 1:      Allergy & Clinical Immunology Fellowship (leading to ABAI Board Eligibility)

This program is ordinarily a three year commitment for physicians who have completed training in internal medicine and who desire sub-specialty allergy and immunology clinical training leading to ABAI board eligibility. An intensive supervised research program is included. The Division accepts both trainees who wish to prepare for a career in laboratory research and those who wish to prepare for investigation in the clinical arena. During the first two years, approximately 50% effort is devoted to clinical training and conferences, with the remainder of time assigned to research instruction, closely supervised by one or more faculty members. During the second year, a mutual agreement is reached concerning the advisability of a third year of intensive research, which is always preferred. An optional track permits pursuit of a PhD in Clinical Investigation for those willing to commit to an additional year of intensive training.

Track 2:     Research-Intensive Experience (for clinical physicians)

For those physicians who have completed or are in the midst of clinical training in another specialty (e.g., pulmonary medicine, rheumatology, otolaryngology) and who do not seek formal clinical training in allergy and immunology, this program provides an intensive research experience. While these physicians may be assigned to one clinic session (1/2 day) per week throughout their tenure (if clinical credentials are available), the great majority of their time will be focused on laboratory or clinical investigation under the guidance of one or more faculty members. Designed for physicians committed to careers in biomedical research and wishing to pursue this goal with minimal clinical responsibilities, this track is not intended for those seeking board certification in allergy and immunology.




Post-Doctoral Program Tracks
Brief Description Training Period (Years) No. of Positions Available/yr Pre-requisites Research Time Year Clinical Sessions (per week) Consult Service (mo/yr)
Allergy-Clincal Immunology 3 2 M.D.* Lab or Clinical Research 1
2
3
4**
2
1
3
2
-
Research Intensive 2-3 varied M.D.+ 90% Lab, or Clincal Research 1
2
(3)
1
1
1
-
-
-
* - Residency training in medicine or pediatrics
** - Including rotation in pediatric allergy
+ - Advanced clinical training in allied specialty
( ) - Indicates year is optional



Program Location and Scope


JHAAC2

Johns Hopkins Asthma & Allergy Center

The Division of Allergy and Clinical Immunology is located in the Johns Hopkins Asthma & Allergy Center, adjacent to the Hopkins Bayview Medical Center. The Bayview Medical Center, formerly Baltimore City Hospital and then the Francis Scott Key Hospital, has been a major teaching center for medical school undergraduates and house staff for many years and became wholly owned by Johns Hopkins in 1985. The 130,000 square foot Asthma & Allergy Center facility, which opened in 1989, also includes the Division of Pulmonary & Critical Care Medicine’s research facilities, and the Division of Rheumatology's Vasculitis Center. The three divisions operate outpatient clinics alongside clinical research, bringing these activities into the same building with laboratory research.

Some clinical and research activities of the training program take place in other divisions of the University and at the Johns Hopkins Hospital. The Department of Pediatrics runs three half-day clinic sessions devoted to pediatric allergy and one session for evaluation of immunodeficiency states. These clinics provide an excellent training milieu for fellows in Allergy and Clinical Immunology.
Consultative services in allergy and clinical immunology are provided for inpatients in both the Johns Hopkins Hospital and the Johns Hopkins Bayview Medical Center.

Elective time in allied clinical specialties can also be arranged if desired. Pulmonary medicine, rheumatology, and immunology-oriented dermatology are frequent choices. Training in otolaryngology, general dermatology, and immunodeficiency can also be provided as elective opportunities at the Johns Hopkins Hospital or Bayview Medical Center.

 

Clinical Facilities

 

The training program is conducted at Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center.  These hospitals have a varied patient population that allows exposure to a wide array of allergy and clinical immunology problems.  Each hospital has a unique character and attracts referrals for treatment and evaluation of a broad spectrum of allergic and immunologic of disease processes.  The experiences at the different hospitals and outpatient clinics compliment each other well and the physicians have unique clinical strengths and the patient care at each institution has a distinct emphasis as described below.  The presence of more than 70 different specilty training programs at these institutions further endorses the overall environment of the pursuit of knowledge.  

 

Each of the hospitals has an active allergy/immunology outpatient service, and each hospital is engaged in teaching of Hopkins medical students and house officers.  Both hospitals sponsor weekly multidisciplinary conferences  (you can link to the calendar here) in which clinical problems are reviewed.  There are program-wide conferences where clinical fellows present their most interesting cases for discussion and a weekly research conference where faculty present research topics relevant to asthma and allergic diseases.

 

Johns Hopkins dome.

The Johns Hopkins Hospital

This 1,000-bed flagship of Johns Hopkins Medicine opened in 1889 on the East Baltimore site designated by founder Johns Hopkins in his will. Today, The Johns Hopkins Hospital includes such renowned centers as the Brady Urological Institute, the Wilmer Eye Institute, the Sidney Kimmel Comprehensive Cancer Center, the Johns Hopkins Children’s Center and the Johns Hopkins Heart Institute. Nurses here have achieved the coveted Magnet Award for Nursing Excellence—an internationally recognized "gold standard" for nursing.

For more than 15 consecutive years, U.S. News & World Report has ranked The Johns Hopkins Hospital No. 1 in America.

Surrounding the original, domed Johns Hopkins Hospital building is a 44-acre complex of patient care, research and administrative buildings for the hospital and the Johns Hopkins University’s Schools of Medicine, Nursing and Public Health.

The Johns Hopkins Bayview Medical Center

Located less than four miles east of The Johns Hopkins Hospital, the Johns Hopkins Bayview Medical Center is a 130-acre medical campus and full-service community teaching hospital staffed by Johns Hopkins faculty physicians.

Founded in 1773 as the Baltimore City Hospital, Bayview is one of the oldest continuous health care systems on the east coast of the United States. A member of the Johns Hopkins Health System since 1984, Bayview has more than 700 beds and is home to one of the region’s most comprehensive neonatal intensive care units, a sleep disorders center, asthma and allergy center, an area-wide trauma center, Maryland's only regional burn center, and geriatrics programs that enjoy national reputations.

Together, The Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center have nearly 60,000 inpatient admissions and 1 million outpatient visits each year.

 

 

How to Apply

Track 1: Allergy & Clinical Immunology Postdoctoral Fellowship

Interested applicants for Clinical Allergy and Clinical Immunology Fellowship leading to Board Certification should apply via the ERAS site by following the instructions and timeline here:  http://www.aamc.org/programs/eras/fellowships/start.htm

Track 2:  Research-Intensive Experience for Physicians

Interested applicants for the Research Intensive track should complete an application for postdoctoral training (PDF of the Postdoctoral fellowship application) and submit it with the necessary documents as far as possible in advance of the desired starting date. The School of Medicine Application for Research Fellowship can he found here (PDF).  Selected applicants will be invited to Baltimore for an interview and further discussion of professional goals. Fellowship periods generally begin in July of each year, although other starting dates are possible, especially for fellowships without clinical responsibilities. Johns Hopkins and the Division of Allergy and Clinical Immunology have a special interest in encouraging the advancement of qualified women and minority applicants for training in allergy and clinical immunology. The Johns Hopkins University School of Medicine is an equal opportunity/affirmative action institution, actively seeking individuals from under-represented minority groups for training programs. Grants for travel to Johns Hopkins for a full day visit to the program and its faculty are available to minority applicants. Applicants requiring travel grants should so indicate by letter with their application.

ERAS applications for the Johns Hopkins Program must include a "Personal
Statement" of not more than 1000 words that addresses the following
questions:
 

1) What factors are responsible for your interest in allergy and clinical immunology as a medical subspecialty?

2) What career path do you envision for yourself in A-I?

3) What features of the Johns Hopkins A-I program attracted your application, and how do you see the Program as a good match for your professional goals?

Program Interviews for Clinical Fellowships are generally scheduled in February and early March on Wednesdays and Fridays. 

 

Stipends and Fees (JHU SOM Fellow Compensation Policy)

Stipends are paid to postdoctoral fellows at the current rate established by the National Institutes of Health for training programs and special fellowships. Based on years of completed postdoctoral experience, the approved stipends offered for FY2010 are found at:  http://grants.nih.gov/grants/guide/notice-files/NOT-OD-10-047.html .  Stipends for postdoctoral training are obtained from a variety of sources. The stipend source and any associated obligations will be discussed with successful applicants prior to finalization of a fellowship offer.

Applications of candidates who are not United States citizens or permanent residents are special cases. Although their applications are certainly welcomed, the Division does not ordinarily have salary or stipend funds available for foreign applicants and must ask them to seek salary and travel support from sources within their own countries. The Division may accept foreign applicants contingent upon their ability to obtain such support. Additionally, physicians who are not graduates from United States medical schools require a special credentialing procedure before they may receive a clinical or clinical research fellowship appointment.

All postdoctoral fellows, spouses, and dependent children must be covered by health insurance. It is required that they subscribe to the School of Medicine trainee insurance plan unless equivalent insurance is already carried by the individual or by a sponsoring agency outside the University. Specifications of equivalent coverage are available from the School of Medicine Registrar's Office. Equivalent insurance must be underwritten by a United States based insurance company; foreign insurance is not accepted. The cost of health insurance premiums for individual fellows is provided by the Division; family coverage is the responsibility of the individual fellow.

 

Contact Us:

 

Sarjit (Romi) S. Saini, MD

Program Director

410-550-2191

ssaini@jhmi.edu

 

Chenelle Johnson-Louden

Adult Allergy & Immunology

Program Administrator

410-550-2191

cjohnb@jhmi.edu

 

Robert Wood, M.D.

Associate Program Director

*Pediatric Allergy & Immunology*

410-955-5883 (option #4)

http://www.hopkinschildrens.org/tpl_rlinks_nav1up.aspx?id=2916

 

Donna Dieterich

Administrative Manager

*Pediatric Allergy & Immunology*

ddieter1@jhmi.edu

410-955-5883 (option #4)

 http://www.hopkinschildrens.org/tpl_rlinks_nav1up.aspx?id=2916

 

Program Faculty

           

One of the richest resources of the Hopkins Medical School Fellowship in Allergy & Clinical Immunology is the combined adult and pediatric allergy/immunology faculty.  This group includes nearly 30 clinicians and scientists.  The faculty’s interests vary widely both in clinical medicine and research efforts and effectively touch upon all aspects of asthma and immunology medicine.  This breadth affords each fellow a unique opportunity to find a faculty member with like-minded interests in clinical medicine as well as research endeavors.  In addition, each fellow selects a faculty mentor at the beginning of fellowship. This person is a senior faculty member who will work with the fellow throughout his/her training to assist with academic development.  http://www.hopkinsmedicine.org/allergy/faculty/


Clinical Fellow Year of Completion
CHOI, JANE, M.D. 2002
SWAMI, SANJAY, M.D. 2002
BROWN, KATHRYN, M.D. 2003
JOO-BAILEY, SALLY , M.D. 2003
LIGHVANI, SEBASTIAN, M.D. 2003
MATSUI, ELIZABETH, M.D. ** 2003
PERRY, TAMARA, M.D. 2004
SCARUPA, MARK, M.D. ** 2004
SIMONS, FRANCES, M.D. 2004
FLEISCHER, DAVID, M.D. 2005
LE, TAO, M.D. 2005
VAISHNAV, ABHILASH, M.D. 2005
CONNER, EDWARD, M.D. 2006
KORFF, MONIKA, M.D. 2006
LIMB, SUSAN, M.D. ** 2006
TANO, BENOIT, M.D. 2006
GUO, JIN PING, M.D., Ph.D. 2007
LE, TRONG, M.D. 2007
SAJOUS, MARIE-HELENE, M.D. 2007
TVERSKY, JODY, M.D. 2007
ECKMAN, JOHN, M.D. 2008
ISHMAEL, FAOUD, M.D., Ph.D. 2008
SHARMA, HEMANT, M.D. 2008
SKRIPAK, JUSTIN, M.D. 2008
CHHABRA, ADHUNA, M.D.** 2009
GUERRERIO, PAMELA, M.D.,Ph.D.** 2009
TSAI, YUHJUNG (JOHN), M.D. 2009
KEET, CORINNE, M.D. 2010
CHONG, LAURA, M.D. in training since 2008
MAKHOUL, WASEEM, M.D. 2010
NARISETY, SATYA, M.D. in training since 2008
COOK, MARISHA, M.D. in training since 2009
PATERNITI, MIYA, M.D. in training since 2009
PYRGOS, GEORGE, M.D. 2010
SAVAGE, JESSICA, M.D. in training since 2009
TORJUSEN, ERICA, M.D. in training since 2009

**= JHU Faculty, full or part-time
For contact information, email jhuallergy@jhmi.edu

USEFUL LINKS

 

Links and Information for Applicants:

 

    * ERAS Fellowship Application Process- http://www.aamc.org/students/erasfellow/start.htm

    * Using ERAS

    * My ERAS Applicant's Manual

    * ERAS FAQ, including schedule and other useful information

    * Institutional Policy Regarding Selection of Trainees http://www.hopkinsmedicine.org/som/gme/GMEC/policies/

 

Links for International Graduates:

    * JHMI office of International, Faculty, Staff and Student Services http://www.hopkinsmedicine.org/intlsvcs/index.html

     * Educational Commission for Foreign Medical Graduates

           Sponsorship Information - http://www.ecfmg.org

    * United States Citizenship and Immigration Services (USCIS) Forms- http://www.uscis.gov/portal/site/uscis

    * United States State Department Exchange Visitor Homepage- http://exchanges.state.gov/jexchanges/index.html

  

Links for Incoming Fellows:

http://www.hopkinsmedicine.org/som/gme/GMEC/policies/index.html

-       Policies, benefits, and responsibilities

-       Sample contract

-       Moonlighting policy

-       Benefits for clinical fellows

 

Living in Baltimore- http://www.livebaltimore.com/

Baltimore Visitors Guide- http://baltimore.org/

 

Professional Organizations:

AAAAI- http://www.aaaai.org/

ALA- http://www.lungusa.org/

ATS- http://www.thoracic.org/

NIH- http://www.nih.gov/

NHLBI- http://www.nhlbi.nih.gov/

COPYRIGHT 2013 JHU SOM DIVISION OF ALLERGY AND CLINICAL IMMUNOLOGY