Educational Curriculum 

At the Children’s Hospital of Michigan, our fellowship training program prepares fellows to be qualified for the American Board of Allergy and Immunology. Graduates will be prepared to pursue future careers in academic medicine or subspecialty clinical practice.

Fifty percent of the 2-year program is devoted to direct patient care activities, with 65-70% pediatrics and 30-35% adult cross-training. At least 25% of the program is devoted to scholarly activities and research.

Clinical Training

Fellows are provided with direct patient care of new and established asthma and Allergy/Immunology patients in the inpatient and outpatient settings.

Pediatric Allergy/Immunology training is provided at the Children’s Hospital of Michigan. Adult Allergy/Immunology training is provided at the Detroit Medical Center and the Henry Ford Health System

Outpatient clinical training is conducted at multiple Children’s Hospital of Michigan Clinics and the Huron Valley Sinai Hospital. Some adult outpatient experiences are coordinated with the Henry Ford Health System. Inpatient clinical training is conducted at the Children’s Hospital of Michigan, Detroit Receiving Hospital, Harper Hospital and Karmanos Cancer Institute.

Elective rotations in ENT, dermatology, rheumatology, pulmonology and infectious disease are available in both adult and pediatric specialties. Other elective rotations include clinical immunology laboratory and allergen extract preparation.

Fellows will gain experience in the areas of asthma, food allergy, allergic rhinitis/conjunctivitis, drug allergy, angioedema, anaphylaxis, insect sting allergy, eczema, urticaria and other allergic skin conditions, and primary immunodeficiency.

Fellows will also learn to be proficient in skills important for Allergy/Immunology practice and the American Board of Allergy and Immunology including epicutaneous and intradermal skin testing, pulmonary function testing, allergy immunotherapy preparation and administration, food and drug desensitization and immunoglobulin replacement.

Research Training

Fellows will learn to design and conduct Allergy and/or Immunology research under the supervision of research mentor(s) who are fellowship program faculty, faculty of the School of Medicine, Central Michigan University and/or faculty of the School of Medicine, Department of Immunology and Microbiology, Wayne State University. Research resources are available through the Children’s Research Center of Michigan and the Children’s Hospital Foundation.

Lecture series on epidemiology, research principle, statistics and clinical trials for all specialty pediatric fellows at Children’s Hospital of Michigan are available to our fellows on a weekly basis.

Research projects are involved in QI, translational, and clinical research. Fellows are expected to present their research at national meetings and in peer-reviewed publications.

Examples of current fellow abstracts/publications:

Huang J, Pansare M. New Treatments for Asthma. Pediatr Clin North Am. 2019;66(5):925‐939. doi:10.1016/j.pcl.2019.06.001

Kothari M, Huang, J, Hancock U, Beydoun S, Seth D, Secord E, Poowuttikul P. Visual Recognition of Asthma Medication in Inner City Asthma Children and Caregivers. Annals Of Allergy, Asthma and Immunology Nov 2019; Vol.123, Issue 5, Supplement 1, S7.

Huang J, Saini S, Poowuttikul P, Seth D, Secord E. Abnormal T-cell Excision Circles Newborn Screening Test In An Infant Following Exchange Transfusions. Annals of Allergy, Asthma and Immunology Nov 2019; Vol.123, Issue 5, Supplement 1, S122

Saini S,Pansare M. New Insights and Treatments in Atopic Dermatitis. Pediatr Clin North Am. 2019;66(5):1021‐1033. doi:10.1016/j.pcl.2019.06.008

Poowuttikul P, Saini S, Seth D. Inner-City Asthma in Children. Clin Rev Allergy Immunol. 2019;56(2):248‐268. doi:10.1007/s12016-019-08728-x

Huang J, Kaur B, Seth D, Pansare M, Kamat D, McGrath E, Secord E, Poowuttikul P. Can Obesity Alter the Immune Response to Childhood Vaccinations? Journal of Allergy and Clinical Immunology Feb 2019; Vol.143; Supplement 2, Page AB299

Scholarly Activities:

At the Children’s Hospital of Michigan, the Allergy/Immunology scholarly activities are designed to encourage educational experiences and prepare our fellows for the American Board of Allergy and Immunology.

Fellows attend and present the weekly 3-hour didactic sessions/literature review in Allergy/Immunology at the Children’s Hospital of Michigan and the Henry Ford Health System.

Our trainees attend and present at 2 national specialty meetings yearly and attend the AAAAI/ACAAI Joint Board Certification Review Course.

The program is designed to develop a strong foundation in the basic and clinical immunology important to understanding and managing Allergic/Immunologic disorders. First year fellows attend a graduate level basic immunology course though Wayne State University.

Our trainees will be proficient in using and interpreting clinical immunologic laboratory testing during the Immunodeficiency continuity clinic and elective rotation in Immunology laboratory at the Detroit Medical Center.

Committee work within the hospital and/or other health organizations is also encouraged.