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Fellow Assignments

The A&I fellow is responsible for all consultations and is supervised closely by the A&I attending on service. The fellow is responsible for all follow-up and communication with other services for these inpatients.  Inpatients are seen principally at the Hospital of the University of Pennsylvania and also at Penn-Presbyterian Medical Center.  In addition, inpatients at CHOP are evaluated as detailed elsewhere.

Experience in Critical Care

There is a close working relationship between the A&I staff and the staff of the Intensive Care Units. On average there is at least one A&I consultation per week in the MICU. Consultations are handled in the same way as floor consultations except they are generally followed more closely as the patients are sicker.

Diversity of Inpatients

A&I fellows evaluate a variety of inpatients at the Hospital of the University of Pennsylvania. The patients are 18 years and older, males and females, and include a wide range of racial/ethnic backgrounds. The fellow is exposed to patients that represent the spectrum of allergic/hypersensitivity/immunodeficiency disorders. The most common in-patient consultations include: Drug allergy evaluation, drug desensitization and challenges, angioedema, eosinophilia, unexplained immunologic abnormalities and immunodeficiency evaluation or management.

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