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.
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.
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.