Training Programs

training

Dr. John Leung is invested in training the next generation of dietitians, medical students, residents and fellows of various specialties and educational backgrounds. While a significant part of his teaching and lectures take part at Tufts Medical Center, he offers short internships/outpatient rotations at Boston Food Allergy Center. Our educational partners include Tufts Medical Center Gastroenterology fellowship, Tufts University’s Friedman School of Nutrition, St. Elizabeth Medical Center internal medicine residency program and Tufts High School Students Program.

In addition, BFAC also takes 1-2 international scholars with MD degree who want to advance their clinical and research training in food allergy and intolerances. Only applicants who are fluent in written and spoken English, and with Step 1 score higher than 235, are encouraged to apply. These training programs are unpaid, and a minimum of three months commitment is required. Training is tailored to the mentees’ career goal, educational background and level of training. Individualized reading materials, educational objectives and mini-research projects will be assigned and provided at the beginning of the rotations. To apply for electives, please submit a cover letter with your CV to admin@bostonfoodallergycenter.org.

Medical Resident Training Objectives

Rotation Contact

Rotation director: Dr. John Leung
Rotation coordinator: Rachel Wilkinson, MS, RD, LDN
Email: admin@bostonfoodallergycenter.org
Phone: 617-804-6767
Clinical name: Boston Food Allergy Center
Clinical location: 65 Harrison Ave, Suite 201, Boston, MA 02111
Website: http://www.bostonfoodallergycenter.org
Parking is very expensive in downtown. More information can be found at our website: parking info

First Day Information
The resident should contact Ms. Wilkinson at least 2 days prior to starting the rotation to review the resident's career goals, days off during the rotation, and other considerations.

Resident Expectations
The resident will be expected to directly participate in attending clinics through H&Ps, oral presentations and case discussion, and documentation.

Goals and Objectives

OVERALL EDUCATIONAL GOAL:
The purpose of the elective is to introduce the resident to the field of allergy & immunology. Residents will learn to recognize and manage a broad array of allergy and immunology diseases.

OBJECTIVES:
Demonstrate competence in the recognition and basic management of:
  • Allergic rhinitis and conjunctivitis
  • Anaphylaxis
  • Asthma
  • Atopic dermatitis
  • Drug allergies
  • Eosinophilic esophagitis and eosinophilic gastrointestinal disorders
  • Food allergies
  • Immune deficiency
  • Stinging insect allergy
  • Urticaria and angioedema (acute and chronic)
Describe indications for the following studies as well as the basics of interpreting them:
  • Skin prick testing
  • Intradermal skin testing
  • Serum IgE testing
  • Pulmonary function testing
  • Oral food challenges
  • Drug desensitization
  • Hydrogen breath testing
  • Patch testing
Understand the basic pharmacology and dietary therapy:
  • Antihistamines
  • Epinephrine
  • Intranasal steroids and antihistamine
  • Nasal and sinus rinse
  • Subcutaneous allergen immunotherapy (allergy shots)
  • Inhaled steroids
  • Anti-IgE therapy (omalizumab)
  • Leukotriene antagonists
  • Intravenous immunoglobulin
  • Empirical elimination diet
  • Low FODMAP diet

EVALUATION:
Resident performance is evaluated by direct faculty assessment during clinical activities, including oral presentations, written notes, evidence of outside reading, and professionalism. Punctuality is very important at BFAC. An evaluation is completed at the end of the resident rotation by Dr. Leung and will be sent back to your program. Resident will be evaluated by staff and patients at BFAC as well.

LEARNING ACTIVITIES OF THE ROTATION:
The principle learning activity of residents involves the assessment of patients in outpatient allergy and immunology attending clinics. Residents will participate in attending clinics on Mondays, Tuesdays and Friday. Saturday is optional and per directives from your internal medicine program

First Day Information
  • Leung J, Crowe SE: Food allergy and food intolerance. In: Nutritional Care of the Patient with Gastrointestinal Disease. Buckman A (Ed), Taylor & Francis Group LLC, Boca Raton, FL, 2015: 63-88
  • Relevant uptodate.com chapters

Dietetic Interns Training Objectives

Rotation Contact

Rotation director: Dr. John Leung
Rotation coordinator: Rachel Wilkinson, MS, RD, LDN
Email: admin@bostonfoodallergycenter.org
Phone: 617-804-6767
Clinical name: Boston Food Allergy Center
Clinical location: 65 Harrison Ave, Suite 201, Boston, MA 02111
Website: http://www.bostonfoodallergycenter.org
Parking is very expensive in downtown. More information can be found at our website: parking info

First Day Information
The intern should contact Rachel at least 2 days prior to starting the rotation to review the intern's career goals, days off during the rotation, and other considerations.

Expectations
The intern will be expected to directly participate in attending clinics through H&Ps, oral presentations and case discussion, and documentation.

Goals and Objectives

OVERALL EDUCATIONAL GOAL:
The purpose of the elective is to introduce the interns to the field of food allergy & intolerance. Interns will learn to recognize and manage a broad array of food associated allergy and gastrointestinal disorders.

OBJECTIVES:
Demonstrate competence in the recognition and basic management of:
  • Atopic dermatitis with food as trigger
  • Eosinophilic esophagitis and eosinophilic gastrointestinal disorders
  • Food allergies
  • Food intolerance
  • Irritable bowel syndrome
Describe indications for the following studies as well as the basics of interpreting them:
  • Skin prick testing
  • Serum IgE testing
  • Oral food challenges
  • Hydrogen breath testing
Understand the basic pharmacology and dietary therapy:
  • Antihistamines
  • Epinephrine
  • Empirical elimination diet
  • Low FODMAP diet

EVALUATION:
Intern performance is evaluated by direct faculty assessment during clinical activities including oral presentations, written notes, evidence of outside reading, and professionalism. Punctuality is very important at BFAC. An evaluation is completed at the end of the rotation by Dr. Leung and will be sent back to your program. Intern will be evaluated by staff and patients at BFAC as well.

LEARNING ACTIVITIES OF THE ROTATION:
The principle learning activity of interns involves the assessment of patients in outpatient food allergy and intolerance clinic. Residents will participate in attending clinics on Mondays, Tuesdays and Friday. Saturday is optional and per directives from your program.

First Day Information
  • Leung J, Crowe SE: Food allergy and food intolerance. In: Nutritional Care of the Patient with Gastrointestinal Disease. Buckman A (Ed), Taylor & Francis Group LLC, Boca Raton, FL, 2015: 63-88
  • Relevant uptodate.com chapters

International MD elective

Rotation Contact

Rotation director: Dr. John Leung
Rotation coordinator: Rachel Wilkinson, MS, RD, LDN
Email: admin@bostonfoodallergycenter.org
Phone: 617-804-6767
Clinical name: Boston Food Allergy Center
Clinical location: 65 Harrison Ave, Suite 201, Boston, MA 02111
Website: http://www.bostonfoodallergycenter.org
Parking is very expensive in downtown. More information can be found at our website: parking info

Overview
Our goal is to help international medical graduates ease the transition into a U.S. graduate medical education training program and to enhance their competitiveness by offering intensive 3 months of clinical training. Our international medical graduates have the opportunity to learn alongside US medical students, residents, fellows and faculty before applying to graduate medical education programs.

Target Audience
  • International medical graduates who wish to become acculturated into the U.S. medical system in order to enhance competitiveness for a U.S. graduate medical education training program.
  • Physicians who wish to return to active clinical medicine after an extended leave.
  • Physicians who wish to enhance their focus or area of interest and need a primary medical update.
  • Physicians who wish to enhance their clinical skills


Goals and Objectives

OVERALL EDUCATIONAL GOAL:
The purpose of this course is to introduce the international scholars to US healthcare system

OBJECTIVES:
  • Become proficient in using electronic medical records.
  • Have an opportunity to attend grand rounds and conferences in Boston.
  • Be familiar with medical terminology and medications used in the US.
  • Understand how insurance and billing work in the US.
  • Learn how to do effective literature search with various databases, e.g. UpToDate, PubMed etc.
  • Get a broad overview of clinical trials and research.

EVALUATION:
Participant’s performance is evaluated by direct faculty assessment during clinical activities, including oral presentations, written notes, evidence of outside reading, and professionalism. Punctuality is very important at BFAC. At the end of the course, we write a final letter stating your accomplishments. Often, trainees taking our course have this letter sent to the Electronic Residency Application Service (ERAS).
How to apply We offer limited training positions for international medical graduates every year. Only very competitive candidates are encouraged to apply. We do not usually offer position to candidates with a Step 1 score lower than 250 or who cannot commit at least 3 months for the training. You are encouraged to apply if you meet the following criteria:
  • Graduated from medical school within the past 5 years.
  • Must be fluent in the English language to ensure proper communication with patients.
  • Step 1 score high than 250.
  • Must be able to obtain a valid B-1 visa.
  • Willing to commit for 3 months.
We accept applications on a rolling basis. Please submit the following materials to our coordinator (admin@bostonfoodallergycenter.org) more than two months before your intended start date:
  • Completed Application Form
  • Curriculum Vitae
  • Latest medical school transcript
  • USMLE Step 1 report
  • Vaccination records: Positive titer serology for Measles, Rubella, and Hepatitis B, and negative PPD
  • Health Insurance Policy
  • Copy of biographic page of passport and visa (passport must be valid beyond six months)