Training Programs

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 happen at Tufts Medical Center, he offers short internships/ outpatient rotations at Boston Food Allergy Center. Our educational partners include 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 250, are encouraged to apply. These training positions are unpaid, and a minimum 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. Typical rotation for students and medical residents is 2-3 week long, 5.5 days a week. 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 Dr. 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