Although this section of IMpact focuses on subspecialties, it is worth emphasizing what makes internal medicine unique. Internal medicine physicians see things differently. Holistically. And in a unique way that allows them to analyze, lead, and humanize health care in a variety of different settings and roles. See all the career opportunities internal medicine can provide.
Allergy and Immunology
The Discipline
Allergy and immunology involves the management of disorders related to the immune system. These conditions range from the very common to the very rare, spanning all ages and encompassing various organ systems. Diseases typically seen by an allergist/immunologist (often referred to simply as an "allergist") include:
- Allergic diseases of the eye, such as allergic conjunctivitis
- Respiratory tract-related conditions such as allergic rhinitis, sinusitis, asthma, hypersensitivity pneumonitis and occupational lung diseases
- Gastrointestinal disorders caused by immune responses to foods, including eosinophilic esophagitis or gastroenteritis, and food protein-induced enteropathies
- Skin-related allergic conditions such as atopic dermatitis, contact dermatitis, acute and chronic urticaria, or angioedema
- Adverse reactions to foods, drugs, vaccines, stinging insects and other agents
- Diseases primarily affecting the immune system, including primary immune deficiencies such as severe combined immune deficiency syndromes, antibody deficiencies, complement deficiency, phagocytic cell abnormalities, or other impairments in innate immunity and acquired immune deficiency
- Systemic diseases including anaphylaxis and systemic diseases involving mast cells or eosinophils
- Diseases associated with autoimmune responses to self-antigens, such as auto-inflammatory syndromes
- Stem cell, bone marrow and/or organ transplantation
Allergists may practice in dedicated allergy-related clinical settings and frequently provide consultative services to other physicians and hospitals. Some allergists combine their subspecialized training with general internal medicine practice.
Training
Allergy and immunology training programs are two years in length and may occur after completion of a three-year categorical internal medicine or pediatrics residency training program. Board certification in allergy and immunology is available following completion of fellowship training.
Combined training in allergy and immunology and rheumatology is available as a three-year program following completion of basic internal medicine residency training. Board certification in both allergy and immunology and rheumatology through the American Board of Internal Medicine is available following completion of this fellowship.
Training Positions
In this 2023-2024 academic year, there are 88 Accreditation Council for Graduate Medical Education (ACGME)-accredited training programs in allergy and immunology with 330 trainees.
Major Professional Societies
- American Academy of Allergy, Asthma & Immunology
- American College of Allergy, Asthma & Immunology
Back to the April 2024 issue of ACP IMpact