Department of Medicine

Allergy and Immunology Fellowship Program

Housed within the Department of Medicine, Montefiore-Einstein’s two-year Allergy and Immunology Fellowship Program offers its fellows access to diverse clinical exposure and a robust research program. Fellows train in subspecialty programs in chronic sinusitis, severe asthma and drug and food allergies. Adult and pediatric tracks are available.   

David Rosenstreich, MD, Director, Allergy and Immunology Fellowship Program

Why our program could be right for you

Our Allergy and Immunology Fellowship Program provides comprehensive training in all aspects of allergy and immunology. Our fellows gain focused exposure to respiratory, drug and food allergies through rotations at Montefiore-Einstein’s Asthma Center, the Comprehensive Sinus and Allergy Center, the Food Allergy Center and our Drug and Chemotherapy Desensitization Programs. Fellows also cross-train with the Pediatric Division in our immune deficiency clinics.

Hutchinson Campus, Tower Two

Hutchinson Campus is the primary training site for our Allergy and Immunology Fellowship Program, and houses our allergen immunotherapy mixing facility. This location is also home to the Food Allergy Center and Drug Desensitization Program, as well as the Chronic Sinusitis Center.

Greene Medical Arts Pavilion

The Greene Medical Arts Pavilion (MAP) is our second clinical site, and home to Montefiore-Einstein’s Asthma Center and the site of our busiest allergen immunotherapy programs. Working in conjunction with Pulmonology, fellows participate in the evaluation and management of patients with severe asthma. The site has an asthma educator and facilities for allergy testing, PFTs and FeNO testing. A general allergy clinic and a special patch testing clinic are also run out of this site.

A world-renowned faculty

David Rosenstreich, MD

Chief, Allergy and Immunology
Director, Allergy and Immunology Fellowship Program
Director, Montefiore-Einstein Asthma Center
Professor, Allergy and Immunology
Professor, Otorhinolaryngology—Head & Neck Surgery
Joseph and Sadie Danciger Distinguished Scholar, Microbiology and Immunology

Manish Ramesh, MD, PhD

Director, Montefiore-Einstein Food Allergy Center
Clinical Director, Allergy and Immunology
Assistant Professor, Allergy and Immunology

Golda Hudes, MD, PhD

Attending Physician, Allergy and Immunology
Associate Professor, Allergy and Immunology
Associate Professor, Otorhinolaryngology—Head & Neck Surgery

Gabriele de Vos, MD

Attending Physician, Adult and Pediatric Allergy and Immunology, Jacobi Medical Center
Associate Professor, Allergy and Immunology

Elina Jerschow, MD

Attending Physician, Allergy and Immunology
Associate Professor, Allergy and Immunology

Sunit Jariwala, MD

Co-Director, Montefiore-Einstein Asthma Center
Director, Clinical & Research Innovation, Medicine
Director, Research, Allergy and Immunology
Associate Professor, Allergy and Immunology

Denisa Ferastraoaru, MD

Co-Director, Chronic Sinusitis Clinic and Food Allergy Center
Assistant Professor, Allergy and Immunology

A challenging and innovative curriculum

Our two-year Allergy and Immunology Fellowship Program provides comprehensive training across all areas of allergy and immunology, preparing fellows for successful careers in their field. Our well-rounded program combines didactic learning with hands-on experience.

Outpatient activities

Allergy and Immunology Fellows on the Internal Medicine Track spend more time in the Internal Medicine Allergy Division’s clinical facilities and focus their research efforts on hypersensitivity diseases. Under the leadership of an attending physician, Allergy and Immunology Fellows learn to evaluate and treat a diverse patient population presenting with a wide variety of hypersensitivity disorders. Trainees gain experience in respiratory allergies, skin disorders such as urticaria and contact dermatitis, drug allergies, food allergies and primary immune deficiency disorders. Fellows have the option to rotate through multidisciplinary clinics, including the Montefiore-Einstein Asthma Center and the Comprehensive Sinus and Allergy Center at Montefiore-Einstein.

Inpatient activities

Inpatient consultations are shared between the Internal Medicine and Pediatric Divisions, giving our fellows the opportunity to consult on both child and adult inpatients. Our Allergy and Immunology service performs between five and 15 consults each week, treating conditions including drug allergy and desensitization, severe cutaneous adverse reactions, eosinophilia, poorly controlled asthma, immunodeficiency and food allergies. Fellows see inpatient consults alone before discussing recommendations with the appropriate attending and care team. Inpatient consults are rounded on with the attending at a later time.

Cross-training

Our fellows participate in extensive cross-training between the Internal Medicine and Pediatric Divisions, including mandatory six-month rotations through pediatric and internal medicine outpatient clinics during each year of training. All fellows participate in inpatient consultations on pediatric and adult patients, and Internal Medicine Track Fellows have the opportunity to work in the faculty practices of the pediatric attendings as part of their elective rotations. Fellows and attendings from both divisions typically meet for care discussions and a formal lecture each Friday; these lectures, for the time being, are delivered online.
 

Allergy extracts

Allergy and Immunology Fellows learn to prepare and administer allergy immunotherapy extracts by shadowing the research associate in charge of mixing allergen immunotherapy. Fellows are not responsible for mixing extracts or administering allergy shots on a regular basis. We offer additional opportunities for hands-on practice to fellows who desire more exposure to allergy immunotherapy.
 

On-call schedules

Fellows from the Internal Medicine and Pediatric Tracks share inpatient consultations and perform consult call in one-week blocks, typically every four or five weeks. Internal Medicine Track Fellows perform consults in Jacobi and North Central Bronx Hospitals, while Pediatric Track Fellows do not. To balance the workload, Internal Medicine Track Fellows never have any weekend call responsibilities, while Pediatric Track Fellows take call on weekends. Fellows consult with Internal Medicine Division attendings for internal medicine inpatients and with Pediatric Division attendings on pediatric inpatients. Pediatric Track Fellows handle almost all HIV-related consults.

Electives

Internal Medicine Track Fellows have the opportunity to design their elective rotation schedules based on their unique educational needs and interests. Available blocks include ear, nose and throat (ENT), dermatology, pulmonology, primary immunodeficiency, rheumatology and bone marrow transplant.
 

Evaluation and feedback

Our fellows receive informal feedback throughout the year, along with scheduled biannual evaluation sessions. Attendings submit written evaluations of each fellow, while fellows submit written evaluations of the attendings and program. Fellows and attendings then meet individually to review the evaluations, discuss their performance and plan improvements if necessary.
 

Lectures and conferences

All Allergy and Immunology Fellows participate in weekly lectures and conferences in basic immunology and clinical allergy and immunology, along with board review sessions. Additionally, Medicine Track Fellows attend a weekly journal club and literature review. Fellows also participate in Department of Medicine grand rounds and a research methods course, among other learning opportunities. Fellows are recommended to participate in the AAAAI board review course and are encouraged to become members of the New York Allergy and Asthma Society (NYAAS).
 

Career guidance

Our fellows are encouraged to participate in New York Allergy Society meetings and to present original research and cases at meetings of the American Academy of Allergy, Asthma and Immunology (AAAAI) and American College of Allergy, Asthma and Immunology (ACAAI). These meetings provide excellent networking opportunities for our fellows. Throughout fellowship, attendings are always available to offer advice and guidance to fellows about post-fellowship life.
 

How the COVID-19 pandemic has shaped our curriculum


During the COVID-19 pandemic, our division transitioned to a mix of telehealth medicine and in-person visits within our allergy clinics. Our Allergy and Immunology Fellowship has not been impacted by this change, as our precepting and case discussions were maintained and our allergy immunotherapy and biologics administration schedules and allergy-related procedures were adapted to comply with social-distancing recommendations. During the surge in COVID-19 cases, we provided inpatient electronic consultations (e-consults) for COVID-19-positive patients as a way to reduce the risk of COVID-19 transmission to patients and providers, and to preserve personal protective equipment. Our division also established a joint task force with Rheumatology to address the inflammatory complications of COVID-19, and several research projects related to COVID-19 are ongoing.

Fellowship Application Information

We’re seeking fellows who will shape the future of healthcare.

If you would like to apply to become an Allergy and Immunology Fellow at Montefiore-Einstein, here is some information to keep in mind.

  • Applications are accepted through the ERAS and will follow ERAS deadlines.

Montefiore-Einstein recognizes that having a diverse and inclusive institution is critical to success, and we reaffirm our fervent commitment to fostering a culture in which diversity is a central tenet.
 

Have questions? Get in touch.
 

David Rosenstreich, MD
Director, Allergy and Immunology Fellowship Program
drosenst@montefiore.org
 

Learn more about the Montefiore-Einstein Department of Medicine