Report of the committee on postgraduate education in allergy

Society Proceedings To the Editor: The Committee appointed by the Advisory of American Allergists to make a survey of the facilities for training in Allergy have carried out a most thorough investigation. It was the feeling of the Board that this report, which the Advisory Board has studied carefully, contains so much information of interest now and valuable for reference in the future that it should be made available to all. We therefore recommend its publication in the Journal of Allergy. (Signed) The Advisory Board of American Allergists. REPORT To the Advisory

01’ THE COMMITTEE ON POSTGRADUATE EDUCATION IN ALLERGY Board of American

Allergists :

The Joint Committee representing the Society for the Study of Asthma and Allied Conditions and the American Association for the Study of Allergy;, appointed by you in, the spring of 1940 to investigat,e the facilities available in this country for training in allergy, herewith submits its report. Preliminary surveys of t,he institutions giving organized training in allergy were made by the members of this Committee in the respective districts which they were chosen to represent. Questionnaires were then forwarded to t,hese organizations to elicit detailed information concerning their facilities for training. Each of the allergy clinics approved by the Advisory Board of American Allergists (formerly the Joint ComIn addition, questionmittee of Standards) received a questionnaire. naires were sent to other allergy clinics which came t,o the attention of the Committee. Questionnaires were also sent to individual members of both societies for the purpose of obtaining information on instruction given independently of organized allergy clinics. The inquiries of the Committee were focused primarily on the opportunities for the training of specialists preliminary to their certification in allergy by the American Board of Internal Medicine. The data obtained is summarized under three main headings : (1) facilities for training of residents, fellows, and graduate students; (2) allergy clinics with facilities for trainin, v in allergy; (3) miscellaneous facilities for training in allergy. 308

Madison

Visconsin Hosp.

Gen.

Philadelphia Richmond

Cleveland

efferson Hosp. led. Col. Va. Hosp.

Fellow

Fellow Fellow in ImmunOl%Y Resident

Y. C.

N.

Cleveland

Y. C.

N.

Brooklyn N. Y. C.

sthma, Hay Fe ver and Allergy Founda tion Cleveland Clinic Foundation

ewish Hosp. J. Y. Postgrad. Hosp. J. Y. u. Cal. Med. loosevelt Hosp.

ied. \'a.

Cal.

W. A. MOWry

J. A. Clarke W. B. Blanton

T. WV. Thomas

!94C

194c 193s

1943

1937

193.c

R. A. Cooke

iM. Cohen

193c

8.

\T. Y.

193: 1935

1937

192(

19%

1934

EZ

%E

&E

g E il ;; OF

FELLOWS,

I

Brown

Y. Waker W. C. Spain

Columbia

Sheldon

J. M.

Arbor

J. Mich.

Ann

F. Rackemann

1,. Gay

Piness

Boston

Hop-

K

CHIEF OF SERVICE

kins Iarvard

XX

OF RESIDENTS,

rohns

Angeles

CNIVERSITY

FOR TRAINING

Baltimore

Los

CITY

Fellow

Graduate Student Fellow

J. Mich.

Research Fellow Resident Fellow

Hosp.

-ohns Hopkins Hosp. &ass. General Hosp.

Fellow in Med. Research Fellow

Hosp.

jhildren’s

INSTITUTION

Fellow

TITLE

FACILITIES

TABLE

No

No

300

Yes

Part

900

Yes

1,500 1,500 No 750No

to

500

-

1 to :

1 1

1

1

2,400 900 No

1

1 to : 1

2

2to:

ONo

No

m

July

Oct. July

July

July

June

July Nov.

July

Sept.

STUDENTS

1 to I

1

84 ZE Ba E!z 2

$ *

w Y

No

1,800 to

1,500

=

GRADUATE

ltOOO No to 1,800 1,500

1,500

-B600

AND

SO

SO 90

Pe3

so

SO

SO

Pes Yes

SO

No

No

IN

6

4

3

Yes

I’es

Yes

Yes

Yes

Yes

Yes Yes

Yes

Yes

Yes

ALLERGY

?irst

.?irst

year

year

of

service

of service

‘art of time spent as assistant to chief in private office ‘art time spent in general medicine Tot necessarily restricted to physicians

MISCELLANEOUS

510

THE

JOURNAL

OF

ALLERGY

TAEx,E &I.ERGY

Cal.

Los

Cal. D. C.

Santa Fe Coast Children’s

Ind.

Ind. U. Med. lev Hosuital Johns Hopkins

Md. Md. Mass. Mass. Mich. Minn. MO. MO. MO.

N. N. N. N. N. N. N. N. N. N. N. N. N. N. N. N. N. N.

J. Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. Y.

N. N. N. N. N. N. N. N.

Y. Y. Y. Y. Y. Y. Y. Y.

N. Y. N. Y.

Angeles

County Lines

Center (Rifor Child)

University Beth Israel Mass. General University Mayo Clinic Barnes Firmin Desloge MeMillan Mountainside Beth El Jewish Children’s Buffalo General Bellevue H. 3rd Bellevue Child Beth Israel French Gouverneur Lebanon Midtown Mt. Sinai Mt. Sinai New York New York N. Y. Eye and Ear N. Y. Infirm. Women and Children N. Y. Polyclinic N. Y. Postgrad. N. Y. Postgrad., Ped. N. Y. Skin L Cancer Roosevelt 3t. Luke’s 3ydenham Strong Mem. $ Rocheste Municipal Rochester Gen. (Syracuse Free Disp.

Los

Angeles

Baltimore Boston Boston hnn Arbor Rochester St. Louis St,. Louis St. Louis Montclair Brooklyn Brooklyn Buffalo Buffalo N. Y. C. N. Y. C. N. Y. C. rs. Y. c. N. Y. (‘. N. Y. (1. N. Y. (“. N. Y. C. N. Y. C. N. Y. C. N. Y. C. N. T. C. N. Y. C. N. Y. C. PT. Y. c. N. Y. C. N. Y. C. N. Y. C. N. Y. C. N. Y. C. Rochester Rochester 1Syrarusc

WITH

l?h(‘IL

R. I,amson H. Donnally

1934

Ped.

C. B. Bohner

19X

Ped.

L. N. Gay

19%

Gen.

R. Lamson

Los Angeles Washington Indianapobs Baltimore

CmhTI(‘s

Geo.

I

Wash-

lndtana ington Johns Hopkins Maryland Harvard U. Mich. U. Minn. Washington St. Louis

U. U. N. N.

Buffalo Buffalo Y. Y.

Cornell Cornell

H.

Bubert

A.

Colmes

F. J. L. C. E. F. C. H. M. V. H. ‘2. 8. L. T. H. C. A. ,J. M. H. H. .J.

Rarkemann M. Sheldon E. Prickman H. Eyerman Moore K. Hansel \Veston Markow W&et Cohen Osgood Brown Bell Sternberg Vina Gelfand Hpivacke Brown Harkavy Peshkin Baldwin B. Adams H. Barnard r,. Claman

U. Roth.

M. !V. R. ,M. R. r1’. A. S.

lSyraeuse

N. Francis ,J. Wiseman

Columbia Columbia Columbia

Harris C. Spain Chobot Sulzberger Cooke Tucker H. Fineman Bullen

19'N .<

1920 1927 1916 l$>:?:: 1926 19.X 1921

1932 1927 1926 1914

1931 1924 1926 1920 1932 1932 1937 1936 1928 1920 1929

Gen. Gen. Geu. Gen. Gen. Ben. Gen. Gen. Gen. Gen. Fed. Gen. Grn. Gen. Gen. Gen. Gen. Gen. Adult Ped. Adult Ped. Gen. Gen.

1932* 1921 1928 1926

Gen. Adult Ped. Derm. Gen. Gen. Gen. Gen.

1925

Gen.

SOCIETY

511

PROCEEDINGS

II ITJES

FOR TRAINING

IN ALLERGY

-

G 250

4

135

4

Ind.

-

Yes

-i

4

Comp. rota1 patients (1940), 968; total v i 9i t s (1940), 13,337 No statistics available

200

2

35

3-4

5

1

18

1

1

900

3

115

11

18

187 2G4 1,000

4 2 4 6 6 2 2

30 65 110 60

3 6 4 4

9

19 15

8 2

1 2 4 2 2 2

65

4 7 10 2-3 5

110 64 48 130 433 32 119

214 237 454 1%

1;; 37 47

Yes

Ind.

Adeq.

Div.

Yes

Comp.

6 8 2

Ind. Ind. Div. Div. Ind. Ind. Div.

Yes No Yes Yes Yes Yes Yes

4 8 13 4 6 3

Div. Div. Ind. Div. Div. Ind.

No YE! Yes Yes No No

7;

50 160 62 75 50 195 90 55 50 30 45

3 7 4 9 3 12 14 4 6 1 4

7 7 8 11 4 12 15 14 10 1 4

Ind. Ind. Div. Ind. Ind. Ind. Ind. Ind. Ind. Div. Ind.

Yes Yes No Yes No Yes Yes Yes Yes No No

32 150 90 200 47 35 30

3 14 10 3 9 4 4 4

7 18 11

58E 201 111 177

3 3 1 12 4 2 4 2

Ind. Div. Ind. Ind. Ind. Ind. Div. Div.

Yes Yes Yes Yes Yes No No No

270

2

35

2

4 6

200

17s 142 35 335 109

Adeq.

No

3 2 3 3 2 3 3 5 2 3 1

339 200 567

1

18 4 5 7

Div.

2 2

1

1 2 1 0

0

0 1 1

0 2

0

0 1

2 2 3 1

No

-

1 1 1 1

Assisted

by

resident

Adeq. hdeq. Comp. Adeq. Comp. Comp. camp. No

statistics

available

No

statistics

available

Inc. Adeq. Camp. Bdeq. Adeq. Inc. Adeq. Comp Inc. Comp Inc. Comp Camp. Comp Comp Adeq. Inc. Adeq. Comp. Camp, Comp. Comp Adeq. Inc. Inc.

Assisted

“Founded 1916

by

intern0

at

N.

Y.

Adeq. -

No

statistics

available

H.,

512

THE

JOURNAL

OF

ALLERGY

TABLE

g z 2

3 E m

E 2

Pa. Pa. Pa. Pa. Pa. Pa. Pa. Pa. Pa. Pa. R. I.

Children’s Germantown Grad. Hosp., Univ. Hosp. Univ. Pa. Jefferson Mt. Sinai Pennsylvania Temple U. Univ. Pittsburgh U. S. Veterans Rhode Island

Va.

Med.

Va.

Pa.

Philadelphia Philadelphia Philadelphia Philadelphia Philadelphia Philadelphia Philadelphia Philadelphia Pittsburgh Pittsburgh Providence Richmond

U.

Pa.

U. Pa. U. Pa. Jefferson

Temple U. Pitts.

Med. Va.

Col.

IU. California

Ill.

Northwestern

U.

ISan Francisco Chicago

Ill. Mass. Mass. Mass. Mass. Mich. MO. Neb. N. Y. N. Y. N. Y. N. Y. Ohio

U. Ill. Res. Boston Dispensary Children’s Children’s Mass. Memorial Children’s St. Luke’s University Albanv Lincoln N. Y. U. Clinic Stuyvesant Polycl. Cincinnati Gen.

Chicago Boston Boston Boston Bost,on Detroit St. Louis Omaha Albany N. Y. C. N. Y. C. N. Y. C. Cincinnati

Ohio Ohio Ohio Ohio Ohio Ore. Va.

Cleveland City Cleveland Clinic St. Alexis Children’s Ohio S. U. H. Oregon Med. School U. Virginia

Cleveland Cleveland Cleveland Columbus Columbus Portland University

4

k 2 a

2

S. J. H. R. J. G. J. 1~. L. L. W. W.

B. Clinics Cal.

3 2

z

i 3

k G

i2

Col.

u E 2 0

C. Copeland A. Clarke Wilmer Kern A. Clarke Blumstein McLaughlin Tuft Criep Criep P. Buffam Blanton

Not

Yet

Passed

1921 1920 1921 1928

B E E

Ped. Gen.

1931 1924 1926 1925

Gen. Gen. Gen. Gen. Gen. Gen. Gen. Gen.

1937

Gen.

Upon

by the

U. Calif.

W’. C. Deamer

Northwest. ern Illinois Tufts Harvard Harvard

8. M. Feinberg

1923

Gen.

Z. Rappaport A. Brown N. Pratt W. Hill C. Lowell Levin P. Gay MacQuiddy Gorham Shahon Brown Gelfand R. Zoss

1928

U.

B. E. H. L. F. S. L. E. L. H. A. H. A.

1929 1933

Gen. Gen. Ped. Ecz. Gen. Ped. Gen. Gen. Gen. Gen. Gen. Gen. Gen.

Ohio State Ohio State U. Oregon U. Virginia

W. J. M. W. J. R. 0.

P. Garver W. Thomas Cohen F. Mitchell A. Michell L. Benson Swineford

1933 1921 1934 1941 1934 1935 1931

U. Neb. Union N.

Y.

Cincinnati Western Res.

Ped.

1929 1920 1926 1936 1936 1928 1938

Gen. Gen.

Gen. Ped. Adult Gen. Gen.

513

SOCIETY PROCEEDINGS

II-CONT'D

-EE $ 8 &T “,E !2 sgm P 2” 3 63 - E L!?? 2 ZZI

ALLERGY TECH-

iG z -2

-

2

35 33

2 4

Div. Ind.

2 3 2 2 2 1 4 3

70 100 30 40 75 200 12 30

10 18 8 3 6 5 2

Div. Div. Div. Div. Div. Div. Ind. Ind.

2

37

6

. 2 T

IInc. Inc. No

292 450 75 185 381 200 120 167 172

300

425 300 150 56 150 20 55 99 20 135 200 197 250 30 140

Board

of American

3

13

1

2

70

4 2 2 1 2 2 2 2 3 2 3 3 3 1 6 1 8 1 2 1

98 45 20

-

2

1 3

0 0

Yes

Div.

Advisory

Yes Yes No No Yes No Yes No

1 0 1 0

Comp. 4deq. Adeq. Inc. Adeq. 4deq. Comp. Inc.

1

Adeq.

Allergists No

5

9

Div.

Yes

1

Comp.

50 165 60 15 40 60 35 8 45 65

4 8 3 1 3 3 1 1 2 5 4

8 12 3 1 3 3 1 1 2 6 8

Adeq. Adeq. Adeq. Inc. Adeq. Adeq. Inc. Inc. Adeq. Inc. Comp.

3

No Yes Yes No Yes No No No Yes No Yes No Yes

1 3 1 1 4

40 65

Ind. Div. Ind. Ind. Div. Ind. Div. Div. Div. Div. Ind. Div. Ind.

Yes No No Yes Yes Yes

2

26 25

-

Ind.

adult clinics

and

pedi-

bv resident

and

-

Div.

Div. Div. Div. Ind. Div.

Separate atric

available

-

1

3 2 3 1 2 1 2

statistics

T

Adeq.

1 1

Assisted interne

One

in winter

Assisted by interne Assisted by student Two in winter

IX!.

Adeq.

4

Inc. Comp.

1 1

Inc. Adeq. Adeq. Adeq.

1 1 -1

New

clinic

514

THE

JOURNAL

OP

ALLEWX T.~BL): INTENSIVE

;0 8 Cook

County

/JChicagor2

Cook

County

Chicago

Boston

Disp.

Boston

m F 2 2

Boston Ann Arbor St. Louis

Mt.

N. P. C.

Harvard U. Mich. Washington Phys. Columbia

N. T. C. N. Y. C.

Columbia Columbia

N. Y.

Am.

N. N.

Sinai

P. Postgrad. P. Postgrad., Skin & Cancer Roosevelt

c.

*Intensive c~urees of thirty-five or otolaryngology.

While making to various short practitioner and of their possible included in this

g 2 w E

Cook County Grad. Med. Cook County Grad. Med. Tufts Med. School

Mass. General University Barnes

and

Am. U.

and

School

I,. Unger

School

H. J. Taub E. A. Brown

Col.

Phys.

Am.

Col.

hours, omitting

$200 h 200, 500, 25 30 15

.I. Harkavy

?,j

Ii. .I.

Phys.

or mire

a s 8

F. M. Rackemann J. M. Sheldon H. I,. Alexander

TV. C. Spain M. Sulzberger

Cal.

POSTGRAIKATE

Cooke

short elementary

43

130 50 73 45

cowses and

this survey, the attention of the Committee was called introductory courses which are available to the general internist for intensive instruction in allergy. Because interest to the medical profession, they have also been report. Respectfully submitted, Matthew Harvey Samuel George Vrancis William Walter

1 mo. 6 mo.

Walzer, M.l)., Chairman Black, 3T.D. F’einberg, M.D. Piness, M.D. M. Rackcmann, M.D. B. Sherman, 3T.T). TA.Winkenwerder. M.D.

SOCIETY

PROCEEDINGS

III COURSES

IN

ALLERGY* TYPE OF INSTRUCTION

2 su 85 mB 48 48 48 25 26 48 35

192

12

48 lectures

on

allergy

25 26 60 35 96

3 2 8 8 6 25 8

72

12

105.14( 24 78 96 given

EClementary Pidvanced 1Yo

MISCELLANEOUS

of

postgraduate

FACILITIES

on of ;

-

cmrses

FOR

in 1942

additional course physicochemieal aspects allergy by Abramson eight afternoons (Sven twice yearly I 1ermatologic allergy I )ermatologic allergy

5 8 part

be offered

5ipecial

10

as

course course

in

general

TRAINING

IN

medicine,

pediatrics.

ALLERGY

A. An apprenticeship for one year is offered 6y W. T. Vaughan and W. B. Graham of Richmond, Va. It includes organized instruction in diagnosis and treatment, laboratory training, and research. Remuneration is given. B. Individual instruction in practical and theoretical aspects of allergy for periods ranging from two to six months is offered by Milton B. Cohen, Cleveland ; R. W. TJamson, Los Angeles; B. Z. Rappaport, Chicago; H. B. Wilmer and RI. M. Miller, Philadelphia; and Samuel Feinberg, Chicago; and others. There is usually a tuition fee for such courses of instruction which are gi\;en at the hospital clinics and at the offices of the insltructors. There are undoubtedly other opportunities available throughout the country for individual instruction, but information concerning these positions has not been given to the Committee on Postgraduate Education in Allergy.