Clinical experience in allergic and immunologic disease is provided in clinics at the Children's Wisconsin Office Building or the VA Medical Center where more than 11,000 patient visits occur each year. Along with the outpatient service, an inpatient consultation service is available at all affiliated hospitals. Housestaff and fellows are provided an educational experience with adult and pediatric patients with immunologic respiratory disease, including asthma, occupational asthma, hypersensitivity pneumonitis, allergic aspergillosis and rhinitis, as well as other diseases of immune mechanisms, such as urticaria, serum sickness and food and drug reactions.
Residents at MCW typically spend at least three months rotating through the intensive care units at Froedtert Hospital and the VA Medical Center. These opportunities allow the housestaff to acquire knowledge and skills necessary to care for critically ill patients as part of a multidisciplinary team. Residents develop the ability to understand, initiate and provide essential organ support therapy including respiratory and circulatory support within our tertiary care facility. In addition, they become proficient with most common ICU procedures, such as central venous catheter insertion, arterial line placement, endotracheal intubation, paracentesis and thoracentesis.
The subspecialty consult rotation of pulmonary medicine is available to residents at each hospital with pulmonary fellows and attendings providing supervision. The curriculum places emphasis on performance and interpretation of pulmonary function tests, blood gas analyses, and sleep studies. In addition, experience is obtained in the long-term care of patients with chronic problems including bronchial asthma, chronic obstructive lung disease, lung transplants, adult cystic fibrosis, sleep apnea, tuberculosis, pneumoconioses, sarcoidosis, and pulmonary fibrosis.