Allergy & Immunology Fellowship (Subspecialty Training) Program

Mark Dykewicz, MD, Program Director
Bradley Becker, MD, Assistant Program Director


The Allergy and Immunology fellowship (subspecialty residency) program at Saint Louis University is a single, totally integrated internal medicine-pediatric program which provides comprehensive exposure to allergy, asthma and immunology in children and adults, with an emphasis on clinical medicine. Entrance into the program requires board eligibility in either internal medicine or pediatrics. Experience is provided in both clinical and basic research. Successful completion of our program confers eligibility for certification by the American Board of Allergy and Immunology, a conjoint board of the American Board of Internal Medicine and the American Board of Pediatrics.


The  program is noteworthy for providing its trainees with an unusually well-balanced exposure to a vast spectrum of allergy, asthma and immunology disorders in both adults and children, thereby equipping its graduates with the experience, skills, knowledge, versatility and professional assurance needed to provide expert subspecialty care to both children and adults in nearly any clinical setting.

Training sites on the Saint Louis University Health Sciences Center Campus are Saint Louis University Hospital (a quaternary referral hospital with one of the highest acuity of illness ratings in the country) and SSM Cardinal Glennon Children's Hospital, and the SLUCare Allergy & Immunology Clinic. These clinical buildings are adjacent to buildings containing research laboratories of the allergy and immunology faculty. Active clinical assets include a venom referral center where insect sensitive patients are evaluated; a challenge referral center where patients are diagnosed and in some cases desensitized to a broad spectrum of agents including aspirin, local anesthetics, foods and inhalants; a Comprehensive Sinus Clinic with a fully equipped Nasal and Paranasal Sinus Physiology Laboratory which provides trainees with experience needed to perform specialized procedures such as fiberoptic nasal pharyngoscopy and anterior rhinomanometry; and a  high volume  immune deficiency evaluation service at our SSM Cardinal Glennon. Our fellows have the option of taking clinical electives in related fields such as dermatology and otolaryngology.

Medical students and housestaff from residency programs in internal medicine and pediatrics and regularly rotate through our clinics. This affords the fellow with excellent teaching opportunities that also include participation in a variety of conferences.

Scheduled weekly specialty conferences include an interdisciplinary immunology journal club, an adult clinical conference, and a pediatric clinical conference.  Research conferences are also scheduled.

Fellows participate in clinical and translational research activities such as:

  • the pathogenesis of allergic aspergillosis
  • the relationship of allergic aspergillosis to cystic fibrosis
  • sinusitis and its association with asthma
  • mechanisms of drug allergy
  • outcomes studies in asthma

In addition, our faculty conduct clinical trials of treatments for allergic and immunologic disorders.

Applications must be submitted  through the Electronic Residency Application Service, ERAS. Our program participates in the National Resident Matching Program.