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Having asthma doesn’t have to mean poor pregnancy outcomes.



Ethnicity could be factor in asthmatic children with multiple allergies.

  
January 21, 2004
  
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Ninety-two percent of readers responding said the FDA should require all dietary supplements to undergo the same efficacy and safety standards as OTC and prescription medications.

   

Poll 1
Are the changes instituted by Nominating Committee of the ACAAI a step in the right direction for improving the nominating practice?
Yes
No

view results

 
Poll 2
Should the ACAAI continue strong ties with the AMA?
Yes, it’s important that we have a voice in national affairs.
No, the AMA doesn’t help the practicing allergist.

view results

 
  
Poll 3
Has the Patient Centered Allergy Practice Program been beneficial to you, and should it be continued by the College?
Yes, it improved my skills in practice management.
No, I did not find it helpful.
Don’t know, I neither participated in any of the programs nor read the newsletter last year.

view results

Distance Learning
From the 2003 ACAAI ANNUAL MEETING
Nov. 7-12, 2003, New Orleans

• Two Symposia Online
Link

• Plenary Sessions CD-ROM and DVD
Link

• XI International Food Allergy Symposium,
General Sessions & Symposia
Audio CD & Audio Tape
Link

From the 2002 ACAAI ANNUAL MEETING
Nov. 15-20, San Antonio

• Five Symposia Online
Link
Calendar

FEBRUARY
4th World Asthma Meeting (ATS, ERS, ACCP, AAAAI, GINA, IUATLD, APSR)
Feb. 16-19, Bangkok, Thailand
Email: siscr@mahidol.ac.th
Link

(pending joint sponsorship)
Asthma and Allergy Society of Virginia:
Current Concepts in Allergy and Asthma

Feb. 21, Richmond, Virginia
E-mail: ppowers@vaallergy.com

MARCH
AAAAI Annual Meeting: Visions to the Future
Mar. 19-23, San Francisco
Link

MAY
Drug Hypersensitivity Conference
May 5-8, Bern, Switzerland
Link

American Thoracic Society 100th International Conference
May 21-29, Orlando, Fla.
Link

JUNE
XXIII European Academy of Allergology and Clinical Immunology (EAACI)
June 12-16, 2004
Amsterdam, Netherlands
Link

Aspen Allergy Conference
July 27-31, Aspen
Link

JULY
A Return to Ancestral Lands:
Allergy Update in Poland
Jointly Sponsored: ACAAI and Polish Society of Allergology
July 31-Aug. 3, Krakow, Poland
Organizing Secretariat: Dr. Chris Stepka
Tel: (0 11 48) 22 851 52 08
Fax: (0 11 48) 22 851 52 10
E-mail: medbs@poczta.onet.pl

12TH International Congress of Immunology and 4th Annual Conference of FOCIS
July 18-23, Montreal, Canada
Link

NOVEMBER
2004 ACAAI Annual Meeting
Nov. 12-17, Boston
Tel: 847-427-1200
Fax: 847-427-1294
E-mail: meetings@acaai.org
Link

WORLD ALLERGY ORGANIZATION SOCIETY MEETINGS
Link


 

 

 
  
Top Stories
 
Asthma doesn't have to lead to poor pregnancy outcomes
Women with asthma, even those whose disease worsens during pregnancy, are no more likely than women without asthma to deliver prematurely or have other poor outcomes, according to an article in Obstetrics and Gynecology. Scientists at St. John Hospital in Detroit studied three groups of pregnant women: 873 with mild asthma, 866 with moderate-to-severe asthma and 881 without asthma. Throughout pregnancy, subjects were treated using nationally recommended guidelines. Preterm delivery rates showed no significant differences among the groups. Women in the moderate-to-severe group, however, were more likely to develop diabetes during pregnancy, as well as to deliver via c-section vs. vaginally.
    
Ethnicity may be linked to asthmatic kids' allergy risk
Ethnicity may have an effect on asthmatic children’s risk of developing multiple allergies, according to a study in Chest. Researchers in Boston, Hartford, Conn., and Farmington, Conn., studied 791 children from age 4 to 18 in Hartford. Puerto Rican children with asthma were up to three times more likely to have indoor and outdoor allergies than white children with asthma, and black children with asthma were two to three times more likely to have outdoor allergies than white children with asthma.
 
Molecule helps asthmatic mice breathe better
Scientists at North Carolina State University in Raleigh say they have discovered a molecule that helps prevent the build-up of mucus in asthmatic mice’s airways, according to an article in Nature Medicine. The molecule, called MANS peptide, could possibly complement standard therapies used today to relax the airways.
   
  

A word from President Michael Blaiss, M.D.

In this issue of the College eNews, there are two very important topics for you. In this downloadable memo and form, Bob Lanier, M.D., chair of the Nominating Committee, outlines a new procedure for applying for consideration as an officer in the College. In the past, individuals interested in leadership positions in the College contacted members of the Nominating Committee and let their interests be known. Unfortunately, that procedure failed to give everyone an equal shot at expressing his or her interest in being on the Board of Regents or tract to the presidency. With the new questionnaire, you now can let the Nominating Committee know your desire for a leadership role in the College. Having the standardized questionnaire will allow the Nominating Committee to fairly evaluate each candidate’s potential. I encourage you to “put your hat into the ring.”

Also in this issue, you will find a report from the College’s AMA representatives who recently attended the AMA interim meeting. Whether or not you are a member of the AMA, there are important national interests discussed at AMA meetings that can affect the allergy community. It is important that the College be active in voicing our interests to the AMA. As you will see from Dr. Malick and Dr. Martin’s report, we have two very capable allergists representing us in the AMA.

I also want to bring to your attention a very important College project that is now going into its second year: the Patient Centered Allergy Practice Program, sponsored by a non-restricted educational grant from Aventis. Hopefully, you took part in this program last year and will find the second year even more useful. Even if you did not participate last year, I encourage you to join in this year because the information obtained can be very valuable to you in practice management. With the growing issue of physician dissatisfaction in dealing with the continued increases in overhead and decreases in payments from managed care and insurance, this program gives you, the practicing allergist, important tips to help improve your bottom line. Again this year, you will continue to receive the bimonthly newsletter with practical information for practice management. Also, a series of audio conferences is planned for 2004. Here are some of the topics:
1. Don’t Get Stuck with Unsafe Needles: Meet OSHA’s New Requirements
2. How to Make Your Allergy Practice an Employer of Choice – An 8-Step Approach
3. The Total Service Allergy Practice
4. How to Hire and Fire Legally
5. How to Get More Out of Your Practice Management System

One special audio conference is planned just for Fellows-in-Training to help them prepare for the world of private practice. Also scheduled are five regional seminars devoted to a variety of subjects on practice management geared to the allergist. The ACAAI wants to be a partner with you in improving practice management. This program shows our commitment to you.

Michael Blaiss, M.D.

    
Update from the AMA Interim Meeting
Dec. 6-9, 2003, Honolulu, Hawaii


The following are some of the pertinent highlights from the most recent AMA meeting:

1. Our AMA announced that through its advocacy efforts, it was successful in halting yet another round of expected Medicare cuts to physicians. This time change was from a 4.5 percent decrease to a 1.5 percent increase for 2004-5. The average increase per physician nationally is expected to be $16,000. Our AMA is continuing its lobbying efforts for a permanent legislative solution to the faulty formula currently being used by CMS.
2. Board of Trustees Report 15-Specialty Society Representation in the House of Delegates-Five Year Review. The ACAAI is due for its 5-year eligibility review in the coming year. We will be required to demonstrate amongst other things that we have enough ACAAI members who are also AMA members that have selected the ACAAI to represent them to the AMA. In order to have a seat at the AMA House of Delegates we need to have a minimum of 250 ACAAI members who are also AMA members and have 35 percent of our physician members be AMA members. AMA members need to designate who they wish to represent them to the AMA. If they desire that it is their specialty society they need to inform the AMA. If a designation is not made then the default is that member’s state medical society. If you have not made this designation the ACAAI or are not sure, please do so or check via the AMA website at www.ama-assn.org or call the AMA at (800) 262-3211.
3. Board of Trustees Report 10-Uses and Abuses of CPT Modifier-25. The report reviewed the definitions, guidelines and coding illustrations regarding this topic. The recommendations called for the AMA to collect information on its use and acceptance; to educate physicians on its appropriate use; and to encourage physicians to make their contract provisions with third-party payers and make payers adhere to CPT rules concerning modifiers. The report once published in the Proceedings on the Interim Meeting 2003 would be an excellent reference on Modifier-25.
4. Resolution 809-Reimbursement Denial Based Solely on Specialty. The resolution asks the AMA to actively support appropriate actions at the state and federal levels to ban insurers from denying or reducing payment for services performed by physicians based solely on their specialty, as well as to actively discourage insurance companies from restricting professional fee payment based on type of specialty. This one has mixed blessing for us. We as allergists would like to be the only ones getting paid for providing allergen immunotherapy, but we would also like to get paid for doing rhinolaryngoscopy, skin biopsies, etc.
5. Resolution 910-Uniform and Consistent Tort Reform. The resolution reaffirms AMA Policy to make passage of medical liability reform the highest legislative priority, but that it not pursue any such legislation that would divide or diminish the voice of the House of Medicine. For the near future you will be seeing the AMA concentrating on realizing this goal.

In all, the AMA House of Delegates reviewed 32 reports and 72 resolutions. More complete details can be found on the AMA Web site.

Respectfully submitted by,

Alnoor Malick, M.D.
Delegate

Bryan Martin, D.O.
Alternate Delegate
 
Regulatory Updates
 
Health care spending in 2002 up 9.3 percent
Health care spending in 2002 totaled $1.6 trillion, up 9.3 percent over 2001 and 14.9 percent of the U.S. gross domestic product, according to the Centers for Medicare & Medicaid Services. That year, health care spending grew faster than available resources, the group said, forcing the government, corporations and consumers to finance these costs. Debate is ongoing about how to slow this spending.
 
Association News
 

2003 ACAAI Annual Meeting symposia now online
Now from the comfort of your home or office, you can virtually attend two online symposia held at the 2003 ACAAI Annual Meeting in New Orleans available for complimentary viewing at www.acaai.org.

The online sessions feature streaming audio/video and include the speakers’ slide presentation. Category 1 CME credit is available to those who complete the Continuing Medical Education Quiz.

The symposia are:
• Controversies in Pharmacotherapy of Acute Asthma: A Debate – Supported by an educational grant from Sepracor, Inc.
• Approach to Chronic Urticaria: From Antihistamines to Immunomodulators – Supported by an educational grant from Aventis Pharmaceuticals

Allergy Practice Tip 1: Get them to smile
Advice from The Patient-Centered Allergy Practice
Friendly employees beget happy patients. Consider hiring front-end staff based on personality as much as experience. And hard-working quick learners with good customer service skills are a must.
These tips are drawn from site visits in practices nationwide, conducted as part of The Patient-Centered Allergy Practice, a CME Series in Practice Management, supported through an unrestricted educational grant from Aventis Pharmaceuticals and endorsed by the American College of Allergy, Asthma & Immunology.
Did you miss our last audioconference, “Low Tech, High Results: Integrating Technology into your Allergy Practice?” Call 800-781-2211, ext. 102, or e-mail info@physicianspractice.com for information on accessing the archived version.

 
Fellows-in-Training
 
Prepared by Warner W. Carr, M.D., a representative of ACAAI’s fellows-in-training (FITs) to the Board of Regents, this department features two sections. Ask An Expert is an occasional feature with a specialist in the field answering a series of FIT-oriented questions on topics of interest to allergists in training. The Board Review Corner is your chance to test your Board preparedness by answering questions drawn from the College’s Board Review Course.

FIT will return next issue. To refer to Board Review Corner and Ask the Expert questions from previous 2003 issues, click the “Archive” link in the left column.

Copyright © 2004 American College of Allergy, Asthma & Immunology. All rights reserved.

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Do you have news, responses or opinions to share with us? Please e-mail the association office at enews@acaai.org
  
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