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January 5, 2005 |
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Welcome to ACAAI eNews — a bi-weekly aggregated news service
from the American College of Allergy, Asthma & Immunology. To be
removed from this distribution list, please see instructions at
bottom. |
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Top
Stories |
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Regulatory Updates |
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Distance Learning |
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Association
News |
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Fellows-in-Training |
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Calendar |
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Archive |
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FIT Archive |
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Eighty-eight percent of readers responding said the MOC
process is cumbersome and will not adequately measure a
physician’s competence to provide quality patient care. |
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Do you believe the potential decrease in workforce
will affect the viability of the specialty?
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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
E-mail:
k.knauer@UHHS.com
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Calendar |
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JANUARY
Conference on Sleep Disorders in Infancy and Childhood
Jan. 13-15, Rancho Mirage, Calif.
Tel.: 760-773-4594
Fax: 760-773-4513
E-mail
Link
Western Society of Allergy, Asthma & Immunology 43rd
Annual Scientific Session
Jan. 23-27, Princeville, Hawaii
Jointly Sponsored by ACAAI
Tel: 623-266-9148
E-mail
MARCH
AAAAI Annual Meeting
March 18-22, San Antonio, Tex.
Tel: 414-272-6071
E-mail
Link
APRIL
ACAAI/AAAAI Conjoint Certification/Recertification Board
Review Course
April 14-17, Chicago
Tel: 847-427-1200
E-mail
Web site
ONGOING
World Allergy Organization Society Meetings
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Sponsored
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Top
Stories |
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Bacteria, fungi levels in GI tract linked to allergy, asthma
The bacteria and fungi in a patient’s gastrointestinal tract
may provide clues to allergen sensitivity, according to a study
in Infection and Immunity. Researchers from the
University of Michigan say changes in the normal levels of
microflora, bacteria and fungi in the gastrointestinal tract can
increase the immune system's reaction to allergens, such as
pollen and animal dander, and increase allergy and asthma
development risk. Reseachers suspect changes in gut microflora
are caused by antibiotic use, as well as high-fat, high-sugar
and low-fiber modern diets.
CDC updates flu vaccine priority list
The CDC is making the flu vaccine available to more people
this month. According to the CDC, the flu vaccine can now be
given to adults from 50 to 64 years old and people who are in
close contact with those in high-risk groups, depending on state
and local availability. People in the highest-risk groups are
still to be given first priority. So far, the CDC reports a mild
flu season, but warns that could change at any time.
Near-fatal asthma linked to small airway
abnormalities
Extensive small airway abnormalities may be associated with
near-fatal asthma, suggests a study in Chest, but the
abnormalities may be partially reversible after long-term
intensive treatment. Researchers from Soonchunhyang University
Hospital in Seoul, Korea, were studying the usefulness of high
resolution CT in characterizing near-fatal and milder asthma.
They measured bronchial wall thickness abnormalities and small
airway thickness abnormalities on scans of 24 patients with
less-severe asthma, 16 patients with near-fatal asthma, and 16
controls. They found prominence of centrilobular structures in
36 percent of patients with mild asthma, 70 percent of patients
with moderate-to-severe asthma, and 100 percent of patients with
near-fatal asthma.

Blocking protein reduces allergy symptoms
in mice
Scientists from the Ludwig Institute for Cancer Research in
London say they have identified a protein that could be crucial
in developing new allergy treatments, according to a report in
Nature. By blocking p110delta in mast cells, they substantially
reduced allergy symptoms in tests on mice. While mice studies
don’t always transfer well to humans, the researchers said the
protein may have implications for how allergies and cancer are
treated in the future.

Mice study gives researchers hope for psoriasis cure
In another mice study, scientists at The University of Texas
M. D. Anderson Cancer Center say they may have discovered what
causes psoriasis — the combination of a protein called STAT3 and
an active immune system. Activated STAT3 is necessary for wound
healing. When the healing process is finished, normal STAT3
returns to its inactive form. However, when it doesn’t become
inactive, the wound healing process continues and skin cells
proliferate — leading to psoriasis. During the study,
researchers developed a skin cream that blocked the process that
led to psoriasis in the mice.
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A
word from President Myron Zitt, M.D.
As has been tradition over the past several years, the
president of the ACAAI has been invited to attend the
AAAAI’s Training Program Directors (TPD) Committee
meeting in January for the purpose of presenting a
concise accounting of our educational activities. Of
special interest are ACAAI activities that promote our
allergy/immunology training programs and enhance the
education of our Fellows-in-Training (FITs). As I am
quite proud of our College activities, I thought it
would be appropriate to briefly share them with you.
Some background: An AAAAI survey prepared by SUNY-Albany’s
Center for Health Workforce Studies (A/I Physician
Workforce Report, June 2000) indicated that the number
of allergists in the United States is continually
shrinking. The survey projects a fall from 3,768 or 1.39
allergists per 100,000 in 1999 to 2,623 or 0.85 per
100,000 in 2014. Our senior specialists are retiring at
a pace that cannot be matched by the number of fellows
being graduated from our training programs, with 37
percent expecting to retire within 10 years.
With cutbacks in government spending to fund specialty
fellowships, our number of A/I training programs has
diminished from a high of about 100 to the present
number of 72. If the decline in the supply of allergists
reaches a critical point, our specialty will lose
viability. Of greater concern would be the decreased
accessibility to the public of specialists who have been
proven to be most adept at caring for patients with
allergy and asthma.
What are the ACAAI and its Foundation doing?
A) The ACORN Project: Provide funding for additional
fellowship slots:
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• $1.5 million
over three years to fund 15 A/I trainees. It is our
hope that through the ACAAI Foundation funds will be
raised to extend beyond three years.
• $100,000 Emergency fund to support two 2nd year
fellows in danger of losing the funding necessary to
complete their training. |
B) Faculty Support:
$150,000 for three young faculty members; and $6,000 for
four one-week scholars-return grants ($500 to
physicians; $1,000 to the academic center)
C) Recruitment:
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• Residents
Mentorship Program: FITs and ACAAI members or
fellows escort residents though activities at annual
meeting and educate them regarding the specialty.
Program developed in 2000. This year 22 out of 35
residents who attended the 2004 Annual Meeting
program will strongly consider a career in A/I.
• High School Student Symposium on Allergy and
Asthma: In conjunction with AAFA at Annual meeting
(over 250 students accompanied by science teachers). |
D) FIT activities:
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• $177,500 in
2004 for 230 Travel Grants and three Clemens Von
Pirquet Awards to FITs for best research
presentation
• Free of charge for FITs at 2004 Annual
Meeting: (270 attendees) Meeting Registration;
Four Workshops;Literature Review Course;
Doctors’ Job Fair; Two Free Tickets for Boston
Pops Fundraiser for each fellow. Also,
Literature Review Course at a reduced rate.
• Annual Meeting Events for FITs: FIT Bowl (A
tradition since 1992: 13 teams competed; Wilford
Hall victorious); Welcome Reception; FIT and TPD
Breakfast; and the FIT Annual Business Meeting
• FIT Participation: Board of Regents (Two FITs);
Eight regional representatives (work with BOR
FITs); Co-moderate abstract sessions; Committee
membership; Column in e-news (Board Review
biweekly); Column in printed newsletter
(bimonthly)
• Patient Centered Allergy Practice: Four
Audio-conferences targeted for FITs in 2005. |
The ACAAI is admirably
doing its part in joining the AAAAI in the common goal
of growing and preserving our specialty. The College
will continue to support our FITs and our A/I training
programs and looks forward to increasing its
relationship with TPDs. As a show of cooperation between
our organizations, the Academy has, for the first time,
invited the College to nominate a representative to the
TPD Board. Richard Weber, M.D., who is the TPD at
National Jewish Medical and Research Center, has been
chosen to serve in this capacity. Our organizations must
continue to work together to educate the public
regarding cutbacks in funding of A/I fellowship
programs, the projected shortfall in the supply of
trained allergist/immunologists over the coming years
and the need to preserve accessibility to our
specialists for the treatment of asthma and allergies
diseases. After all, nobody does it better than the
allergist!
Sincerely,
Myron Zitt, M.D. |
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Regulatory Updates |
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AMA delegates support drug reimportation with conditions
Delegates at the American Medical Association’s Interim
Meeting offered its conditional support for prescription drug
reimportation for pharmacies and wholesalers “provided the
system meets rigorous safety requirements.” The delegates
continue to oppose “direct consumer importation of drugs via the
Internet.” Acceptable systems include a closed distribution
chain that allows the Food and Drug Administration to inspect
and affirm drug authenticity and safety, according to the
delegates.
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Association
News |
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Aid for humanitarian crisis
in Southeast Asia
Many organizations are mobilizing to provide emergency
assistance to victims of the earthquake and tsunami that has
devastated parts of Southeast Asia. The American Institute
of Philanthropy, a charity watchdog, rates nonprofit
groups with a letter grade of A+ to F. Several of the relief
organizations that are providing aid to victims in Southeast
Asia have earned an “A” or “A+” grade, based on the portion
of their budgets going to program services and their
fundraising efficiency.

Post and search employment
opportunities through Job Source
The
ACAAI Job Source is a service for College members to
post and search employment opportunities in the field of
allergy, asthma and immunology.
The ACAAI Job Source works very much like classified
ads in a newspaper, except they are interactive and
immediately available.
• Job candidates can access the ACAAI Job Source
at no cost to search employment opportunities and to post
their resumes for advertised positions.
• Employers can purchase ads for their available positions.
They do this by credit card, invoice or purchase order
online through the purchase of blocks of "units" that can be
flexibly used. One unit equals one job posting for one day.
The power of the ACAAI Job Source is amplified
through HEALTHeCAREERS, an integrated network of online job
banks operated by other national health professional
associations. This enables employers such as hospitals,
medical centers and health care companies to enter through
any participating association's Web site and list positions
that can be accessed by ACAAI members, and College members
can access listings in other health fields through the
ACAAI Job Source portal. |
Fellows-in-Training |
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Welcome to the Board Review Corner prepared by Thao Ngoc Tran,
M.D., a representative of ACAAI’s fellows-in-training (FITs) to
the Board of Regents. The Board Review Corner is your chance to
test your Board preparedness.
To refer to a previous Board Review Corner, click the “Archive”
link in the left column.
Immunology Review Corner: Chapter 34 of the 6th edition
of Middleton’s Allergy Principles and Practice, edited by
N. Franklin Adkinson, et al. Review questions were written by
fellows-in-training Drs. Thao Tran, Karla Lowe and Todd Levin.
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