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Control asthma in pregnancy, say new guidelines.


Kids with asthma and rhinitis use more healthcare resources.

 
  
January 19, 2005
  
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Readers responding were almost equally divided about whether the potential decrease in workforce will affect the viability of the specialty — 52 percent said “yes” and 48 percent said “no.”

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
 
Calendar

JANUARY
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


JUNE

World Allergy Congress
June 26 – July 1, Munich, Germany
Link


ONGOING
World Allergy Organization Society Meetings

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Top Stories
 
New U.S. guidelines: Control asthma during pregnancy
Pregnant women should keep their asthma under control, according to the National Asthma Education and Prevention Program, which recently released new U.S. guidelines for controlling asthma during pregnancy. While asthma drugs may affect the developing baby, the panel issuing the guidelines says, they pose less of a risk than the breathing problems caused by asthma. The guidelines say that albuterol should be kept on hand. The guidelines were published in the January issue of the Journal of Allergy & Clinical Immunology.
    
Bronchodilator responsiveness may help pediatric asthma diagnosis
About half of wheezing children who take a positive bronchodilator responsiveness test will have a negative response; however, children with wheeze are more likely than those without wheeze to have a positive response, according to a study in Thorax. Scientists at Royal London Hospital in the United Kingdom looked at the diagnostic accuracy of bronchodilator responsiveness testing for asthma in children from 5 and 9 years old, getting spirometric measurements in 142 children, 58 of whom who were wheezing, before and after 400 mcg inhaled salbutamol. The wheezing children had considerably lower percentage predicted baseline FEV1 measurements and significantly greater bronchodilator responsiveness at baseline, compared with controls.  

Rhinitis increases healthcare resource use among asthmatic kids
Children with both asthma and allergic rhinitis rack up more asthma drug expenses and are hospitalized more often than children with asthma alone, according to a study in Pediatrics. Scientists at Merck and Co. in Whitehouse Station, N.J., analyzed data from 9,522 asthmatic children, 1,879 of whom had allergic rhinitis in the United Kingdom. During the 12 months the study included, the group with rhinitis averaged 4.4 general practitioner visits and had a hospitalization rate of 1.4 percent. The asthma-only group averaged 3.4 visits with a 0.5 percent hospitalization rate.
  

A word from President Myron Zitt, M.D.

A survey conducted in August 2004 indicated that ACAAI members sought more detailed, specialty-specific information on how to improve the management of their allergy practices. The survey also showed overwhelmingly high support for The Patient-Centered Allergy Practice as a means of obtaining that information.

This complimentary CME series on practice management endorsed by the ACAAI and supported by an educational grant from the sanofi-aventis Group, is being offered to College members for the third consecutive year.

ACAAI members have found great value in The Patient-Centered Allergy Practice. Over 80 percent of survey respondents said the newsletters helped them improve their allergy practice operations. Most important, 83 percent believed that improving office management resulted in improved patient care.

Based on member feedback, it is evident that the 2004 Patient-Centered Allergy Practice has literally touched thousands of allergists. As a result of your survey responses, this year’s program will be expanding its offerings. The 2005 components will include:
 
Newsletters — Six bimonthly newsletters will feature how-to articles and tips for improved allergy practice management. This year, each newsletter will focus on a separate practice management issue, such as “Technology.”

The subscriber will benefit from our new “Practice of Focus” series by following the physicians and staff of a single allergy practice as they work through different areas of practice management under the guidance and supervision of our very own Patient-Centered Allergy Practice management consultants. The reader will learn how practice members, through improvement of operations, dedicate themselves to improving patient care!
 
Audioconferences — Our four, 60-minute audioconferences educate physicians and administrators on operating a more patient-centered allergy practice. Audioconferences will allow participants to focus in-depth on particular topics in allergy practice management. Physicians and their staff members will be able to join in live from the convenience of their own offices by dialing a toll-free number, or they can access an archived version via phone up to three months after the live program.
 
2005 Audioconference Schedule
Scheduling for Better Patient Access in Allergy, April 19, 2005, noon to 1 p.m. Eastern time
Improving Allergist-Patient Communication, June 21, 2005, noon to 1 p.m. Eastern time
Top 10 Tech Tips for Allergists, Aug. 23, 2005, noon to 1 p.m. Eastern time
Real World Ethics for Allergists, Oct. 18, 2005, noon to 1 p.m. Eastern time
 
Practice Management Web Site — Because many ACAAI members are Internet savvy, 72 percent of survey respondents asked for an online component of the practice management program. Now you can visit www.PatientCenteredAllergyPractice.com to access electronic versions of The Patient-Centered Allergy Practice: White Paper as well as archived issues of past newsletters and audioconferences.

Members also can visit this Web site for the new practice management case study series, where individual topics in allergy practice management are addressed. The participant can test his or her understanding of various aspects of practice management by choosing from the available Web options and working through each case study. Truly, this should be an ideal venue for learners to improve their office operation and with it, the delivery of patient care.
 
Symposia for Fellows-in-Training —According to a 2003 survey by Merritt, Hawkins & Associates, only 2 percent of senior medical students feel prepared to manage the business of an allergy practice. The Patient-Centered Allergy Practice group has researched this issue and will be conducting sessions on starting or joining an allergy practice during a one-day practice management conference that is being planned for Fellows-in-Training and Young Physicians at our 2005 Annual Meeting. Those who are interested in attending this free presentation in Anaheim should visit the Web site for more information.

To register for The Patient-Centered Allergy Practice, or to get more information about this program, please call (800) 251-4920 or e-mail info@physicianspractice.com. You can also visit www.PatientCenteredAllergyPractice.com.

With the feedback from members and the help of our sanofi-aventis sponsored Patient Centered Allergy Practice Program, when it comes to practice management, “nobody does it better” than the ACAAI allergist.

Sincerely,
Myron Zitt, M.D.

    
Regulatory Updates
 
States now look to Europe for inexpensive drugs
Now that the Canadian government is considering cutting exports of prescription drugs to the United States, individual states are beginning to look to Europe for drug deals. Illinois, Kansas, Missouri and Wisconsin have all launched initiatives to help residents get cheaper drugs from countries such as Ireland and the United Kingdom, even if one country stops exporting.  
 
Association News
 

ABAI Recertification Exam applications due Jan. 31;
Certification applications not due until April 1

The ACAAI eNews and ACAAI News reported an incorrect deadline for the ABAI Certification Exam applications. The Exams and application deadlines are as follows:
• Recertification Exam: Oct. 17-21, 2005 (applications due Jan. 31, 2005)
• Certification Exam: Oct. 10-14, 2005 (applications due April 1, 2005)

Applications can be obtained from the American Board of Allergy & Immunology, 510 Walnut Street, Suite 1701, Philadelphia, PA 19106-3699; phone: (215) 592-9411; fax: (215) 592-9411; e-mail: abai@abai.org;
Web site: www.abai.org.

Registration filled for Board/Recert Course
Registration is filled to capacity for the ACAAI/AAAAI Conjoint Committee Board/Recertification Review Course, April 14-17, 2005. If you have not yet registered for the course and would like to be placed on a waiting list, e-mail Dianne Kubis at diannekubis@acaai.org.

Annals Online gets a makeover
Beginning with the January publication, the Annals of Allergy, Asthma & Immunology Web site will have a new look. Once the new site is activated, College members and other subscribers will receive an e-mail notice to re-register for access to Annals Online.

The new Internet site is loaded with additional features, including a better search engine, new online pay-for-view service, multi-server protection against downtime and the ability to electronically post other materials.

Allergy Practice Tip: Better Office Space Planning
Advice from The Patient-Centered Allergy Practice

Atlanta-based architect Dick Haines urges allergists to think of their offices as “an integrated series of events,” not just as bricks and mortar or exam rooms and waiting areas.

Haines, a specialist in medical-facility planning and design for more than 20 years, says most allergists understand the relationship between space and productivity. However, they tend to think first of how many exam rooms they need instead of the universe of activities — administrative tasks, record retrieval, registration, patient check-in and check-out, etc. — that also take place in a medical office.

For example, an allergy practice typically experiences a steady flow of patient appointments during the day, plus bursts of patients dropping by the shot clinic in the early morning or late afternoon. Failure to consider the unique ebb and flow of scheduled and unscheduled patients in an allergy practice can produce harried staff, crowded waiting rooms, upset patients, and frustrated allergists.

These tips are created by The Patient-Centered Allergy Practice, a CME series on practice management is provided by Physicians Practice, endorsed by ACAAI and supported by an educational grant from sanofi-aventis.

To register or to get more information about this program, please call (800) 251-4920, e-mail info@physicianspractice.com, or visit www.PatientCenteredAllergyPractice.com.

In Memoriam: Prof. Romain Pauwels
scholar, scientist, teacher and physician
With great sadness, we announce that Prof. Romain A. Pauwels, M.D., Ph.D., Belgium, died on Jan. 3, 2005.

Prof. Pauwels was director of the Division of Respiratory Diseases at University Hospital in Ghent, Belgium. He was Member of the Royal Academy of Medicine of Belgium and held positions in several scientific societies and initiatives.

As Executive Committee chairman, he oversaw the development and dissemination of the Global Initiative for Obstructive Lung Disease (GOLD) guidelines, providing a science base for COPD management worldwide, and he also had a leadership role in the creation of the Global Initiative for Asthma (GINA) guidelines. Both GINA and GOLD are collaborations between the National Heart, Lung and Blood Institute and the World Health Organization.

He was President of the Belgian Society of Allergology and Clinical Immunology and of the Belgian Society of Pneumology.

Prof. Pauwels’ research interests were mainly the pathogenesis and pharmacology of asthma and COPD. He has published more than 400 publications related to different aspects of pulmonary diseases. He will be greatly missed.

 
Fellows-in-Training
 
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 35 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.

Copyright © 2005 American College of Allergy, Asthma & Immunology. All rights reserved.

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