Allergy education and training for physicians

Sally Barker, BSc; Lydia Daniels, BSc; Yoon-Seok Chang, MD, PhD; Tinatin Chikovani, MD, PhD; Audrey DunnGalvin, PhD; Jennifer D. Gerdts, BComm; Roy Gerth Van Wijk, MD, PhD; Trevor Gibbs, MB CHB, MD; Rosalaura V. Villarreal Gonzalez, MD; Rosa I. Guzman-Avilan, MD, MHA; Heather Hanna, MSc; Elham Hossny, MD, PhD; Anastasia Kolotilina, MD; José Antonio Ortega Martell, MD; Punchama Pacharn, MD; Cindy E. de Lira Quezada, MD; Elopy Sibanda, MD, PhD; David Stukus, MD; Elizabeth Huiwen Tham, MBBS, MRCPCH; Carina Venter, PhD, RD; Sandra N. Gonzalez-Diaz, MD, PhD; Michael E. Levin, MD, PhD; Bryan Martin, DO; John O. Warner, MD; Daniel Munblit, MD, PhD

World Allergy Organization Journal (Oct 2021)

Allergy education and training for physicians

Sally Barker, BSc,
Lydia Daniels, BSc,
Yoon-Seok Chang, MD, PhD,
Tinatin Chikovani, MD, PhD,
Audrey DunnGalvin, PhD,
Jennifer D. Gerdts, BComm,
Roy Gerth Van Wijk, MD, PhD,
Trevor Gibbs, MB CHB, MD,
Rosalaura V. Villarreal Gonzalez, MD,
Rosa I. Guzman-Avilan, MD, MHA,
Heather Hanna, MSc,
Elham Hossny, MD, PhD,
Anastasia Kolotilina, MD,
José Antonio Ortega Martell, MD,
Punchama Pacharn, MD,
Cindy E. de Lira Quezada, MD,
Elopy Sibanda, MD, PhD,
David Stukus, MD,
Elizabeth Huiwen Tham, MBBS, MRCPCH,
Carina Venter, PhD, RD,
Sandra N. Gonzalez-Diaz, MD, PhD,
Michael E. Levin, MD, PhD,
Bryan Martin, DO,
John O. Warner, MD,
Daniel Munblit, MD, PhD

Affiliations

Sally Barker, BSc: Faculty of Medicine, Imperial College London, London, United Kingdom
Lydia Daniels, BSc: Faculty of Medicine, Imperial College London, London, United Kingdom
Yoon-Seok Chang, MD, PhD: Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea
Tinatin Chikovani, MD, PhD: Department of Immunology, Tbilisi State Medical University, Tbilisi, Georgia
Audrey DunnGalvin, PhD: Applied Psychology and Paediatrics and Child Health, University College Cork, Cork, Ireland; Department of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
Jennifer D. Gerdts, BComm: Food Allergy Canada, Toronto, Ontario, Canada
Roy Gerth Van Wijk, MD, PhD: Section of Allergology, Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands
Trevor Gibbs, MB CHB, MD: Association for Medical Education in Europe (AMEE), Dundee, Scotland, UK; Independant Consultant in Primary Care and Medical Education
Rosalaura V. Villarreal Gonzalez, MD: Regional Center of Allergy and Clinical Immunology, University Hospital “Dr. Jose Eleuterio Gonzalez”, Faculty of Medicine, Autonomous University of Nuevo León, Monterrey, Mexico
Rosa I. Guzman-Avilan, MD, MHA: Regional Center of Allergy and Clinical Immunology, University Hospital “Dr. Jose Eleuterio Gonzalez”, Faculty of Medicine, Autonomous University of Nuevo León, Monterrey, Mexico
Heather Hanna, MSc: Imperial College London, London, United Kingdom
Elham Hossny, MD, PhD: Pediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University, Cairo, Egypt
Anastasia Kolotilina, MD: Department of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
José Antonio Ortega Martell, MD: Health Sciences Center. Autonomous University of Hidalgo State, Mexico
Punchama Pacharn, MD: Department of Pediatrics, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Cindy E. de Lira Quezada, MD: Regional Center of Allergy and Clinical Immunology, University Hospital “Dr. Jose Eleuterio Gonzalez”, Faculty of Medicine, Autonomous University of Nuevo León, Monterrey, Mexico
Elopy Sibanda, MD, PhD: Asthma, Allergy and Immune Dysfunction Clinic, Twin Palms Medical Centre, Harare, Zimbabwe; Department of Pathology, Medical School, National University of Science and Technology, Bulawayo, Zimbabwe
David Stukus, MD: Division of Allergy and Immunology, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH
Elizabeth Huiwen Tham, MBBS, MRCPCH: Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, National University Health System, Singapore, Singapore; Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Carina Venter, PhD, RD: Section of Allergy and Immunology, University of Colorado Denver School of Medicine, Children's Hospital Colorado, Colorado, USA
Sandra N. Gonzalez-Diaz, MD, PhD: Regional Center of Allergy and Clinical Immunology, University Hospital “Dr. Jose Eleuterio Gonzalez”, Faculty of Medicine, Autonomous University of Nuevo León, Monterrey, Mexico
Michael E. Levin, MD, PhD: Division of Paediatric Allergy, Department of Paediatrics, University of Cape Town, Cape Town, South Africa
Bryan Martin, DO: Division of Allergy and Immunology, Department of Otolaryngology, The Ohio State University, Columbus, OH, USA
John O. Warner, MD: Inflammation, Repair and Development Section, National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, United Kingdom
Daniel Munblit, MD, PhD: Department of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation; Department of Infectious Disease, Faculty of Medicine, Imperial College London, London, United Kingdom; Solov'ev Research and Clinical Center for Neuropsychiatry, Moscow, Russian Federation; Corresponding author. Department of Paediatrics and Paediatric Infectious Diseases, Institute of Child’s Health, Sechenov First Moscow State Medical University (Sechenov University), 29, Shmitovskiy proezd, Moscow 123337, Russian Federation.

Journal volume & issue: Vol. 14, no. 10
p. 100589

Abstract

Read online

The increasing prevalence of allergic diseases has placed a significant burden on global healthcare and society as whole. This has necessitated a rapid development of “allergy” as a specialist area. However, as allergy is so common and, for most, relatively easy to diagnose and control, all clinicians need to have basic knowledge and competence to manage mild disease and recognize when referral is required. The allergology specialty has not yet been recognized in many countries and even where allergy is fully recognized as a specialty, the approach to training in allergy differs significantly.In the light of recent developments in allergy diagnosis and management, there is an urgent need to harmonize core competences for physicians, as well as the standardization of core principles for medical education and post-graduate training in allergy. All physicians and allied health professionals must appreciate the multidisciplinary team (MDT) approach to allergy, which is key to achieving the highest standards in holistic care. Due to worldwide variation in resources and personnel, some MDT roles will need to be absorbed by the treating physician or other healthcare professionals. We draw particular attention to the role of psychological input for all allergy patients, dietetic input in the case of food allergy and patient education to support all patients in the supported self-management of their condition on a daily basis. A strong appreciation of these multidisciplinary aspects will help physicians provide quality patient-centered care.We consider that harmonization of allergy components within undergraduate curricula is crucial to ensure all physicians develop the appropriate allergy-related knowledge and skills, particularly in light of inconsistencies seen in the primary care management of allergy. This review from the World Allergy Organization (WAO) Education and Training Committee also outlines allergy-related competences required of physicians working with allergic patients and provides recommendations to promote harmonization of allergy training and practice worldwide.

Published in World Allergy Organization Journal

ISSN: 1939-4551 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Immunologic diseases. Allergy
Website: https://www.sciencedirect.com/journal/world-allergy-organization-journal

About the journal

Abstract

Keywords