Allergy in Practice for Health Professionals 2018

Wednesday 20th September 2017 to Friday 8th June 2018

Programme

Teaching Methods

Teaching will comprise a variety of methods; formal taught sessions, case based group discussions, practical demonstration of devices, treatments and techniques used in the diagnosis and management of a patient with allergic disease.

The teaching will take place in three blocks, with two days teaching in each block. Block one and two are considered ‘core’ blocks and these must be attended, with an additional two days, chosen by the student from block three.

The programme is currently being updated, please see below the programme for 2016/17.

Students will be taught the practical skills of skin prick testing, adrenaline auto injector device administration, lung function testing and device, such as inhalers and nasal spray administration training. This training will be supplemented by completion of the BSACI competency document in clinical practice, over the duration of the course.

Students will be required to identify an educational supervisor. This supervisor will support them in practice and complete their competency document.
Teaching will take place on the Guy's Hospital Campus.

Programme

This is a provisional programme only and some sessions may be subject to change:

 

Day 1 – Introduction to Allergic Disease, 20th September 2017

Day 1Introduction to Allergic Disease
Time
Title
Outcome
09:00-10:00
Welcome & Introduction
 
Set learning objectives, introduce the faculty, get to know other students, introduction to the syllabus. Preparation for the assessment. Rationale behind assessment methods and expectations. Introduction to work based module at KCL.
10:00-11:00
Epidemiology of Allergic Disease
Gain an understanding of the effect and history of allergic disease. Look at population based studies which have informed our knowledge.
11:15-11:00
Tea/Coffee
11:30-13:00
Basic Immunology of Allergy
Understand the basic immunological mechanisms of allergic disease. The process of initial sensitisation and the allergic response in the presence of an allergen. Discuss the difference between IgE and Non-IgE reactions, mention briefly food allergy and Type 4 drug reactions.
11:30-12:30
Epidemiology of Allergic Disease
Gain an understanding of the effect and history of allergic disease. Look at population based studies which have informed our knowledge
13:00-13:45
Lunch
13:45-14:45
The Allergic March (Atopic Presentations)
Understand the presentation of eczema, food allergy, asthma and allergic rhinitis and how these impact on each other. Gain an understanding of the differing mechanisms of allergic disease and how these may present.
14:45-15:00
Tea/Coffee
15:00-16:30
History Taking – The Cornerstone of Diagnosis
Understand the importance of an allergy focused history. Gain an awareness of frameworks available to inform practice.
Students will explore their history taking skills.
16:30
Close of meeting

 

Day 2 – Diagnosis of Allergic Disease, 21st September 2017

Day 2
Diagnosis of Allergic Disease
Time
Title
Outcome
09:00-10:15
Diagnostic Techniques
Gain an overview of the various diagnostic techniques available in the diagnosis of allergic disease. Understand how to perform SPT safely. Look at environment, equipment, when SPT is not appropriate. Gain an understanding of when SpIgE testing may be appropriate. Understand how SpIgE is performed and how to interpret results. Gain an understanding of how CRD for certain allergens can enhance diagnosis and inform management.
10:15-10:30
Tea/Coffee
10:30-12:00
Practical Skin Prick Testing
A practical session, giving students the opportunity to practice SPT.
12:00-12:45
Lunch
12:45-13:30
Oral Food Challenges
An introduction to OFC, students gain an awareness of when OFC may be utilised. Understand the importance of appropriate patient selection and preparation. Look at how to set up a food challenge service.
13:30-15:00
Practical Food Challenges
This session will focus on the practical aspects of food or drug challenges, including; patient selection, preparation and recognition of an allergic reaction. Weighing of food, blinding, dosing schedules. Break into different stations to have workshops on how to perform challenges – three groups rotating; 1. Scenarios re patient selection, 2. Food blinding/doses, 3. Scenarios re decision making during a food challenge.
15:00-15:30
Tea/Coffee
15:30-16:15
Psychological Impact of Allergic Disease
This session will explore the impact of allergic disease on an individual and give tools to help identify and support patients.
16:15-17:00
Allergic Disease – the Patient's Experience
Allergy UK/Gaventa
Students will hear about the impact of allergic disease from a patient.
17:00
Close of meeting
 

 Day 3 – Management of Allergic Disease, 24th January 2018

Day 3
Management of Allergic Disease
Time
Title
Outcome
09:00-09:15
Introduction to Block 2
Discussion of what will be covered in the next two days. Opportunity for students to feedback from practice.
09:15-10:15
Allergen Avoidance
This session will examine the role allergen avoidance has in food and respiratory allergy. Food avoidance will be covered in depth in other sessions, thus the focus will mainly be on the usefulness of aeroallergen avoidance measures.
10:15-10:30
Tea/Coffee
10:30-11:30
Pharmacological Management of Allergic Disease
Students will develop an understanding of the pharmacology and pharmacokinetics of medication used in the management of allergic disease.
11:30-12:00
Anaphylaxis
Students will gain a deeper understanding of the pathophysiology of anaphylaxis.
12:00-12:45
Lunch
12:45-15:00
Practical Management of Allergic Reactions
Management of anaphylaxis, including AAI device administration training. Recognition and management will be discussed. Students will practice using the different devices and become familiar with the BSACI management plans.
15:00-15:15
Tea/Coffee
15:15-16:30
Developing a Service Planning and Undertaking an Audit of Service Evaluation
 Understand the importance of auditing your service to inform development. Discuss how findings can be disseminated.
16:30
Close of meeting

 

Day 4 – 25th January 2018

Day 4
 
Time
Title
Outcome
09:00-10:30
Case Based Discussions
Students discuss case studies from their practice
10:30-11:00
Tea/Coffee
11:00-12:30
Case Based Discussions
Students discuss case studies from their practice
12:30-13:30
Lunch
13:30-16:30SAIL Centre for Practical Management of Alleric ReactionsSophisticated mannequins simulators will enable students to immerse themselves in a lifelike anaphylaxis situation
16:30-17:00
Summary of Block Two – Course Evalution
 
17:00
Close of meeting

 

Day 5 – Respiratory Allergy, 6th June 2018

Day 5
Respiratory Allergy
Time
Title
Outcome
09:00-10:30
Allergic Rhinitis
 
This session will give students an understanding of the pathophysiology and immunology and how AR presents and case studies will illustrate on how AR impacts on patients’ lives. The focus will be the stepwise approach to management of AR.
10:15-10:30
Tea/Coffee
10:30-12:00
Asthma as an Atopic Condition
Students will gain understanding of the pathophysiology and immunology of Asthma and clinical presentation. Students will understand the different tools used in the diagnosis of asthma. Students will evaluate the methods used to manage asthma.
12:00-12:45
Lunch
12:45-13:30
Pharmacological Management of Respiratory Allergy
Students will gain a deeper understanding of the pharmacology and pharmacokinetics of the medications used in respiratory allergy, which will inform choice of treatment.
13:30-14:15Immunotherapy for the Treatment of Airway Disease
 
What evidence is there for the use of IT for asthma and allergic rhinitis? How would you set up a service?
14:15-14:30
Tea/Coffee
14:30-16:30
Practical Management of Respiratory Illness
 
Workshop Session – students practice using the various devices; 1. Spirometer station, 2. ENO station, 3. Inhaler devices, 4. Nasal devices

16:30
Close of meeting

 

Day 6 – Allergy and Skin, 7th June 2018

Day 6
Allergy and Skin
Time
Title
Outcome
09:00-10:00
Urticaria
 
Students will gain understanding of the pathophysiology of urticaria and management of the condition.
10:00-10:15
Tea/Coffee
10:15-11:15
Eczema/Atopic Dermatitis
Students will gain a deeper understanding of eczema as an atopic disease.
11:15-12:30
Eczema Treatments – Practical Session
This session will give students the opportunity to practice and get to know the different emollients and topical treatments in the management of eczema.
12:30-13:15
Lunch
13:15-14:00
Drug Allergy
An overview of drug allergy, including presentation, testing and management.
14:00-14:45
Patch Testing
A practical session in the use of patch testing.
14:45-15:00
Tea/Coffee
15:00-15:30
Venom Allergy
This session will explore the rationale for testing for suspected venom allergy and evaluates management.
15:30-16:30
Allergy Prevention
This session will discuss maternal diets, probiotics, omega 3, early introduction of allergenic foods and weaning the high risk infant.
16:30
Close of meeting

 

Day 7 – Food Allergy, 8th June 2018

Day 7
Food Allergy
Time
Title
Outcome
09:00-09:30
Overview of Food Allergy
Introduction and introduction to concept of food allergy IgE and non-IgE.
09:30-10:30
When is it Gastro Allergy?
An overview of the clinical presentations of gastro allergy. Identification and rationale of medication used to manage gastro symptoms.
10:30-10:45
Tea/Coffee
10:45-12:00
Exclusion Diets
Dietetic management, including single, multiple allergen avoidance, MEWS and few foods elimination diets
Gain an awareness of the impact of elimination diets and how to monitor and counter these with supplementation.
12:00-12:45
Lunch
12:45-13:15Cows Milk Protein Allergy Management in InfantsOverview of hypoallergenic formulas and when to use appropriately.
13:15-13:45

Dietary management of common food allergies in adults

Hannah Hunter

FODMAP and PFS
13:45-14:15How to Promote Tolerance to Common Food AllergensThis session will look at utilising tools such as milk and egg ladders.
14:15-14:30
Tea/Coffee
12:30-16:30
Practical Management of Food Allergy
Workshops in small groups; 1. Dairy alternatives, 2. Egg replacers, 3. Wheat alternatives, 4. Food fortification in the allergic child, 5. Selective nut eating.
16:30
Close of meeting