Allergy in Practice for Health Professionals 2019 - 2020
Thursday 19th September 2019 to Wednesday 24th June 2020
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 a choice of three days in block three.
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 near/at St Thomas' Hospital.
Programme
This is a provisional programme only and some sessions may be subject to change:
Block 1 - Session 1 – Introduction to Allergic Disease
| Day 1 | Introduction 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. | |
11:15-11:30 | 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. | |
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 | ||
Block 1 - Session 2 – Diagnosis of Allergic Disease
| Day 2 | Diagnosis of Allergic Disease | ||
Time | Title | Outcome | |
09:00-09:45 | 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. | |
09:45-11:00 | 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. | |
11:00-11:15 | Tea/Coffee | ||
11:15-12:30 | Practical Skin Prick Testing | A practical session, giving students the opportunity to practice SPT. | |
12:30-13:15 | Lunch | ||
| 13:15-14:00 | 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. | |
| 14:00-15:30 | 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. | |
15:30-15:45 | Tea/Coffee | ||
15:45-16:30 | Allergic Disease – the Patient's Experience Allergy | Students will hear about the impact of allergic disease from a patient. | |
16:30 | Summary and close of block one | ||
Block 2 - Session 3 – Management of Allergic Disease
| 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 | ||
Block 2 - Session 4 – Case bases discussions and Simulation Session
| 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 | ||
| 13:30-16:30 | SAIL Centre for Practical Management of Alleric Reactions | Sophisticated 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 | ||
Block 3 - Session 5 – Respiratory Allergy
| Day 5 | Respiratory Allergy | ||
Time | Title | Outcome | |
09:00-10:15 | 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. | |
| 13:30-14:15 | Immunotherapy 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 | |
16:30-17:00 | Work Based Learning | How to accredit the Allergy in Practice Course so that it counts towards a higher education qualification. | |
17:00 | Close of meeting | ||
Block 3 - Session 6 – Allergy and Skin
| 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 | ||
Block 3 - Session 7 – Food Allergy
| 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 | ||
| 12:45-13:15 | Cows Milk Protein Allergy Management in Infants | Overview of hypoallergenic formulas and when to use appropriately. | |
| 13:15-13:45 | Dietary management of common food allergies in adults
| FODMAP and PFS | |
| 13:45-14:15 | How to Promote Tolerance to Common Food Allergens | This session will look at utilising tools such as milk and egg ladders. | |
14:15-14:30 | Tea/Coffee | ||
14:30-16:30 | 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 | ||