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Celebrating Over 75 Years Of Service

The American Academy of Otolaryngic Allergy (AAOA) represents over 2,700 Board-certified otolaryngologists and health care providers. Otolaryngology, frequently referred to as Ear, Nose, and Throat (ENT), uniquely combines medical and surgical expertise to care for patients with a variety of conditions affecting the ears, nose, and throat, as well as commonly related conditions. AAOA members devote part of their practice to the diagnosis and treatment of allergic disease. The AAOA actively supports its membership through education, research, and advocacy in the care of allergic patients.

"Advance the comprehensive management of allergy and inflammatory disease in Otolaryngology-Head and Neck Surgery through training, education, and advocacy."

ADVOCACY UPDATES

Congress and Administration Take Aggressive Action to Address COVID-19 Pandemic but Providers Continue to Struggle

Congress has passed four pieces of legislation and the Centers for Medicare & Medicaid Services…

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USP General Chapter <797> News. Media Fill Test Kit

Implementation of the new USP General Chapter <797> Pharmaceutical Compounding — Sterile Preparations is still…

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HHS Attestation Update

As AMA reported in the AMA Advocacy Update of May 22, HHS announced that providers need to…

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Changes in MACRA

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Before the close of 2017, all physicians must take action to avoid the 4 percent cut that will be assessed in 2019 for not participating in the new Quality Payment Program (QPP) authorized by the Medicare Access and CHIP Reauthorization Act (MACRA).  Read More

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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Upcoming Dates

07/07/20: Core Allergy & Rhinology Concepts: Age of Pandemics and Beyond
Countdown 

07/15/20: Call for Scientific Papers
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09/11/20: Membership Application Deadline to be voted in at the 2020 Annual Meeting and to be eligible for AAOA Member Rate (FREE) for the 2020 Annual Meeting Learn more

12/01/20: Research Grant Cycle
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04/01/21: Fellow Exam Application Deadline
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06/01/21: Research Grant Cycle
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06/26/21: Membership Application Deadline to be eligible for AAOA Member rate for the 2021 Basic Course

EDUCATION

New Virtual Course!

Register now as we build out Part 2 Core Allergy & Part 3 Core Rhinology.   Both promise to deliver clinical content you need.  Core Allergy will offer what you need to help refresh or add allergy to your practice — everything from the clinical science to the basics of allergy from a better understanding of testing techniques, vial prep, and dose calculations to other practical implications.  Core Rhinology encompassed the highly sought after rhinology content from our former IAR program.  Part 1 will launch soon with on demand content to help you balance all your time demands.  Part 2 & 3 will feature live-stream content to give you opportunities to interact with the faculty.  Post live session, this content will also be available on demand. Stay tuned for more details as we finish our program build. Read More

IFAR

IFAR Impact Factor: 2.454

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IFAR Featured Content: COVID-19 - Free Access
Endonasal instrumentation and aerosolization risk in the era of COVID‐19: simulation, literature review, and proposed mitigation strategies . Read More

Now Available

Changes in Managing Practices

Mission

Working together with AAOA staff, volunteer leadership and members will enable us to have a positive impact on our members’ practices.

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Live and Online CME

NEW VIRTUAL COURSE! Core Allergy and Rhinology Concepts: Age of Pandemics and Beyond
Learn How to Reboot Your Practice and Freshen Up on Core Allergy and Rhinology Components
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Registrants! Use the access button below to Log in and click My Account at the top of the link page to get into the course event page.

2020 AAOA Annual Meeting
Now Virtual
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2020 Advanced Course in Allergy & Immunology
December 9-12 | Vail, CO
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AAOA Clinical Insights
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USP 797 Online Module
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2021 Basic Course in Allergy & Immunology
July 15-17 | Seattle, WA

News and Updates

We Are Rolling Out Our First Completely Virtual CME Course

Chamberlain’s often-used quote about living in interesting times used to sound trite, but today it…

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Resuming SCIT During COVID-19 Pandemic

This summary is intended to provide practicing Otolaryngologists a guide to resuming safe allergy care…

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College Allergy Symptoms Treatment Back to Shcool

PRACTICE RESOURCES

AAOA Practice Resource Tool Kit

The American Academy of Otolaryngic Allergy (AAOA) Practice Resource Tool Kit is intended as a guide to help AAOA members integrate allergy into their otolaryngology practice and to continually improve on this integration as new information, regulations, and resources become available.

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PATIENT CORNER

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Vials

Getting Tested for a Penicillin Allergy

Overview

Allergy to penicillin and related antibiotics is the most commonly reported drug allergy in the United States.

Approximately 85% of patients who describe themselves as “penicillin allergic” will have negative skin tests and can safely receive penicillin and related antibiotics.

However, it is critical to detect which patients are truly allergic to penicillin, as exposure to the antibiotic could cause very serious problems, including anaphylaxis.

Dr. Melissa Hertler Interviewed on Fox 6 News

Dr Melissa Hertler Penicillin Testing ImageDr. Melissa Hertler Interviewed on Fox 6 News

Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death.   It typically causes a number of symptoms including an itchy rash, throat swelling, and low blood pressure.

On a mechanistic level, anaphylaxis is caused by the release of mediators from certain types of white blood cells triggered either by immunologic or non-immunologic mechanisms. It is diagnosed on the basis of the presenting symptoms and signs.

The primary treatment is injection of epinephrine, the administration of intravenous fluids, and positioning the person flat, with other measures being complementary.

Testing for Penicillin Allergy

A doctor will use the PRE-PEN test, which is the only FDA approved skin test for the diagnosis of penicillin allergy.  Penicillin skin testing involves applying skin prick and intradermal tests with PRE- PEN, Penicillin G, and both a positive and negative control.

A doctor will examine the test sites for a reaction and if the testing is negative we will perform an oral challenge.  The entire process takes about an hour.

Potential benefits of testing

For patients that are concerned that they may be sensitive or allergic to penicillin, there are many benefits of testing with PRE-PEN.

If the patient is shown to test negative for penicillin allergy, this will eliminate any concern about using penicillin, which is an important, effective and well tolerated treatment for many infections.

Another benefit is decreased out of pocket costs for antibiotics, since many alternatives to penicillin are much more costly.

Finally, testing will help decrease the overuse of broad spectrum antibiotics which leads to increased drug- resistant bacteria.

Who should be tested for penicillin allergy?

Any patient with history of a reaction to a penicillin antibiotic or who is currently denied access to certain antibiotics out of concern for such reactions should be tested.

Patients with known ANAPHYLACTIC reaction to penicillin, in the past 5 years, should NOT be tested.

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