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Welcome

Celebrating 80 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 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

12/01/22: Research Grant Cycle
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04/01/23: Fellow Exam Application Deadline
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06/01/23: Research Grant Cycle
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06/26/23: Membership Application Deadline to be eligible for AAOA Member rate for the 2023 Basic Course

07/01/23: Scientific Abstract Submission Deadline
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EDUCATION

The hybrid 2023 AAOA Advanced Course in Allergy & Immunology will take place from Thursday, March 30 - Saturday, April 1, 2023 at the Hythe, Vail, CO (formerly known as the Vail Marriott Mountain Resort). The live–stream content and pre-work will be made available to virtual attendees and live attendees via the Whova app with the pre-work content releasing on March 1, 2023. Learn More and Register Now

RESIDENTS

For information about Resident opportunities, DosedDaily, research grants, and other resources. Learn More

IFAR

Available Now

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IFAR Impact Factor: 2.454

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

Changes in Managing Practices

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

AAOA Educational Stacks
October 15-December 31, 2022

2023 AAOA Advanced Course in Allergy & Immunology
March 30 - April 1, 2023
The Hythe Vail
Formerly the Vail Marriott Mountain Resort
Learn More and Register

2023 AAOA Basic Course in Allergy & Immunology
June 29 – July 1, 2023
Hyatt Regency Seattle
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2023 AAOA Annual Meeting
September 28 – September 30, 2023
Embassy Suites by Hilton Nashville Downton

USP 797 Online Module
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News and Updates

CRS with/without Nasal Polyps Podcast Series: Shared Decision-Making

In the fourth and final episode of CRS with/without Nasal Polyps Podcast Series: Shared Decision-Making,…

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CRS with/without Nasal Polyps Podcast Series: Quality of Life Burden

In the third episode of CRS with/without Nasal Polyps Podcast Series: Quality of Life Burden,…

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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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PARTNER RESOURCE CENTER

AAOA has launched a Partner Resource Center to bring you partner resources that can assist your practice and patient care.

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PATIENT CORNER

SCIT vs SLIT

By Anna Butrymowicz, MD

Allergy Immunotherapy (AIT) is an option for patients with allergic rhinitis (AR), allergic asthma and atopic dermatitis.  In the United States, AIT is offered in two forms, subcutaneous immunotherapy (SCIT) and sublingual immunotherapy (SLIT) via tablet or drop.  The choice to pursue AIT is one that should be made after thorough discussion with your Otolaryngologist and is normally considered in patients with the above diagnoses who have failed to improve with medical management or cannot tolerate medical management, and avoidance of known allergens is not possible.  When deciding between form of AIT (SLIT vs SCIT), a number of things should be considered, including efficacy, cost, compliance, and safety.  

Efficacy: the jury is still out.  While large Cochrane reviews suggest superiority of SCIT, there are only a few randomized control trials, and these head to head analyses show equivalent benefit in regard to symptom control and medication use (with exception of 1 RTC which shows superiority of SCIT).  

Cost: This question is addressed directly in the article Hidden Costs of AIT. Overall, aqueous SLIT is considered off label by the FDA and incurs out of pocket costs.  The direct cost of SLIT tablets or co-pays for SCIT depend on insurance coverage.  There is also indirect cost to parking, travel time, missed work/school when pursuing SCIT.  

Compliance: It seems reasonable to assume that patients would be more compliant with medication they could administer at home, like SLIT, but studies show conflicting evidence, some with higher compliance with SCIT, other with higher compliance with SLIT.  Like with every other broad characterization, we have to keep individual patient characteristics/goals in mind, and tailor each treatment plan to the patient.  

Safety: SLIT has a superior safety profile, with no history of reported fatalities and a rare incidence of anaphylaxis.  In general, SCIT is well tolerated, but there have been reported fatalities and the incidence of anaphylaxis is higher.  

Generally, these are the main factors we should consider when discussing AIT with our patients, but this is not a comprehensive list.  And while SCIT and SLIT are the forms of AIT offered in the United States, the field of Otolaryngic Allergy continues to innovate, and we may see new options in the future.  Stay tuned! 

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