Potential Association of Mast Cells with - PowerPoint Presentation

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Potential Association of Mast Cells with

Coronavirus Disease 2019

Theoharis C. Theoharides, MS, MPhil, PhD, MD

Ann Allergy Asthma Immunol. March 2021;126(3):217-218

Mast Cells in COVID-19

Theoharides. Ann

Allergy Asthma Immunol. March 2021;126(3):217-218

Physician Well-Being in Allergy and Immunology

Theresa A. Bingemann, MD 

Susan Laubach, MD

Ann Allergy Asthma Immunol. March 2021;126(3):219-227

Physician Well-Being in Allergy and Immunology

Key Messages

The culture of wellness encompasses an organization’s values, environment, and behaviors that foster compassion and growth in its physicians.

Physician burnout leads to decreased patient satisfaction, increased risk of safety incidents, and decreased professionalism.

Studies have reported signs of physician burnout at all stages of a medical career.The leadership of a team or organization must be invested and committed to changing the culture to prioritize physician well-being.•Measuring physician well-being, improving practice through team engagement, and improving physician communication and support are actionable steps that can help create a culture of wellness.

Bingemann and Laubach. Ann

Allergy Asthma Immunol. March 2021;126(3):219-227

The Modified

WellMD

Professional Fulfillment Model:

Focus on a Culture of Wellness

Bingemann and Laubach. Ann

Allergy Asthma Immunol. March 2021;126(3):219-227

Factors that Affect the Balance Between

Burnout and Wellness

Bingemann and Laubach. Ann

Allergy Asthma Immunol. March 2021;126(3):219-227

The Principles and Process of Appreciative Inquiry

Bingemann and Laubach. Ann

Allergy Asthma Immunol. March 2021;126(3):219-227

Physician Wellness in Allergy and Immunology

Anil Nanda, MD

Ann Allergy Asthma Immunol. March 2021;126(3):228-234

Physician Wellness in Allergy and Immunology

Key Messages

Personal resilience involves multiple factors, including healthy coping skills, optimism, relationships, and self-care.

Burnout is a major issue among physicians.

A variety of professional and personal stresses that may occur during a physician's career include marriage/relationship issues, depression, death of patients and family members, change of employment, financial issues, malpractice lawsuits, discrimination, difficult personality encounters, and pandemics.Improving physician personal resilience includes addressing individual mental and physical health care issues; focusing on adequate sleep, nutrition, and exercise; maintaining a positive and hopeful outlook; addressing spirituality; and adding daily humor.

Nanda. Ann Allergy Asthma Immunol. March 2021;126(3):228-234

Burnout Rates in Allergy and Immunology

Nanda. Ann Allergy Asthma Immunol. March 2021;126(3):228-234

Personal Resilience—Basic Principles

Nanda. Ann Allergy Asthma Immunol. March 2021;126(3):228-234

Enhancing Practice Efficiency:

A Key Organizational Strategy to Improve Professional Fulfillment

in Allergy and Immunology

Hemant P. Sharma, MD, MHS

Ann Allergy Asthma Immunol. March 2021;126(3):235-239

Enhancing Practice Efficiency

Key Messages

Professional burnout is prevalent among physicians, affecting at least 35% of US allergists-immunologists, and is associated with negative outcomes affecting physicians, patients, and health care organizations.

Organizational strategies that support physician well-being by creating a more efficient practice environment hold great promise, particularly for allergists-immunologists, specifically by reducing administrative burden and fostering models of team-based care.

Using scribes to document patient visits is a particularly effective strategy to enhance practice efficiency and physician well-being while boosting productivity.Both private and academic allergy-immunology institutions should prioritize the adoption and iterative evaluation and refinement of these strategies to cocreate an efficient and ideal practice environment.

Sharma. Ann Allergy Asthma Immunol. March 2021;126(3):235-239

The Reciprocal Domains of the Stanford Physician

Well-Being Model

Sharma. Ann Allergy Asthma Immunol. March 2021;126(3):235-239

The Spectrum of Allergic Ocular Diseases

Jonathan Rodrigues, MD 

Merin E. Kuruvilla, MD

Kristine Vanijcharoenkarn, MD

Nikki Patel, MD

Milton M. Hom, OD

Dana V. Wallace, MD

Ann Allergy Asthma Immunol. March 2021;126(3):240-254

Physician Wellness in Allergy and Immunology

Key Messages

Ocular allergy is recognized as a heterogeneous collection of immunoglobulin E (IgE) and non–IgE-mediated diseases.

IgE-mediated ocular allergies include seasonal allergic conjunctivitis, perennial allergic conjunctivitis,

1 vernal keratoconjunctivitis, and atopic keratoconjunctivitis. Non–IgE-mediated ocular allergies and hypersensitivities include contact blepharoconjunctivitis, giant papillary conjunctivitis, irritative conjunctivitis, and blepharitis.The following 4 cardinal symptoms characterize ocular allergies: redness, itchiness, swelling, and watering (tearing), with several symptoms overlapping with dry eye disease.Allergological

workup (skin prick testing, serum-specific IgE measurements, conjunctival provocation testing, and patch testing) is helpful in confirming a causative allergic mechanism.

Newer topical corticosteroid formulations such as loteprednol have not been found to increase the risk of cataracts unlike older corticosteroids.

Successful treatment usually involves a combination of avoidance of allergic triggers, medications (topical, oral, or both), and in some cases, allergy immunotherapy.

Rodrigues, et al. Ann

Allergy Asthma Immunol. March 2021;126(3):240-254

Pathogenesis of Early and Delayed Phase Responses in

Allergic Conjunctivitis

Rodrigues, et al. Ann

Allergy Asthma Immunol. March 2021;126(3):240-254