Virtual Patient: Soccer Coach too Busy for Shots

This case simulation involves a female high school soccer coach with seasonal allergic rhinitis that has not been well controlled with over-the-counter medications. Symptoms have progressively worsened over the past four summers since she returned to Baltimore, Maryland, and now include cough and wheezing. She is interested in allergen immunotherapy but travels out of town frequently and wants to know about alternatives to immunotherapy injections (shots). 

Making IT Count is funded through an educational grant from Merck & Co., Inc.

Target Audience

  • Allergist/Immunologists
  • Fellows-in-Training 
  • Allied Health providers 

Learning Objectives

Upon completion of this course, participants should be able to:

  • determine appropriate diagnostic allergy testing for a patient with allergic rhinitis
  • weigh benefits and risks of immunotherapy treatment options
  • demonstrate familiarity with the issues involved in administering non-FDA approved immunotherapy treatments
Available credit: 
  • 0.25 Attendance
    Attendance credit.
  • 0.25 CE
    CE credit.
  • 0.25 CME
    CME credit.
Course opens: 
Course expires: 

Peter Creticos MD FAAAAI

 Peter Socrates Creticos, MD FAAAAI
 Creticos Research Group, Crownsville, MD
 Relevant Disclosures: Circassia (research grant and consultant), Greer (research grant and consultant), Allakos (consultant), Merck (speaker)

Linda Cox MD FAAAAI Linda Cox, MD FAAAAI
 Allergy and Asthma Center, Fort Lauderdale, FL
 Relevant Disclosures: None

CME Commitee Reviewers:
Maria Crain, RN MA CPNP
Children’s Medical Center Dallas, Dallas, TX
Relevant relationships: None

Kasey Strothman, MD
Nationwide Children’s Hospital, Columbus, OH
Relevant relationships: None


Accreditation Statement
The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement
The American Academy of Allergy, Asthma & Immunology designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CE Designation Statement
The American Academy of Allergy, Asthma, & Immunology (AAAAI) is a Provider, approved by the California Board of Registered Nursing, Provider #10704, for up to 0.25 Contact Hours.

Medium and Method of Physician Participation 
Follow these steps to complete the activity:

  1. Register for the activity.
  2. Review the CME Info Page.
  3. Complete all required components.
  4. Complete the Commitment to Change form
  5. Complete the activity evaluation.
  6. Claim your credits. Enter only the number of credits earned based on your participation in the activity.
  7. Print or save your certificate.

AAAAI Privacy Policy
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Release date
Original release date: November 2, 2016. Reviewed by Peter S. Creticos, MD FAAAAI on March 8, 2019. Valid for credit through November 1, 2020.

Activity-related questions should be directed to

Available Credit

  • 0.25 Attendance
    Attendance credit.
  • 0.25 CE
    CE credit.
  • 0.25 CME
    CME credit.


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