Conducting Physician-Supervised Oral Food Challenges: 2023 Update

The oral food challenge (OFC) serves as an important tool for the practicing allergist caring for patients of all ages with concern for food allergy, and it serves as the gold standard to diagnose food allergy and evaluate for the development of tolerance. This module reviews the actions, environment, and staff required to safely conduct an OFC in the office setting in accordance with Conducting an Oral Food Challenge: An Update to the 2009 Adverse Reactions to Foods Committee Work Group Report (2020).

This is the 2023 update to the course originally published in 2020.

Target Audience

  • Allergist/immunologists
  • Fellows-in-Training
  • Nurses and Nurse Practitioners
  • Physician Assistants and Other Allied Health Professionals

Learning Objectives

Upon completion of this course, the learner will be able to:

  1. Identify equipment and clinical setting requirements as well as staff, resources and training that are necessary when preparing to conduct an office-based physician-supervised OFC
  2. Outline key concepts to include when educating patients and families before and after the procedure
  3. Summarize the essential elements of the OFC procedure
  4. Demonstrate appropriate decision-making skills at critical points in OFC case scenarios
Summary
Available credit: 
  • 1.50 Attendance
    Attendance credit.
  • 1.50 CE
    CE credit.
  • 1.50 CME
    CME credit.
Course opens: 
01/26/2023
Course expires: 
12/31/2024
Cost:
$0.00
Rating: 
0

Content Authors
J. Andrew Bird, MD FAAAAI
University of Texas Southwestern Medical Center, Dallas, TX
Relevant relationships: Aimmune Therapeutics, AllerGenis, Allergy Therapeutics Ltd, Astellas, Before Brands, DBV Technologies, FARE, Genentech, HAL-Allergy, Novartis, Regeneron

Amanda L. Cox, MD FAAAAI
Icahn School of Medicine at Mount Sinai, New York, NY
Relevant relationships: None 

Maria Crain, RN MA CPNP
Children's Health Dallas, Dallas, TX
Relevant relationships: None 

Marion E. Groetch, MS RDN
Icahn School of Medicine at Mount Sinai, New York, NY
Relevant relationships: None 

Kim E. Mudd, RN MSN CCRP
Johns Hopkins University, Baltimore, MD
Relevant relationships: None

S. Shahzad Mustafa, MD FAAAAI
Rochester Regional Health Allergy, Immunology, & Rheumatology, Rochester, NY
Relevant relationships: None 

Michael Pistiner, MD MMSc
MassGeneral Hospital for Children, Food Allergy Center, Boston, MA
Relevant relationships: Kaleo, Novartis, A-Immune, DBV Technologies, Allergy Certified Training, AllergyHome.org

Content Reviewers
Jeffrey Chambliss, MD FAAAAI
University of Texas Southwestern, Dallas, TX
Relevant relationships: None

AAAAI Disclosure Policy
Pursuant to the Code of Ethics for the American Academy of Allergy, Asthma & Immunology (AAAAI) and the Standards for Commercial Support of Continuing Medical Education of the Accreditation Council for Continuing Medical Education, the AAAAI requires disclosure of certain information from faculty members of educational activities designated for CME credit by the AAAAI. Prior to the activity, authors and reviewers are required to disclose all relationships that meet the following parameters:

  • Employment: Name of employer and job title.
  • Financial interests: All organizations, other than the employer, from which the faculty member or a member of his/her immediate family or household receives annual remuneration in any amount (including grants, honoraria and consulting fees).
  • Research interests: All organizations which support research projects for which the faculty member or member of his/her immediate family or household serves as an investigator.
  • Legal Consultation Services/Expert Witness Testimony: All topics on which the faculty member provided legal consultation and/or expert witness testimony during the previous calendar year.
  • Organizational interests: All organizations, other than the AAAAI, for which the faculty member holds volunteer positions.
  • Gifts: All organizations from which the faculty member or a member of his/her immediate family or household have received a gift of any amount in the last year.
  • Other interests: All interests of the faculty member or a member of his/her immediate family or household that would be judged by a majority of his/her peers to be more than casual and/or likely to impact his/her ability to exercise independent judgment. This includes any financial interest in or relationship with any manufacturer of a commercial product, and any financial interest or relationship with any organization that provides commercial support to AAAAI-sponsored educational activities.

The information disclosed by the speakers and planning committee was reviewed in accordance with the AAAAI Disclosure Policy. All potential conflicts of interest were resolved by the planners, faculty, and reviewers prior to their participation in the development of this activity.

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 1.50 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit Claiming Period 
Credit claiming for this activity will expire at 11:59 pm on December 31, 2024. Requests to claim credit after December 31, 2024 will be denied.

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

  1. Register for the activity.
  2. Review the CME and Disclosure information.
  3. Complete all required components.
  4. Complete the post-test if applicable. You must achieve a score of 70% or higher on post-tests to claim credit.
  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.

Questions
Activity-related questions should be directed to cme@aaaai.org

Available Credit

  • 1.50 Attendance
    Attendance credit.
  • 1.50 CE
    CE credit.
  • 1.50 CME
    CME credit.

Price

Cost:
$0.00
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