Upon completion of this activity participants should be able to:

• Describe symptoms and evaluate patients with possible mast cell disorders
• Describe the immunopathologic basis for celiac disease
• Recognize the presenting symptoms of non-celiac gluten sensitivity
• Identify and discuss management of hypersensitivity reactions to various chemotherapy agents
• Describe the challenges posed by severe asthma
• Distinguish between patients who require novel therapies and those who do not
• Recognize indications for use of currently approved biologic therapies in asthma
• Describe the indications for replacement immunoglobulin
• Describe the advantages and disadvantages of subcutaneous immunoglobulin treatment
• Define telephone triage and how it is used
• Identify processes and documents and develop algorithms or protocols that promote a successful telephone triage program
• Develop a list of facilitators of communication used during the telephone triage process
• Define spirometry and why it is used, and discuss the key measures of test results
• Develop skills in instructing patients on how to perform a high quality spirometry test
• Identify and overcome patient-related problems and errors that might be encountered during patient performance of spirometry
• Recognize the signs and symptoms of anaphylaxis and develop a step-wise protocol for its treatment
• Identify ways to communicate with and train office staff for the incidence of anaphylaxis
• Demonstrate proper inhaler technique using a metered-dose inhaler, with and without a holding chamber
• Describe the proper use and cleaning of a debulizer and compressor, including describing the difference between reusable and non-reusable nebulizer cups
• Demonstrate the proper use of dry-powder inhalers