Applying Choosing Wisely® Recommendations with Seafood Allergic Patients who Require Radiocontrast Procedures

In this course, you will encounter a virtual patient with seafood allergy. He is scheduled to undergo a CT angiogram, but the radiologist at the hospital has called you for a consultation due to concerns about a potential reaction to the radiocontrast material. You will take his clinical history and make a recommendation to the radiologist about how to proceed. Throughout the course, you will receive feedback on your decisions and the way you communicate those decisions. The Choosing Wisely recommendation will be presented in detail alongside communication models and guidance for developing your own communication strategy. 

Target Audience

  • Allergist/immunologists
  • Fellows-in-Training
  • Allied Health Professionals

    Learning Objectives

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

    1. Apply the Choosing Wisely recommendation: Don’t routinely order low- or iso-osmolar radiocontrast media or pretreat with corticosteroids and antihistamines for patients with a history of seafood allergy who require radiocontrast media in a patient simulation
    2. Determine whether a virtual patient with seafood allergy is at risk of having a reaction to radiocontrast procedures
    Available credit: 
    • 0.50 Attendance
      Attendance credit.
    • 0.50 CME
      CME credit.
    Course opens: 
    Course expires: 

    Kristin Sokol, MD
    National Institutes of Health, Bethesda, MD 
    Relevant relationships: None

    Content Reviewers
    Wesley Burks, MD FAAAAI
    The University of North Carolina, Chapel Hill, NC
    Relevant relationships: None

    David Lang, MD FAAAAI
    Cleveland Clinic Foundation, Cleveland, OH
    Relevant relationships: None    

    Thomas Miller, MD FAAAAI
    Allergy Associates of Western Michigan, Grandville, MI
    Relevant relationships: Patent holder for new pulmonary function device

    John Oppenheimer, MD FAAAAI
    Pulmonary and Allergy Associates, Cedar Knolls, NJ
    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 0.50 AMA PRA Category 1 Credit™. 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 February 18, 2022. Requests to claim credit on or after February 18, 2022. 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 activity evaluation.
    5. Claim your credits.
    6. Print or save your certificate.

    AAAAI Privacy Policy
    To verify your participation in educational activities, you may be asked to provide your name, contact information, and/or other descriptors. The AAAAI will not release this information to outside entities. It may be used internally to inform you of other AAAAI educational activities. If you wish to have your information excluded from this process, please contact us at

    Release date
    Original release date: February 19, 2019. Valid for credit through February 18, 2022.

    Questions should be directed to

    Available Credit

    • 0.50 Attendance
      Attendance credit.
    • 0.50 CME
      CME credit.


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