21 - 22 & 24 - 25 November 2022 (Hybrid course)
Plus online warm up session: 9 November 2022
This course will be delivered in a blended format with live online sessions, in person teaching and pre-recorded materials.
In this short course you will study a comprehensive overview of food hypersensitivity in children and in adults and develop a robust understanding of the scientific basis underpinning its pathophysiology, diagnosis, prevention and management. This will enable you to develop your skills in identifying, planning the management and treatment of these patients, including in somewhat complex or challenging circumstances, from IgE and non IgE-mediated allergy, to other immune and non-immune mediated food hypersensitivities.
This course forms part of a range of short courses in Allergy which are available both to students who are enrolled on the MSc in allergy programme, and as stand-alone CPD programmes. Suitable for healthcare professionals wishing to improve their ability to manage allergic patients in daily practice including GPs, specialist trainees and consultants, nurses, dietitians, and also basic scientists and professionals working in industry in the field of allergy or immunology.
The course should enable you to have the most up-to-date evidence-based knowledge and skills to optimally diagnose and manage complex food allergy in children and adults. By the end of this short course you will be better able to:
- Illustrate the mechanisms involved in the development of food hypersensitivity and relate this to evaluate the most up-to-date diagnostic methods and treatments for this condition
- Take an advanced medical and dietary history in children and adults with complex food allergy, propose the differential diagnosis, diagnostic work-up and optimal management plan
- Design strategies to address difficult scenarios in practice such as highly restrictive diets, poor patient concordance, adolescent transition into adult care or high psychosocial burden in food allergic patients and their families both independently and as a team
- Analyse current controversies and recommend preventive strategies for food allergy (such as pregnancy and early infancy interventions), as well as in advanced diagnostic and therapeutic procedures in food allergic patients (such as molecular tests, oral food challenges or food immunotherapy)
Course structure & delivery
Teaching delivery format
The course has been designed in an innovative format combining asynchronous materials (e.g. pre-recorded sessions, reading lists and web-based resources) to revise in your own time, and live interactive sessions both online and on campus which will include focused discussions and case-based elements. A range of formats will be used to encourage active learning, including expert panel question & answer sessions, group work, workshops, role-play, pro-con debates and scenario-based sessions.
The live online sessions will take place in October/November, predominantly in the week starting on 21 November 2022. We encourage participants to book leave that week to follow the teaching. Asynchronous materials will be made available in October and a ‘course launch webinar’ will be held for registered participants to introduce the course and help you get organised to maximize your learning experience.
Going through the asynchronous materials should take around 25-30 hours of study, and we highly encourage you to review as much as possible before the live teaching. The live teaching sessions will take approximately 20 hours, and will focus on discussions and Q&A partly based on the asynchronous materials.
- 12 October 2022: Launch Webinar (30 mins)
- 9 November 2022: Warm Up Online Session (1.5-2h)
- 21 - 22 November 2022: live online teaching (5 hours per day)
- 24 - 25 November 2022: On campus teaching*
*The on campus teaching on 24 - 25 November 2022 will be held at our St Mary's Campus – where possible, live streaming of the sessions will be made available for those that are not able or do not wish to attend the face to face teaching sessions.
The spectrum of food hypersensitivity (pathophysiology and clinical presentation):
- Nomenclature and Mechanisms of Immune-mediated food hypersensitivity
- Epidemiology of food hypersensitivity
- Microbiome: from pregnancy to birth
- Is there a window of opportunity for allergy prevention? Practical management of early solid food introduction
- Mechanisms of enteropathy and mucosal inflammation
- The spectrum of IgE-mediated food allergy in children and adults
- Lower GI dysmotility disorders - diarrhoea, constipation and abdominal pain
- Reflux and upper GI motility disorders
- Coeliac disease
- FPIES: An overview from mechanisms to management
- Other non IgE mediated food allergies
- Eosinophilic esophagitis: Controversies and challenges in diagnosis and management
- Thinking outside the box with food hypersensitivity
- The first step on the diagnostic pathway - The value of a complete clinical and dietary history
- Foods involved in IgE and non IgE-mediated food allergy – paediatrics
- Tests for IgE-mediated food allergy
- New diagnostic tests in food allergy: BAT and MAT
- How to challenge? Food challenge and introductions in practice
- Tests to support a diagnosis of non-IgE mediated gastrointestinal allergy - biopsy, pH studies, manometry, hydrogen breath tests
- The Complexity of Food Allergen Labelling from Individuals to Industry
- Breastfeeding and milk exclusion in food hypersensitivity
- Growth & Nutrition: Is there a problem and how can this be addressed?
- The spectrum of feeding difficulties in allergy
- Psychosocial impact of food allergy and GI allergic disease - an overview
- Food immunotherapy - an overview
- Psychosocial impact of food allergy and GI allergic disease - real life issues
- Microbiome: Practical management in pregnancy and baby
- PRO/CON debate on food ladders
- Food allergy in adolescence
- Real-world management - Shopping for food allergies
- How to approach feeding/eating difficulties in practice
- Mock parent/patient event with the experts - student-led
- Hands-on' practical aspects: labels messy play, talking to a parent/patient, food challenges
- Tests for IgE-mediated food alergy
- Who needs a food challenge?
- Who needs and adrenaline auto-injector?
- The nutritional risks of dietary elimination
- Coeliac disease: case-based discussion
- GI allergic disorders - There is something wrong with my baby. Case-based discussion
- Proctocolitis, food-protein enteropathy: case-based discussion
- Eosinophilic oesophagitis: Case-based discussion
- Thinking outside the box with food hypersensitivity: Case-based discussion
- FPIES: challenging aspects in practice
- Food allergy as part of a multi-system disease – Paediatric case
- Food allergy as part of a multi-system disease – Adult case
- Who has come to clinic? Bring your own cases – student led
- Mock allergy clinic
- Case reports critical appraisal
Please note there may be minor changes to the planned topics above.
Who should attend?
The course is suitable for healthcare professionals wishing to improve their ability to manage allergic patients in daily practice including GPs, specialist trainees and consultants, nurses, dietitians, and also basic scientists and professionals working in industry in the field of allergy or immunology.
CPD approval & certificate of attendance
CME approval from the Royal College of Physicians (RCP) will be sought. All participants will be awarded an Imperial College London Certificate of Attendance on completion of the course.
Participants have the option of completing an assessment component and on completion will be provided with an official Imperial College London transcript of results. Details of the assessment and deadline for submission will be given during the course. Please note that there is an additional assessment fee payable in full prior to submission date. Please contact us for further information.