Requirements for Physician Competencies in Allergy Key Clinical Competencies Appropriate for the Care of Patients With Allergic or Immunologic Diseases A Position Statement of the World Allergy Organization 英文参考文献.docVIP
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Requirements for Physician Competencies in Allergy Key Clinical Competencies Appropriate for the Care of Patients With Allergic or Immunologic Diseases A Position Statement of the World Allergy Organization 英文参考文献
WAOPOSITIONPAPER
RequirementsforPhysicianCompetenciesinAllergy:Key
ClinicalCompetenciesAppropriatefortheCareofPatients
WithAllergicorImmunologicDiseases
APositionStatementoftheWorldAllergyOrganization
MichaelA.Kaliner,SergioDelGiacco,CarlosD.Crisci,AnthonyJ.Frew,GuanghuiLiu,JorgeMaspero,
Hee-BomMoon,TakemasaNakagawa,PaulC.Potter,LannyJ.Rosenwasser,AnandB.Singh,
ErkkaValovirta,PaulVanCauwenberge,JohnO.Warner,andWAOSpecialtyandTrainingCouncil
occupationalallergicdiseases,andanaphylaxis.Convention-
ally,allergicdiseaseshavebeendividedintothoseassociated
(WAOJournal2008;1:42Y46)
withimmunoglobulinE(IgE)Ymediatedhypersensitivityand
thoseinvolvingotherformsofhypersensitivity. Asamedical
specialtybasedonimmunology,theallergyspecialty(insome
countries, called allergology) is concerned with prevention
anddiagnosisofthediseaseandmanagementandrehabilita-
tionofpatientswithallergicandrelateddiseases.
A
incidenceofallergyisincreasingeverywhere.
Because
13
llergic diseases are quite prevalent worldwide, and the
1Y7
allergicandimmunologicprocessesoverlapallorgansystems,
allergyisnotalwaystaughtinmedicalschoolsasaseparate
subject.Indeed,lackofrecognitionofthespecialtyandofthe
needtoteachaboutallergicandimmunologicdiseasesresults
in allergy not being included at all in some medical school
In some countries, the allergy specialty is combined
withclinicalimmunology.Immuneprocessesarefundamental
to host defense. Malfunction of the immune system causes
infections,reducesimmunesurveillance,leadstoautoimmune
phenomena, and impacts every organ system. Clinical
immunology relates to immune system dysfunctions and
immunologicallymediateddiseases,whichbyde?nitionalso
include allergic diseases. In some other countries, allergy is
positionedasacomponentoforgan-speci?cspecialtiessuch
as dermatology, pulmonology, rheumatology, gastroenterol-
ogy, and otorhinolaryngology; this positioning results in the
specialty of allergy not always being recognized separately,
and there may be no de?ned st
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