Allergy testing by FP doctors

[scharnhorst]

Hi
I was wondering if FP doctors can learn to administer and interpret allergy tests using multiple allergy applicators, and, when indicated, initiate and carry out an immunotherapy program

I think only IM docs can do an allergist fellowship , is that right ?

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[deleted87716]

No, FPs can do it (although not necessarily well). I've been detailed multiple times over the years by various reps. I just have no interest, and don't really think it's a good idea. Plus, we have an allergist and two ENTs in our group, so referral isn't a big deal.

Use of Immunotherapy in a Primary Care Office - American Family Physician

 

[scharnhorst]

Thanks for replying
why do you think its not a good idea ?
what do the reps recommend if someone goes into anaphylatic shock ? how often does that happen realistically

 

[deleted87716]

why do you think its not a good idea ?

Because the motivator is usually $$$. That doesn't bode well for high-quality care.

what do the reps recommend if someone goes into anaphylatic shock ? how often does that happen realistically

I have no idea. The mere fact that it could is reason enough for me to refer those folks out.

 

[VA Hopeful Dr]

My first job out of residency had allergy shots set up. It was 100% a money issue. every patient got an allergy screening on their first appointment and if positive enough was referred for testing.

Shady. Would not recommend.

 

[simpler2]

Agree with other comments. Most patients with allergy symptoms/issues are going to respond to non-specific treatments that do not require further testing. The few who will truly benefit from further investigation and management would not justify including this service in a typical primary care office. I suppose if you offer this to act as a pseudo allergy clinic to meet unmet demand and accept referrals in your area there is less issue with the ethical ickiness being alluded to by others...