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SEAIC Specialty Forum: analysis of the current situation of allergology in Spain and its future outlook

Sastre Domínguez J1*, Valero Santiago A2*, Montoro Lacomba J3, Quirce S4, Vidal Pan C5, Dávila González I6, Olaguibel Rivera JM7, Torres Jaén MJ8, Rodríguez Vázquez V9, Antolin Amerigo D10, Ojeda Fernández P11, and investigators from a study group.

1Allergology Service. Fundación Jiménez Díaz, Madrid. Spain. Universidad Autónoma de Madrid
2Pneumology and Allergy Service. Hospital Clínic, Barcelona.Spain
3Allergology Service. Arnau de Vilanova Hospital, Valencia. Spain
4Department of Allergy, La Paz University Hospital, Madrid. Spain
5Allergology Service. Santiago de Compostela Hospital Universitario. Universidad de Santiago de Compostela. Spain
6Service of Allergology and Clinical Immunology. Hospital Universitario de Salamanca. Universidad de Salamanca. Spain
7Allergology Service. Complejo H. Navarra. Pamplona, Spain
8Allergology Service. Regional Hospital of Malaga. Spanish Society of Allergology and Clinical Immunology
9Santiago de Compostela Hospital Universitario. Spain
10Allergology Service. Ramón y Cajal University Hospital. Ramón y Cajal InstituteforHealth Research (IRYCIS), Madrid
11Ojeda Asthma and AllergyClinic, Madrid. Spain
Equally contributed to the manuscript as first author

J Investig Allergol Clin Immunol 2021; Vol. 31(2)
doi: 10.18176/jiaci.0473

Background: Allergology in Spain has been a recognised medical specialty with fully defined aims and competencies for more than four decades. However, in recent times it seems to have faced a certain drop in its visibility and recognition.
Aims: Identify which specific factors have contributed to this waning of its importance and find tangible solutions to consolidate its place as a front-line medical specialty.
Material and methods: An online population survey was prepared composed of 60 items of interest. The degree of agreement and the level of satisfaction with each item were assessed, defining implementable initiatives in the short, medium, and long term that provide solutions to the issues identified.
Results: The survey was answered by a total of 167 specialists with an average of 18 years experience, the majority coming from public reference hospitals, and 29.3% being heads of service. The line of action that obtained a good degree of agreement was to promote the placing of an allergist in multidisciplinary teams. The priority line of action was to improve undergraduate and graduate training in allergology as well as specialised nursing, identifying curricula in Spain and developing robust teaching projects.
Conclusions: The results revealed a high degree of homogeneity between professionals. The basic pillars highlighted were quality training, knowledge, and research in immunotherapy, an innovative portfolio of services endorsed by Clinical Practice Guidelines, and a presence in multidisciplinary teams and relevant hospital commissions.

Key words: Allergology, Visibility, Multidisciplinary, Strategic plan, Portfolio of services, Scientific development, SEAIC (Spanish Society of Allergology Clinical Immunology)

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