Snot Force Alliance 2025 Annual Meeting (SFA)
The Snot Force Alliance 2025 Annual Meeting is focused on the field of Allergy/Immunology, ENT and Pulmonology. It is directed to physicians, physician assistants, nurse practitioners and administrators. The purpose is to engage the audience through oral didactic presentations followed by group discussions. Each presentation is reflective of a need or interest of in-depth conversation or study requested by the membership and/or board. Case presentations are utilized to solidify the objectives covered in each presentation.
Accreditation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Allergy, Asthma & Immunology (ACAAI) and the Snot Force Alliance (SFA). The American College of Allergy, Asthma & Immunology (ACAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation
The American College of Allergy, Asthma & Immunology (ACAAI) designates this live activity for a maximum of 14.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CBRN
The American College of Allergy, Asthma & Immunology (ACAAI) is a provider, approved by the California Board of Registered Nursing, Provider Number CEP17239, for 14.25 contact hours.
Commercial Support
This activity is supported in part by an Independent Medical Education grant from Takeda.
Target Audience
Primary care physicians
Allied healthcare professionals
Adminstrators
Learning Objectives
At the conclusion of this activity learners should be able to…
1. Analyze clinical case scenarios involving airway pathology to determine appropriate diagnostic pathways and collaborative management strategies among ENT, pulmonology, radiology, and speech-language pathology. Demonstrate the ability to integrate findings from endoscopy, imaging, and clinical assessment to formulate interdisciplinary treatment plans for complex airway disorders.
2. Evaluate acute airway obstruction cases—including hereditary angioedema (HAE) and anaphylaxis—through interdisciplinary case discussion to identify appropriate diagnostic and emergent management strategies. Formulate coordinated treatment plans that integrate emergency medicine, allergy/immunology, ENT, and critical care perspectives in the management of complex airway emergencies.
3. Interpret complex clinical cases involving overlapping airway and esophageal disorders to differentiate among etiologies such as laryngopharyngeal reflux, eosinophilic esophagitis, and aspiration. Develop integrated, interdisciplinary care plans that involve ENT, gastroenterology, pulmonology, and allergy/immunology to manage patients with combined aerodigestive tract disorders
4. Analyze clinical cases of chronic cough to identify underlying etiologies such as upper airway cough syndrome, asthma, GERD, or eosinophilic bronchitis, and determine the appropriate diagnostic approach.
Discuss interdisciplinary management strategies involving ENT, pulmonology, gastroenterology, and primary care to effectively evaluate and treat patients with refractory or multifactorial chronic cough.
5. Interpret complex case presentations involving GERD, laryngopharyngeal reflux (LPR), and eosinophilic esophagitis (EoE) to distinguish overlapping symptoms and guide targeted diagnostic evaluation. Develop interdisciplinary treatment plans incorporating gastroenterology, otolaryngology, allergy/immunology, and speech-language pathology to optimize outcomes in patients with upper aerodigestive tract inflammation.
6. Analyze common and rare causes of rhinorrhea—such as allergic rhinitis, non-allergic rhinitis, and cerebrospinal fluid (CSF) leak—through case-based clinical reasoning and diagnostic interpretation.
Formulate interdisciplinary management strategies involving otolaryngology, allergy/immunology, neurosurgery, and radiology to accurately diagnose and treat patients presenting with persistent or atypical nasal drainage.
7. Learn key head and neck imaging findings relevant to allergy and immunology practice—such as sinusitis, nasal polyps, and airway anomalies—through case-based analysis to improve diagnostic accuracy.
Collaborate effectively with radiology, otolaryngology, and pulmonology in the interdisciplinary evaluation and management of complex upper airway and sinonasal conditions using imaging as a shared decision-making tool.
8. Understanding the relationship between dental health and sinusitis: Explain how dental issues such as infections, abscesses, or tooth decay can contribute to sinusitis.
9. Discuss overlapping clinical presentations of facial pain, earache, and temporomandibular joint disorder (TMJD) through case-based discussion to distinguish between ENT, allergic, neurologic, and musculoskeletal causes. Coordinate interdisciplinary evaluation and management strategies involving ENT, allergy/immunology, neurology, dentistry, and pain specialists to optimize outcomes for patients with complex head and neck pain.
10. Analyze clinical cases of pediatric sinusitis and allergic rhinitis to differentiate between viral, bacterial, and allergic etiologies, and develop a targeted, interdisciplinary management plan involving ENT, allergy/immunology, and primary care providers. Implement evidence-based strategies for the diagnosis and management of pediatric sinusitis and allergies, integrating input from pediatricians, allergists, otolaryngologists, and respiratory therapists to optimize patient outcomes.
11. Review complex case scenarios of chronic rhinosinusitis (CRS) and allergic rhinitis to identify the underlying pathophysiology and guide the development of an interdisciplinary treatment plan involving ENT and allergy/immunology. Collaborate with a multidisciplinary team to formulate evidence-based diagnostic and management strategies for CRS and allergies, ensuring a comprehensive approach to symptom control, prevention of exacerbations, and long-term management.
12. Review clinical cases to identify appropriate indications for biologic therapy in conditions like asthma, chronic rhinosinusitis, or severe allergies, incorporating an interdisciplinary approach with input from allergists, pulmonologists, and immunologists. Develop an individualized treatment plan for biologic therapy, considering factors such as patient history, comorbidities, and response to previous treatments, while collaborating with relevant specialists to optimize outcomes.
13. Discuss complex cases of food allergy and eosinophilic esophagitis to determine when biologic therapy is appropriate, incorporating diagnostic findings and input from allergy/immunology, gastroenterology, and nutrition specialists. Review interdisciplinary management plans that integrate biologic treatments with dietary strategies and long-term monitoring, ensuring coordinated care among allergists, gastroenterologists, and dietitians to optimize patient outcomes.
14. Identify clinical features and diagnostic clues of rhinitis medicamentosa through case-based discussion, and differentiate it from other causes of chronic nasal congestion in collaboration with allergy/immunology and ENT specialists. Discuss interdisciplinary treatment strategies for rhinitis medicamentosa, including medication weaning protocols, use of adjunct therapies, and coordinated patient education to prevent recurrence.
15. Learn complex, multisystem clinical presentations to recognize when mast cell activation syndrome (MCAS) should be considered, incorporating case-based reasoning and collaboration with allergy/immunology, hematology, and other relevant specialties. Review an interdisciplinary diagnostic and management approach for suspected MCAS, including appropriate use of laboratory testing, symptom tracking, and therapeutic trials across specialties.
16. Review case-based scenarios of chronic rhinosinusitis with nasal polyps to determine the optimal timing of biologic therapy in relation to endoscopic sinus surgery, integrating input from ENT, allergy/immunology, and pulmonology. Discuss individualized, interdisciplinary treatment strategies that balance surgical intervention and biologic therapy to improve symptom control, reduce polyp recurrence, and enhance patient outcomes.
17. Evaluate patients presenting with postnasal drip symptoms through case-based discussion to differentiate among allergic rhinitis, chronic sinusitis, laryngopharyngeal reflux, and other etiologies, incorporating input from ENT, allergy/immunology, and gastroenterology. Review comprehensive, interdisciplinary management plans tailored to the underlying cause of postnasal drip, emphasizing coordinated care, patient education, and evidence-based treatment strategies.
18. Review leading ambient AI technologies used in clinical practice by evaluating case-based scenarios that highlight differences in accuracy, workflow integration, and interdisciplinary communication. Assess the impact of ambient AI on interdisciplinary care teams, focusing on how these tools influence documentation efficiency, clinical decision-making, and patient-provider interactions across specialties.
Snot Force Alliance 2025 Annual Meeting
The Seelbach
Louisville KY
** All CME sessions will take place in Medallion AB**
Friday, September 12, 2025
7:00 – 8:00 AM COFFEE IN EXHIBITOR HALL - Medallion CD
8:00 – 8:05 AM Welcome and Opening Remarks Thomas Higgins, MD
8:05 – 8:45 AM Case Panel: Airway Evaluation from Larynx to Lungs
Emily Ambrose, MD; John Fahrenholz, MD; Allan Ramirez, MD; Matthew Rohlfing, MD
8:45 – 9:25 AM Case Panel: Acute Airway, HAE & Anaphylaxis
Doug Lotz, MD; Emily Ambrose, MD; Elizabeth Burckardt, MD; John Fahrenholtz, MD
9:25 – 10:05 AM Expert Lecture: One Airway and the Esophagus
Joseph Turbyville, MD
10:05 - 10:15 AM Q & A
10:15 – 10:45 AM BREAK IN EXHIBITOR HALL - Medallion CD
10:45 AM – 11:25 AM Case Panel: Chronic Cough Evaluation
Lee Clore, MD; Benjamin Rogers, MD; Emily Ambrose, MD; Victoria Lee, MD
11:25 – 12:05 PM Case Panel: GERD, LPR, and Eosinophilic Esophagitis
Joseph Turbyville, MD; Elizabeth Burckardt, MD; Mamie Higgins, MD; Benjamin Rogers, MD; Matthew Rohlfing, MD
12:05 – 12:15 PM Q & A
12:15 – 1:00 PM LUNCH IN EXHIBITOR HALL - Medallion CD
1:00 – 1:40 PM Case Panel: Runny Nose Evaluation from Rhinitis to CSF Leak
Nyssa Farrel, MD; Ashleigh Halderman, MD; Chengetai Mahomva, MD; Blair Barton, MD; Naveen Bhandarkar, MD
1:40 – 2:20 PM Expert Lecture: Head and Neck Imaging
Benjamin Gray, MD
2:20 – 2:30 PM Q & A
Saturday, September 13, 2025
7:00 – 8:00 AM COFFEE IN EXHIBITOR HALL - Medallion CD
8:00 – 8:05 AM Welcome & Opening Remarks Thomas Higgins, MD
8:05 – 8:45 AM Case Panel: Dental Disease and Sinusitis
John Craig, MD; Will Allen, MD, DMD; Mark Scott, DMD, MSD; Mason Krysinski, MD; Sanjeet Rangarajan, MD
8:45 – 9:25 AM Expert Lecture: Dental Disease and Sinusitis
John Craig, MD
9:25 – 10:05 AM Case Panel: Facial Pain/Headaches, Earache, and TMJ
Coleen Plein, MD; Sarah Burgin, MD; Bryan Burdette, DMD; Melinda Thacker, MD
10:05 – 10:15 AM Q & A
10:15 - 10:45 AM COFFEE BREAK - Medallion CD
10:45 – 11:25 AM Case Panel: Pediatric Sinusitis and Allergies
Christine Franzese, MD; Jeffrey Bedrosian, MD; Ashleigh Halderman, MD; Lee Clore, MD
11:25 – 12:05 PM Expert Lecture: Pediatric Sinusitis and Allergies
Christine Franzese, MD
12:05 – 12:15 PM Q & A
12:15 – 1:00 PM LUNCH IN EXHIBITOR HALL - Medallion CD
1:00 – 1:40 PM Case Panel: How do you choose the right Biologic for Type II Inflammation?
Wes Sublett, MD; Philip Chen, MD; Naweed Chowdhury, MD; Victoria Lee, MD; Sarita Patil, MD; Hiram Rivas Perez, MD
1:40 – 2:20 PM Case Panel: Food Allergies and Eosinophilic Esophagitis
Sarita Patil, MD; Elizabeth Burckhardt, MD; Lee Clore, MD; Hans Otto, MD
2:20 – 3:00 PM Expert Lecture: Decision-Making Strategies for Biologics and Sinus Surgery in CRSwNP Management
Thomas Higgins, MD
3:00 – 3:10 PM Q & A
Sunday, September 14, 2025
8:15 – 8:20 AM Welcome & Opening Remarks Thomas Higgins, MD
8:20 – 9:00 AM Case Panel: Tough Cases in Managing Unified Airway Conditions
Naweed Chowdhury, MD; Elizabeth Burckardt, MD; Ashleigh Halderman, MD; Hans Otto, MD; Allan Ramirez, MD; Dhruv Sharma, MD
9:00 – 9:40 AM Problem-Based Learning with Residents: CRS & Allergies
John Fahrenholz, MD; Elisa Illing, MD; Christopher Roxbury, MD
9:40 – 10:20 AM Discussion: How Might We Improve Care of Our Patients
Thomas Higgins, MD
10:20 – 11:00 AM Clinical Pearls Exchange in Allergy, Pulmonology, and ENT
Thomas Higgins, MD; Jeffrey Bedrosian, MD; John Fahrenholz, MD; Hiram Rivas Perez, MD
11:00 – 11:15 AM Q & A
Available Credit
- 14.25 AMA PRA Category 1 Credit™
- 14.25 Attendance
- 14.25 CBRN

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