Residents are enthusiastic about teaching, and their level of enthusiasm remains high following a teaching rotation. Residents feel more prepared to teach, more confident in their teaching ability, more aware of their expectations as a teacher, and less anxious about teaching following a formal teaching rotation.

Summary Background Allergy is increasingly reported by patients and members of the public, and there is evidence that the prevalence is increasing. Not all diagnoses have been made by clinicians, as direct‐to‐consumer (DTC) allergy tests are widely available online. Aim To determine if DTC allergy tests are processed in accredited laboratories and utilize validated methods, while providing an overview of the DTC allergy tests available. Methods Internet searches using ‘allergy test kit’ and ‘intolerance test’ were performed to identify DTC food‐allergy tests. Each company was contacted to enquire if they had ISO15189 accreditation, what methods of testing they used and what was the extent of individual clinical input used to guide the test requested or result interpretation. Results In total, 24 online companies providing DTC food‐allergy testing were identified, of which 22 were contactable. One laboratory had ISO15189 accreditation, which was also the only laboratory using clinically recognized specific IgE testing and had a clinician involved in the process. Other laboratories used bioresonance or IgG and involved a nutritionist at most. Conclusion Online DTC food‐allergy tests are largely misleading to the consumer and provided by unaccredited laboratories using controversial methodology. The dermatologist must politely discount these results and assess the role of food allergy in a patient’s skin disease on the merit of clinical history, supported by specific IgE testing as appropriate.

Despite advance in medical treatment, blood supply is still an essential element in modern healthcare system with blood transfusion used in almost every clinical specialty. Adequacy, quality and safety are always the key focuses of concerns in most countries that measures have been taken to secure them. As in many other healthcare facilities, many countries have on its legislation to license the operation of blood centres (whether they are national, Red Cross or hospitals based) to provide the blood supply for clinical transfusion. The licensing requirement is based on their national health policy and law. Besides, like hospitals and clinical laboratories, many blood centres may also seek to achieve accreditation to demonstrate to their stakeholders of their commitment to ensure quality and safety. Such accreditation may vary from technical requirements related to medical laboratory testing as ISO15189, professional related such as AABB to good manufacturing practice. Irrespective to the type and sources of accreditation, a superior quality management system is often necessary to provide the foundation to meet the accreditation's requirement with ongoing improvement. The study aimed to describe on the preparation of a blood centre towards accreditation. Few key elements will be outlined which include the top management commitment, selection of the right accreditation standard, training of the key personnel and organizational staff, gap analysis, documentation and change in practice if needed, internal and external audits. Tips and advice will also be included to ease the fear of accreditation processes.

A 25-year-old man with severe nodulocystic acne vulgaris is reviewed in clinic to start on isotretinoin. He has a background of asthma and peanut allergy. He recently consumed soya-containing food with no allergic reactions. His liver function, renal function and lipids levels are within the normal range.

No abstract