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Vaccinated but Not Protected—Living Immunocompromised During the Pandemic

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

My B cells love extracurricular activities. They are dedicated overachievers, passionate about their jobs. That’s how I think of them when I’m in a magnanimous mood, which makes me feel a little guilty for slaughtering them with rituximab. But I do since the autoantibodies they churn out make me so sick—and the relative absence of my B cells was a fact I didn’t dwell on too much— until the COVID-19 pandemic hit in force.

When I’m not seeing patients in the emergency department, I help train college students to go door-to-door to register people for the coronavirus vaccines, part of a racial justice project to increase vaccine coverage in the hardest-hit neighborhoods in the Bay Area. Often I divide them into small groups to role-play conversations with community members. The effectiveness of the vaccines is one of the facts that undecided people find most persuasive, I’ve taught the students.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Lindsay Ryan, MD, San Francisco VA Medical Center– Medical Service, Bldg 203, Room 1A-87, 4150 Clement St, San Francisco, CA 94121 (lindsay.ryan@ucsf.edu).

Published Online: June 7, 2021. doi:10.1001/jama.2021.9321

Conflict of Interest Disclosures: None reported.

References
1.
The state of the pandemic, and COVID-19 and immunosuppressed patients: special medical grand rounds. University of California, San Francisco, Department of Medicine. Accessed May 27, 2021. https://www.youtube.com/watch?v=q7FY91kuBdM&t=2094s
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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