Disciplines: Respiratory Therapy
Hours: 1 Contact Hour
Author(s): Sunil Joshi, MD, FACAAI
Peer Reviewer(s): David Chang, EdD, RRT-NPS
Item#: V7265
  • 1 Video
  • 1 Electronic Slideshow

Step-Down of Inhaled Steroids in Controlled Asthmatics – VIDEO COURSE

Price $10.95
Item # V7265

Release Date: September 27, 2016

Expiration Date: October 1, 2019

New VIDEO course format.

Led by Dr. Sunil Joshi at the Association of Asthma Educators Conference in August of 2016, this presentation educates respiratory therapists and other health care professionals working with asthmatic patients on the topic of stepping down medication. When to step down, reasons why to step down, and reasons why not to step down are covered. Also addressed is how to step down as well as the controversies surrounding this complex topic without any single "one-size-fits-all" approach.


This course resulted from a creative partnership between the Association of Asthma Educators and Western Schools. Dr. Joshi made his presentation on August 5, 2016, at the Association of Asthma Educators 2016 Annual Conference in Jacksonville, Florida.

Course Objectives

  • List the types of step-down therapy available for patients with controlled asthma.
  • Describe the general guidelines for step-down therapy.


Sunil Joshi, MD, FACAAI, has been a physician at Family Allergy & Asthma Consultants in Jacksonville, Florida, since 2004 and became a partner in 2006. He is active in the medical community, serving as editor-in-chief of Northeast Florida Medicine, president of the Duval County Medical Society, co-chairman of the Mission One Million project to encourage residents of the Northeast Florida area to collectively lose one million pounds over the next few years, and past president of the Florida Allergy, Asthma & Immunology Society. He also serves on the board of directors for the Florida Chapter of the American Lung Association.

Dr. Joshi has been honored by Jax4Kids as “Best Allergist” in 2011, 2012, 2013, and 2015. He has also been recognized by Jacksonville Magazine as one of the city’s “Top Doctors” in 2014 and 2015. Dr. Joshi received his medical degree from the University of Florida College of Medicine and then attended the Mayo Clinic Internal Medicine Residency Training program.

Dr. Joshi received his Allergy/Immunology fellowship training at the University of Rochester in New York. He is dedicated to treating patients with allergic disorders and believes that education concerning these disease processes can bring better care to the public.


David Chang, EdD, RRT-NPS, is a professor in the Department of Cardiorespiratory Care at the University of South Alabama, Mobile, and the lead planner for the Respiratory Therapy program at Western Schools. He has served on many committees and in many capacities at the American Association for Respiratory Care (AARC), National Board for Respiratory Care, and Commission on Accreditation for Respiratory Care. Dr. Chang’s special interests are in research and mechanical ventilation. He has published five textbooks and developed an open-source website, Rtexam.com, for students and practitioners. Dr. Chang conducts training sessions for students and educators at the state, national, and international levels.

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.