TB Intensive Workshop
Oct 4-5, 2012
CNE/CME CERTIFIED ACTIVITY
Course Location
Lexington Lansing Hotel
925 S.Creyts Road
Lansing, MI
Jointly Sponsored By
University of Medicine & Dentistry of New Jersey (UMDNJ), New Jersey Medical School Global Tuberculosis Institute, and UMDNJ-Center for Continuing and Outreach Education, Michigan Department of Community Health, Ohio Department of Health, Indiana State Department of Health
The New Jersey Medical School Global Tuberculosis Institute is the tuberculosis Regional Training and Medical Consultation Center for the northeastern United States
This activity is supported in part by an educational grant from the Centers for Disease Control and Prevention, Division of Tuberculosis Elimination
WHY COURSE IS NEEDED
As the incidence of tuberculosis continues to decline, maintaining clinical and public health expertise in TB is particularly challenging. Therefore, ongoing training and education are important to develop and enhance skills in the diagnosis of TB, knowledge of recommended treatment guidelines, and the ability to interact effectively with public health agencies. This type of training is also important for new healthcare providers working in TB control or other settings.
COURSE DESCRIPTION & OVERALL GOAL
This two-day intensive workshop explores topics in the diagnosis and treatment oflatent TB infection (LTBI) andTB disease. Day 1 will cover diagnostic strategies, the new LTBI regimen, and management of adverse drug reactions. Day 2 will focus on collaboration between the public and private sectors and the management of patients with other health and social issues. The format includes lectures, discussions, and case studies.
COURSE REQUIREMENTS
In order to meet the learning objectives and receive continuing education credits, participants are required to attend the entire course, and complete an evaluation form.A post-course follow up evaluation will be done within 2 months of the course.
WHO SHOULD ATTEND
This workshop is designed for physicians, nurses andhealthcare professionals, who are involved in the management of patients with TB, supervise those who provide care for TB patients, or are TB control staff responsible for program management. In addition to health department staff, individuals who work in the following settings would benefit from attending this workshop:
- Hospital Infection Control ● Long Term Care Facilities
- College or University Health● Immigrant & Refugee Health
- Correctional Facilities● Community Healthcare Providers
OBJECTIVES
Upon completion of this workshop, participants will be able to:
- Apply current advances for assessing risk, testing and treating latent TB infection to prevent development of disease
- Apply recommendations for the diagnosis and treatment of TB disease to prevent transmission and primary drug resistance
- Identify appropriate TB infection control measures along the continuum of care to prevent transmission and future cases of TB
- Describe approaches for managing adverse drug effects to anti-TB medications to minimize toxicity and ensure completion of therapy
- Explain how primary care providers and community agencies can collaborate to prevent missed opportunities in the diagnosis and treatment of TB
- Discuss strategies for managing TB in special populations e.g., immigrants and refugees, persons with mental illness and substance abuse issues, and homeless persons
- Develop individualized strategies to promote adherence in patients taking TB medications
FACULTY LIST
Denise Bryan, MPA – STD/HIV/TB Supervisor
Kent County Department of Health
Sarah Burkholder, RN, MPH – Director TB/Refugee Health Division
Indiana State Department of Health
Paul Christensen, MD – Associate Professor of Internal Medicine
University of Michigan Health System
Peter Davidson, PhD – TB Control Program Manager
Michigan Department of Community Health
Pamela Hackert, MD, JD, MPH – Chief of Medical Services
OaklandCounty Health Division
Monica Heltz, RN, MPH – TB Program Coordinator
Marion County Health Department
Dana Kissner, MD – Director, Clinical TB Services
Detroit Department of Health & Wellness Promotion
Maureen Murphy-Weiss, BSN, RN – TB Control Program Manager
Ohio Department of Health
Daniel Nafziger, MD – Health Officer
Elkhart County Health Department
Angie Schooley, BS – Senior Microbiologist, Microbiology Unit
Michigan Department of Community Health
Mazharullah Shaik, MD, MBA – Chief Clinical Officer
Michigan Primary Care Association
Kim Sibilsky – Executive Director
Michigan Primary Care Association
James Sunstrum, MD – Clinical Associate Professor
WayneStateUniversitySchool of Medicine
Dean Van Loo, Pharm D – Associate Professor, Pharmacy Practice
FerrisStateUniversity
Shu-Hua Wang, MD, MPH, TM – Assistant Professor of Medicine
The OhioStateUniversity
Edward Zuroweste, MD – Chief Medical Officer
Migrant Clinician’s Network
PLANNING COMMITTEE
New JerseyMedicalSchool Global TB Institute
Anita Khilall, MPH – Senior Training & Consultation Specialist
DJ McCabe, RN, MSN – Trainer & Consultant, Clinical Programs
Anna Sevilla, MPH, MBS – Research Coordinator
Detroit Department of Health & Wellness Promotion
Dana Kissner, MD – Director, Clinical TB Services
Indiana State Department of Health
Sarah Burkholder, RN, MPH – Director TB/Refugee Health Division
Michigan Department of Community Health
Peter Davidson, PhD – TB Control Program Manager
Patricia Raines, RN, MSN – TB Nurse Consultant
Ohio Department of Health
Maureen Murphy-Weiss, BSN, RN – TB Control Program Manager
AGENDA
Thursday, October 4, 2012
8:30 am Registration & Sign-in
9:00 amWelcome & Course Overview
9:30 amTargeted Testing & Risk Assessment – Shu-Hua Wang, MD
10:00 am Medical Evaluation & CXR Interpretation – Paul Christensen, MD
10:45 amBreak
11:00 amLTBI Treatment: Focus on New LTBI Regimen – Daniel Nafziger, MD
12:00 pm Lunch
1:00 pmInpatient Standards of Care & Discharge Planning – Dana Kissner, MD
1:45 pmImportance of Laboratory & Clinical Monitoring - James Sunstrum, MD & Angie Schooley, BS
2:45 pmBreak
3:00 pmManaging Adverse Drug Reactions – Dean Van Loo, PharmD
3:45 pmReview
4:00 pmAdjourn
Friday, October 5, 2012
8:00 amSign-In
8:30 amExpanded Role of Federally Qualified Health Centers - Edward Zuroweste, MD
9:15 amNetworking with Public Health & Clinical Practice - Mazharullah Shaik, MD, Kim Sibilsky
10:15 amBreak
10:30 amImmigration & Refugee Health – Maureen Murphy-Weiss, RN
11:15 amChallenges of Patients with Special Circumstances: Substance Abuse, Homelessness, & Mental Health Issues - Sarah Burkholder, RN, MPH, Monica Heltz, RN, MPH
12:00 pmLunch
12:45 pmCase Studies – Dana Kissner, MD, Shu-Hua Wang, MD
1:30 pmPartnerships in Action – Denise Bryan, MPA, Pamela Hackert, MD
2:15 pmClosing Remarks, Evaluation
2:30 pmAdjourn
CONTINUING EDUCATION INFORMATION
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of UMDNJ-Center for Continuing and Outreach Education and UMDNJ-NJMS Global Tuberculosis Institute, Michigan Department of Community Health, Ohio Department of Health, and the Indiana State Department of Health. UMDNJ–Center for Continuing and Outreach Education is accredited by the ACCME to provide continuing medical education for physicians.
UMDNJ–Center for Continuing and Outreach Education designates this live activity for a maximum of 10.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
UMDNJ-Center for Continuing and Outreach Education is an approved provider of continuing nursing education by NJSNA, an accredited approver by the AmericanNursesCredentialingCenter's COA. Provider number P173-11/09-12. Provider approval is valid through November 30, 2012.
This activity is awarded 10.5 contact hours (60 minute CH).
Provider approved by the California Board of Registered Nursing, Provider Number CEP 13780.
Approved provider status refers only to continuing education activities and does not imply ANCC COA or NJSNA endorsement of any commercial products.
Nurses should only claim those contact hours actually spent participating in this activity.
PEER REVIEW STATEMENT
In order to help ensure content objectivity, independence, and fair balance, and to ensure that the content is aligned with the interest of the public, UMDNJ-CCOE has resolved all potential and real conflicts of interest through content review by a non-conflicted, qualified reviewer. This activity was peer-reviewed for relevance, accuracy of content and balance of presentation by Peer Reviewers: Anita Khilall, MPH, D.J .McCabe, RN, MSN, Patricia Raines, RN, and Anna Sevilla, MPH
DISCLOSURE DISCLAIMER
In accordance with the disclosure policies of UMDNJ and to conform with ACCME and FDA guidelines, individuals in a position to control the content of this education activity are required to disclose to the activity participants: 1) the existence of any relevant financial relationship with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, with the exemption of non-profit or government organizations and non-health care related companies, within the past 12 months; and 2) the identification of a commercial product/device that is unlabeled for use or an investigational use of a product/device not yet approved.
Financial Disclosure
The following faculty and planning committee member has stated that he has the following significant financial relationships to disclose:
Daniel Nafziger, MD, MS – Speakers Bureau – Forest Pharmaceuticals
The following faculty and planning committee members have stated that they have no significant financial relationships to disclose:
Off-Label/Investigational Use Disclosure
This activity contains information of commercial products/devices that are unlabeled for use or investigational uses of products not yet approved. Product(s) is/are not included in the labeling approved by the US FDA for treatment of disease(s). This activity will include discussion of off label use of short course therapy (12 doses of Isoniazid and Rifapentine using directly observed therapy) for the treatment of latent TB infection as well as 2nd-line drugs for the treatment of TB.
CONTENT DISCLAIMER
The views expressed in this activity are those of the faculty. It should not be inferred or assumed that they are expressing the views of any manufacturer of pharmaceuticals, or UMDNJ-Center for Continuing and Outreach Education, NJMS Global TB Institute, Indiana State Department of Health, Michigan Department of Community Health, or Ohio Department of Health. It should be noted that the recommendations made herein with regard to the use of therapeutic agents, varying disease states, and assessments of risk, are based upon a combination of clinical trials, current guidelines, and the clinical practice experience of the participating presenters. The drug selection and dosage information presented in this activity are believed to be accurate. However, participants are urged to consult the full prescribing information on any agent(s) presented in this activity for recommended dosage, indications, contraindications, warnings, precautions, and adverse effects before prescribing any medication. UMDNJ, NJMS Global Tuberculosis Institute reserves the right to modify the activity content and faculty if necessary.
COPYRIGHT
Copyright©2012 UMDNJ-Center for Continuing and Outreach Education and NJMS Global Tuberculosis Institute. All rights reserved including translation into other languages. No part of this activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval systems, without permission in writing from UMDNJ-Center for Continuing and Outreach Education.