Transcript /faculty/docs/TEACH_program.ppt

NIH TUBERCULOSIS
ACADEMIC AWARD*
• JUZAR ALI, M.D. FRCP(C), FCCP
Professor
Section of Pulmonary/CC
Director, LSU Wetmore TB Clinics
LSU School of Medicine, New Orleans, LA
* NIH supported Academic Grant 1996-2001
“TEACH” PROGRAM
Tuberculosis Education
Aimed at Community Health
Components
• MEDICAL STUDENTS*
Invited through the Student Affairs Office* and the Department of Minority
Affairs and Community Health , LSU*
• UNIVERSITY FACULTY*
Program Director and assigned faculty of the Section*
• COMMUNITY VENUES*
Included but not limited to under the auspices of the State and City TB
Clinics* Network
* Cooperation/assistance gratefully acknowledged
Medical Student Objectives
•
•
•
•
At the end of the TEACH program, the participating
student will be able to:
1. Have an increased awareness of the public health
importance of tuberculosis
2. Increase his/her knowledge base of the subject
3. Identify public misconceptions about TB and appreciate
cultural and ethnic differences in their comprehension.
4. Enhance communication skills and establish a base for
future leadership role in public health.
Faculty Objectives
At the end of the TEACH program, the faculty will be able
to :
• 1. Appreciate the current epidemiology of tuberculosis and
the need for a multi-disciplinary approach in imparting TB
education
• 2. Establish a liaison between academic medicine,
community organizations and public health systems to
improve education and increased awareness of TB
Community Objectives
At the end of the TEACH program, the participating
community venues will be able to :
• 1. Have an increase awareness of TB in their particular
community setting
• 2. Establish direct lines of communication and have access
to a resource base of university and public health network
• 3. Have a forum of discussing practical TB management
problems
DESIGN AND FORMAT OF TEACH PROGRAM
Faculty
1
Pre-Session
Briefing
*MS (2)
MS (2)
MS (2)
MS (2)
A
B
C
D
2
3
Post-sessions
Briefing
Faculty & Students Groups Meet
Collect data for informational brochure
Core
Curriculum
Community
Venues
Concluding
Workshop
Greater New Orleans Area:
*Region 1; 5 parish areas
Lake Ponchartrain
*(1997) Orleans: TB cases=
20.6/100K
Public Health Clinics
*(1997) Jefferson
Parish: TB
cases=9.2/100K
PH/DIS
NURSE
Mississippi river
*GRETNA
LSU-TB
CLINIC
Public Health
Clinics *ALGIERS
*Public Health Clinic, Marrero
Products
• Question/Answer Brochure-Newsletter
• Community Projects
• Manuscript by students
Evaluation
Students:
• 1. Pre / post questions
• 2. Faculty review
• 3. Audience review
Community Venues:
• 1. Evaluation Sheets
• 2. Impact on Screening and contact time
• 3. Follow up interviews
“TEACH” Program: Evaluation
Steps* (
DATA published in Minority Health, Vol.1,#5 July 2000
1. Student Evaluation:
Instruments
At point A^…..pre test Questionnaire
30 questions
At Point C…..post test Questionnaire
20+10
^… n=21 students;
3 categories
21 had < 20 answers
correct
2. Evaluation of program:
At point B^^ …………………………….Rating Scale
80-90 % had positive comments
1-6 ( n=12)
* based on reliability coefficient and dichotomy rating scale
Medical students: RESULTS
PRE TEST SCORE
N=21; 30 questions
60.95 +- 1.85
POST TEST SCORE
n=20; 30 questions
77.5 +- 1.95
N=21; 30 questions
60.95 +- 1.85
n=20; 41 questions
77.93 +- 1.8
P value
<0 .0001
< 0.0001
Overall Impact: Outcome data
# of clinic visits
# of persons screened for TB
# of PPD return rates
At a Student Run Faculty Supervised Homeless clinic in
New Orleans ( 6 month data)
80 PPD’s planted; 38 returned to the read
7 had PPD greater than 4 mm and were referred to the LSU/
Wetmore TB Clinic for further follow-up
Data Published in Jour of LA State Medical society
Vol 152 # 8, August 2000 Pg 398-404