Program Schedule - TB Clinical Intensive – November 19-20, 2013 Tuesday, November 19, 2013 7:45 AM Registration & Sign-In 8:15AM Welcome and Introductions Zelalem Temesgen, M.D., John Wilson, M.D., Stacey Rizza, M.D. Pre-Test Epidemiology of Tuberculosis Deb Sodt, R.N., P.H.N., M.P.H. UAN: 0853-0000-018-L01-P Contact Hours: .75 Objectives: • Describe the TB epidemic in terms of susceptible groups • Describe major factors that will affect future trends in TB • Describe how HIV plays an important role in the epidemiology of TB 8:30AM 8:45AM 9:30AM 10:15AM 10:30AM 11:15AM TB Pathogenesis Stacey Rizza, M.D. UAN: 0853-0000-13-019-L01-P Contact Hours: .75 Objectives: Explain how M. tuberculosis is transmitted Describe the pathogenesis of M. tuberculosis Explain how drug-resistant TB disease develops Break Infection Control Priya Sampathkumar, M.D. UAN: 0853-0000-13-020-L01-P Objectives: Describe the components of an effective infection control program Explain administrative, engineering controls, and respiratory protection Describe ways healthcare workers can protect themselves and others from being infected with M. tuberculosis Testing for TB Infection and Disease Joshua Jones, M.D. UAN: 0853-0000-13-023-L01-P Contact Hours: .75 Objectives: Describe targeted testing strategies Explain how to interpret interferon-gamma 12:00PM 1:15 PM 2:00PM 2:45 PM 3:00PM release assay (IGRA) results Describe the differences between IGRAs and the TST Lunch Advances in Laboratory TB Diagnosis Nancy Wengenack, Ph.D. UAN: 0853-0000-13-021-L01-P Contact Hours: .75 Objectives: Describe laboratory methods used for the detection, identification, genotyping, and drug susceptibility testing of M. tuberculosis Treatment of Latent TB Infection Timothy Aksamit, M.D. UAN: 0853-0000-13-022-L01-P Contact Hours: .75 Objectives: Describe the current guidelines for LTBI treatment Describe monitoring recommendations for patients on LTBI treatment Explain management strategies for TB patients with co-morbid conditions (e.g., HIV/AIDS) Explain treatment and management strategies for certain populations (e.g., children) Break Treatment of TB Infection Jennifer Whitaker, M.D. UAN: 0853-0000-13-024-L01-P Objectives: Describe the current guidelines for the treatment of TB disease Describe the common adverse reactions to TB treatment regimens Explain how to manage adverse reactions to TB treatment regimens 3:45PM Clinical Case Discussion Kiran Belani, M.D. UAN: 0853-0000-13-025-L01-P Contact Hours: 1 Objectives: • Demonstrate transfer of knowledge of tuberculosis testing, diagnosis, and treatment to a clinical case. 4:45PM Adjourn Wednesday, November 20, 2013 8:00 AM Sign-in 8:30AM Review / Q & A Zelalem Temesgen, M.D., John Wilson, M.D., Stacey Rizza, M.D. Managing Adverse Drug Reactions Dean Tsukayama, M.D. UAN: 0853-0000-13-026-L01-P Contact Hours: .75 Objectives: Describe the common adverse reactions to TB treatment regimens Explain how to manage adverse reactions to TB treatment regimens Management of Drug Resistant TB John Wilson, M.D. UAN: 0853-0000-13-026-L01-P Contact Hours: .75 Objectives: -Describe factors responsible for delayed response and/or treatment failure -Describe treatment and management strategies for multidrug-resistant TB Break Management of TB in Children and Adolescents Ritu Banerjee, M.D., Ph.D. UAN: 0853-0000-13-028-L01-P Contact Hours: .75 Objectives: • Describe the epidemiology of pediatric TB in the US • Describe the clinical presentation of TB in children • Describe treatment regimens for pediatric LTBI and active TB Lunch TB/HIV Co-Infection Zelalem Temesgen, M.D. UAN: 0853-0000-13-029-L01-P Contact Hours: .5 Objectives: • Describe the epidemiology of TB/HIV coinfection • Describe clinical presentation of TB disease in populations with HIV • Explain treatment and management strategies 8:45AM 9:30AM 10:15AM 10:30 AM 11:15AM 12:45PM 1:15 PM 2:00 PM 2:15PM 3:00PM 4:00PM 4:15PM 4:30 for TB patients with HIV. TB and Correctional Facilities Michael Nelson, D.O. UAN: 0853-0000-13-030-L01-P Contact Hours: .75 Objectives: • Explain the differences in TB epidemiology between correctional facilities and the US general population • Describe an outbreak contact investigation to illustrate both the problems of, and opportunities for, the prevention and control of tuberculosis in correctional facilities Break Case Management Judith B. Thomas, R.N., Shea Rabley, R.N. UAN: 0853-0000-13-031-L01-P Contact Hours: .75 Objectives: List basic epidemiology tools for TB case management List the three steps of laboratory examination necessary for adequate TB case management List four basic principles for the medical management of TB cases List the primary components of the TB case management model Clinical Case Discussion Ritu Banerjee, M.D., Ph.D. UAN: 0853-0000-13-032-L01-P Contact Hours: 1 Objectives: • Demonstrate transfer of knowledge of tuberculosis testing, diagnosis, and treatment to a clinical case. TB Resource Review Jennifer Curran UAN: 0853-0000-13-033-L01-P Contact Hours: .25 Objectives: Identify the TB resources available for health care professionals. Post-test and Evaluation Adjourn