Page 1 of 6 University of Cincinnati, College of Nursing OBN Approver Unit (OBN-011-93) Application - Faculty Directed CNE Activity Title of Offering: 12th Annual State of the Art Management of Infectious Diseases Date of Offering: March 16, 2013 Sponsor (Facility/Organization): PA/MidAtlantic AIDS Education and Training Center Address: University of Cincinnati Medical Center, Cincinnati, OH 45267-0405 Contact Person: Yolanda Wess, RN, BSN, ACRN Weekday Phone: 513-584-2422 Contact Hours Requested: _4.5 (NOTE: Please review for APN pharmacy credit also.)__ (To calculate contact hours, add the number of minutes of actual learning time and divide by 60.) Category A only of contact hours: _______ (if applicable) Educational Design Criteria Part A A. Resources 1. Person Administratively Responsible for Offering Name: Yolanda Wess Title: PAMA/AETC Site Director Address: University of Cincinnati, Holmes Bldg., Rm. 3103 Cincinnati, OH 45267-0405 Weekday Phone: 513-584-2422 Education: BSN, Graduate Certificate in Medical Education, Curriculum and Instruction, University of Cincinnati College of Education, Human Services and Criminal Justice, currently working on Masters of Education in Medical Education Professional Qualifications: AIDS Clinical Trials Nurse 1998-2000; Hospice Nurse with AIDS patients 1991-96; CQI and Community Outreach Staff at Clinical HIV Care Unit, 2000-2003; Site Director AIDS Education and Training Center Site at UC, 2003-present. 2. Planning Committee (Must include 2 RNs, one with a BSN, and 1 LPN if LPNs are included in the target audience which includes audiences specified generically as “nurses”) Name: Yolanda Wess Education: BSN, Graduate Certificate in Medical Education (Curriculum and Instruction) Current Position: Site Director, University of Cincinnati LPS, PAMAAETC Professional Qualifications: See above Name: Jan Stockton Education: MSN, APRN Current Position: Prin. Research Asst., University of Cincinnati Medical Center, AIDS Clinical Trials Unit; New Patient Intake coordinator, Infectious Disease Center Professional Qualifications: 20+ years of experience in providing direct patient care to persons living with HIV/AIDS; Multiple presentations to health care professionals on various topics related to HIV/AIDS, including pathophysiology, diagnosis and treatment, opportunistic infections and complications, and psychosocial issues. Certified as Clinical Nurse Specialist in Medical-Surgical Nursing by American Nurses Credentialing Center; Advanced AIDS Certified RN, HIV/AIDS Nursing Certification Board Page 2 of 6 Name: Nancy Peter Education: BA Current Position: Program Trainer, University of Cincinnati LPS, PAMAAETC Professional Qualifications: 10 yrs experience in planning and coordination of health related programs, including 3 years of HIV/AIDS programming, has presented topics on basic HIV educational programs for health care professionals throughout Ohio. B. Target Audience and Needs Assessment Check those that apply: __X_ RNs ___ LPNs ___ other (specify)___social workers____X_______ Projected number of: __20__ RNs ______ LPNs Briefly describe what led you to identify a need for and plan this offering: Responses to needs assessments on prior program evaluations and requests from RN’s and advanced practice nurses attending our clinical training programs C. Faculty Credentials (In addition to listing faculty names for Part B of application form, complete the following information for each faculty member. Do not send complete resumes, vita, or biographies.) Name: Robert A. Salata, MD Education: M.D. Current Position: Professor of Medicine, Chief of the Division of Infectious Diseases and HIV Medicine Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland OH Professional Qualifications specific to topic being presented: Dr. Salata is interested in HIV-1 and sexually transmitted infections, infectious diseases, nosocomial infections, orthopaedic infections, sepsis, transplant infections, travelers' medicine. His research includes clinical trials of antiretrovirals and immunomodulators in HIV-1 infection as well as epidemiological studies and interventions associated with HIV-1 prevention. Name: Carl Fichtenbaum, MD Education: M.D. Current Position: Professor of Clinical Medicine, Division of Infectious Diseases, University of Cincinnati College of Medicine, Cincinnati, OH Professional Qualifications specific to topic being presented: Dr. Fichtenbaum's expertise is in clinical research in infectious diseases, in particular opportunistic infections of HIV-infected individuals. Dr. Fichtenbaum is in charge of clinical research for the infectious diseases divisionan. He is board certified by the American Board of Internal Medicine and Infectious Diseases, and American Board of Pediatrics. Dr. Fichtenbaum has been elected to the American College of Physicians, American Academy of Pediatrics, Infectious Diseases Society of America. His published works include approximately 60 articles, 45 abstracts and various reviews, book chapters and letters. Name: Judith Feinberg, MD Education: M.D. Current Position: Professor of Clinical Medicine, Division of Infectious Diseases, University of Cincinnati College of Medicine, Cincinnati, OH Professional Qualifications specific to topic being presented: Judith Feinberg, MD, is well known for her clinical research in HIV infection and for her expertise in designing and conducting multi-center treatment trials. As an American Academy of HIV Medicine-credentialed HIV specialist, she serves as the coprincipal investigator of the NIH-funded AIDS Clinical Trials Unit and as Leader of the Clinical Research Site (CRS) at the University of Cincinnati ACTU. Feinberg joined the department of internal medicine at UC in 1995. She specializes in HIV/AIDS, HIV resistance, antiretroviral therapy and clinical trials methodology. Page 3 of 6 Name: Peter Hunt, MD Education: M.D. Current Position: Assistant Professor of Medicine, HIV Division, San Francisco General Hospital, San Francisco, CA Professional Qualifications specific to topic being presented: Dr. Hunt’s primary research focus is on the inflammatory consequences of HIV infection. His clinic-based translational research program seeks to understand the determinants of persistent immune activation both in the presence and the absence of antiretroviral therapy, and to assess the impact of immune activation on clinical outcomes. He also collaborates extensively with a multi-disciplinary team of investigators to assess the role of HIV-associated inflammation in non-AIDS-associated morbidities (i.e., cardiovascular disease) and conducts pilot clinical trials of novel immune-based interventions designed to decrease immune activation. Name: Robert A. Bonomo, MD Education: M.D. Current Position: Professor of Medicine, Pharmacology, Molecular Biology and Microbiology, University Hospitals, Case Medical Center, Cleveland OH Professional Qualifications specific to topic being presented: Dr. Bonomo currently serves on the AntiInfective Utilization Subcommittee, Pharmacy and Therapeutics Committee, University Hospitals of Cleveland and the Pharmacy and Therapeutics Committee Louis Stokes Veterans Affairs Medical Center. The primary focus of his current research is to understand the genetic and amino acid sequence determinants of ß-lactamases, the enzymes that inactivate ß-lactam antibiotics and he has published extensively in this area. Name: David Alain Wohl, MD Education: M.D. Current Position: Associate Professor of Medicine, Division of Infectious Diseases, University of North Carolina, Chapel Hill NC Professional Qualifications specific to topic being presented: Dr. Wohl is site leader of the UNC AIDS Clinical Trials Unit at Chapel Hill and codirects HIV services for the North Carolina Department of Correction. In 2011, Dr. Wohl also became director of the North Carolina AIDS Education and Training Center (AETC). Dr. Wohl's research interests fall into two major areas: the metabolic complications of HIV and its therapies, and the nexus between incarceration and the HIV epidemic. He has chaired several related AIDS Clinical Trials Group (ACTG) studies and serves as a member of the Department of Health and Human Services (DHHS) HIV treatment guidelines panel and the NIH Behavioral and Social Consequences of HIV study review section. D. Identify adult leaning principles used for planning and implementation of offering. Experience-based presentation using an interactive format in which feedback is encouraged Subject matter has direct application and relevance to job and to profession E. Physical facilities (where offering being held) Name: Kingsgate Marriott Conference Center Address: Cincinnati, OH Description: Selected venue is handicapped-accessible and spacious enough to comfortably accommodate minimum 100 adults. F. Co-sponsorship (If you are co-sponsoring, please answer numbers 2 and 3, if not check number 1). 1. ______ this offering will not be co-sponsored. 2. _X This offering will be co-sponsored with Name: University of Cincinnati Medical Center, Department of Internal Medicine, Infectious Disease Division Address: Cincinnati, OH Page 4 of 6 3. As the approved provider, we will maintain responsibility for meeting and maintaining OBN standards. I have provided a copy of the written agreement with the co-sponsor(s) which outlines the above. __YW_______(Initial) G. Evaluation of achievement of program objectives and teaching effectiveness of faculty. 1. Attach a copy of the evaluation tool(s). 2. How will the evaluation tool(s) be used? Included in participant packet, completion/submission required before CE certificate is received. Feedback will be summarized and retained on file, with a copy sent to presenter. H. Verification of Attendance - Include a completed sample of the certificate of attendance. The certificate shall include: space for name of attendee; the title of the program; the date of the program; the name of the provider (your organization) of the CNE activity; the name of the OBN Approver and OBN Approver number; and the number of contact hours earned. The following statement as required meets criteria for identifying the OBN Approver and OBN Approver Number. This offering has been approved by the Ohio Board of Nursing through the OBN Approver Unit at the University of Cincinnati College of Nursing (OBN-011-93). I. Record Keeping System As a provider, we will retain: a. A complete copy of all application data; b. All correspondence with the UC College of Nursing; c. A list of all attendees who were awarded contact hours for each date of the CNE offering that includes the number of contact hours awarded; d. An evaluation summary for each date of the offering e. Any changes made to the program during its approval period. The records must be maintained in a retrievable file, which is safe, secure and accessible to only authorized personnel, for six years. Initial here to indicate that you will retain records, as described: ___YW______. Describe the method that a participant would use to obtain a replacement certificate of attendance. Contact the University of Cincinnati AIDS Education and Training Center office. J. Attach a copy of advertising material (announcement/brochure/letter). A draft is acceptable for approval process, but FINAL COPY MUST BE SUBMITTED for our Approver Unit records. Part B – Program Details Complete the next page or attach your own form identifying behavioral objectives of offering; content and schedule; faculty; faculty/participant ratio and teaching methods. Page 5 of 6 Program Details OBJECTIVES CONTENT (Topics) List objectives in behavioral terms List each topic area to be covered and outline of content for each obj. Discuss the implications that 1. Epidemiologic Synergy STDs and HIV/STD co2. Genital Herpes infection have on the 3. Syphilis management of these 4. Trichomoniasis diseases 5. Gonorrhea/ Chlamydia/Pelvic TIME FRAME FACULTY State # minutes for each objective TEACHING METHOD Describeteaching method used for each objective PowerPoint, handouts, discussion 45 Robert A. Salata, MD 45 Carl Fichtenbaum, MD Judith Feinberg, MD Q&A Inflammatory Disease 6. Future Approaches and Advice for Review current guidance for monitoring and prescribing treatment for individuals at risk for HIV infection, including sero-discordant couples hoping to conceive Explain new evidence regarding inflammatory processes of HIV infection and long term complications and treatment Describe the current understanding of infections that continue to present difficult management issues and epidemiological concerns Clinicians 1. Pre-exposure prophylaxis (PreP) a. Rationale b. Ideal drug candidate 2. Current status of clinical trials 3. Potential concerns for PreP 4. Interim CIC Guidelines and Evaluation for PreP 1. Chronic inflammation and HIV pathogenesis 2. Causes of persistent immune activation and inflammation a. HIV replication b. Microbial translocation c. Coinfections 3. Immune activation and co-morbidity a. Cardiovascular disease b. Thromboembolic disease c. Type II diabetes d. Cancer e. Neurocogitive dysfunction f. Frailty 1. Infectious diseases epidemiology 2. Antibiotic resistance, 3. Emerging pathogens and pathogenesis 4. Therapeutics, PowerPoint, Lecture, handouts, discussion, Q&A PowerPoint, Lecture, handouts, discussion, Q&A 45 40 Peter Hunt, MD Robert A. Bonomo, MD PowerPoint, Lecture, handouts, discussion, Q&A Page 6 of 6 Identify key considerations when designing treatment regimens for first line therapy, treatment experienced and salvage therapy Evaluation 03/02 lte/CE/OBNoffapp.doc 1. Timing of ART initiation in treatment naive patients 2. Guidance on new regimens 3. Special Considerations for a. older patients b. women of childbearing age c. virologic failure and multidrug resistance 75 5 minutes David Alain Wohl, MD Panel: Robert A. Bonomo, MD; Judith Feinberg, MD Carl Fichtenbaum, MD Peter Hunt, MD Robert A. Salata, MD PowerPoint, Lecture, handouts, discussion, Case-Based Panel Discussion Q&A