To Receive Continuing Education Credits
1. Sign in the NSTC sign-in sheet at the Registration Desk on June 10.
2. Attend the educational presentations at the meeting.
3. Complete this form and turn it in at the Registration Desk.
The 2014 NSTC Annual Meeting is approved for up to 4.25
continuing education hours.
Name: ______________________________________________________________________
Email: ___________________________________________ Phone: ___________________
What type of certificate are you requesting?
CME CNE Participation
If CME or CNE, enter your license number : ______________________
What is your occupation? ______________________________________________________
In which sector do you work?
Public Private
What best describes your work setting? (Check all that apply.)
Federal agency State agency County agency City agency University
Other: ___________________________________________________________________
How long have you worked?
In public health: ______ years In TB: ______ years
To evaluate each session, circle the number that reflects your agreement, disagreement, or neutrality about each statement: 1=Strongly Disagree; 2=Disagree; 3=Neutral; 4=Agree; 5=Strongly Agree.
Patricia Townsend: TB Transmission in a NICU: Management of an Outbreak
Strongly
Disagree Disagree Neutral Agree
At the end of this presentation, participants are able to meet these objectives:
Describe the approach to evaluating the risk of transmission in a neonatal intensive care unit (NICU) setting for situations in which infants and adults are identified with TB disease.
Identify characteristics that increase the risk of tuberculosis (TB) transmission in a NICU setting.
1
1
2
2
3
3
4
4
Strongly
Agree
5
5
About the speaker and content:
The content was relevant to my practice.
The content was free of commercial bias.
The speaker was knowledgeable on the topics covered.
The speaker was clear and well organized.
1
1
1
1
2
2
2
2
3
3
3
3
4
4
4
4
5
5
5
5
NSTC 2014 Annual Meeting Evaluation Form Page 1 of 4
Ann Loeffler: Evaluation and Management of Exposed and Sick Neonates
Strongly
Disagree Disagree Neutral Agree
At the end of this presentation, participants are able to meet these objectives:
Assess the risk of transmission to a neonate following an exposure in a NICU and identify those who will need evaluation.
Evaluate a neonate for evidence of TB disease following a known exposure.
1
1
2
2
3
3
4
4
Strongly
Agree
5
5
About the speaker and content:
The content was relevant to my practice.
The content was free of commercial bias.
The speaker was knowledgeable on the topics covered.
The speaker was clear and well organized.
1
1
1
1
2
2
2
2
3
3
3
3
4
4
4
4
5
5
5
5
Bob Belknap:
When IGRAs Don’t Behave
At the end of this presentation, participants are able to meet these objectives:
Describe the limitations of interferon gamma release assays (IGRAs) in patients with different TB risks.
Describe the operational advantages and disadvantages using IGRAs.
About the speaker and content:
The content was relevant to my practice.
The content was free of commercial bias.
The speaker was knowledgeable on the topics covered.
The speaker was clear and well organized.
Strongly
Disagree Disagree Neutral Agree
Strongly
Agree
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
Niaz Banaei: Pre-Analytic and Laboratory Issues Leading to Inaccurate IGRA Results
Strongly
Disagree Disagree Neutral Agree
Strongly
Agree
At the end of this presentation, participants are able to meet these objectives:
Describe the sources of IGRA variability that might contribute to nonreproducible and inaccurate results.
Describe how IGRA laboratory procedures might be standardized to reduce the sources of variability.
About the speaker and content:
The content was relevant to my practice.
The content was free of commercial bias.
The speaker was knowledgeable on the topics covered.
The speaker was clear and well organized.
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4 5
5
5
5
5
5
NSTC 2014 Annual Meeting Evaluation Form Page 2 of 4
Niaz Banaei, Bob Belknap, Randall Reves: Is It Time to Change Screening Policies?
Strongly
Disagree Disagree Neutral Agree
At the end of this panel discussion, participants are able to meet these objectives:
Describe the limitations of routine annual testing for TB infection among health care workers in the United States.
Describe the risks and benefits for discontinuing routine annual testing for TB infection for health care workers in the United States.
1
1
2
2
3
3
4
4
Strongly
Agree
5
5
About the speaker and content:
The content was relevant to my practice.
The content was free of commercial bias.
The speakers were knowledgeable on the topics covered.
The speakers were clear and well organized.
1
1
1
1
2
2
2
2
3
3
3
3
4
4
4
4
5
5
5
5
Scott Heysell: Rifampin Dosing: Getting It Right
At the end of this presentation, participants are able to meet these objectives:
Understand the pharmacokinetic evidence for optimizing rifampin dose including recent randomized controlled trials.
Learn implementation strategies of therapeutic drug monitoring and dose optimization.
About the speaker and content:
The content was relevant to my practice.
The content was free of commercial bias.
The speaker was knowledgeable on the topics covered.
The speaker was clear and well organized.
Strongly
Disagree Disagree Neutral Agree
Strongly
Agree
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
Ed Nardell: Effect of Treatment on Transmission
Strongly
Disagree Disagree Neutral Agree
Strongly
Agree
At the end of this presentation, participants are able to meet these objectives:
Describe the effect of treatment on TB transmission.
Discuss how the information from the guinea pig studies of TB transmission might change U.S. infection control policies.
About the speaker and content:
The content was relevant to my practice.
The content was free of commercial bias.
The speaker was knowledgeable on the topics covered.
The speaker was clear and well organized.
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
NSTC 2014 Annual Meeting Evaluation Form Page 3 of 4
Kevin Fennelly: Transmission and Cough Aerosols
At the end of this presentation, participants are able to meet these objectives:
Describe the relation of cough aerosol to TB transmission.
Discuss how the information on the risk of transmission related to cough aerosol may impact health department resources, prioritization of contact investigations, and infection control policies.
About the speaker and content:
The content was relevant to my practice.
The content was free of commercial bias.
The speaker was knowledgeable on the topics covered.
The speaker was clear and well organized.
Strongly
Disagree Disagree Neutral Agree
Strongly
Agree
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
What is your overall rating for this meeting?
Poor
1
Fair
2
Average
3
Good
4
Excellent
5
Is the information provided in this meeting likely to lead you to change your practice?
Yes* No Unsure Not Applicable (*If Yes, describe the changes below.)
What did you like most about the 2014 NSTC Annual Meeting?
What did you like least about the 2014 NSTC Annual Meeting?
What improvements do you suggest for 2015 NSTC Annual Meeting?
What topics and presenters do you suggest for the 2015 NSTC Annual Meeting?
NSTC 2014 Annual Meeting Evaluation Form Page 4 of 4
Are you interested in becoming more involved with NSTC ? Yes* No Unsure
In what capacity would you like to be involved?
(Check all of the activities you're interested in. If you don't see your area of interest, please note it under Other.)
Conference: Planning the conference Speaking Reviewing abstracts Judging posters
Distance Learning/Virtual Meeting: Planning webinars Planning website content Monitoring the online forum
Membership: Recruiting members Communicating with members
Elections: Recruiting candidates for NSTC office Serving as an NSTC officer
Organizational Development and Planning: Developing the annual NSTC workplan
Other:
NSTC 2014 Annual Meeting Evaluation Form Page 5 of 4