* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Workshop Instructions
Survey
Document related concepts
Oesophagostomum wikipedia , lookup
Eradication of infectious diseases wikipedia , lookup
Typhoid fever wikipedia , lookup
Rocky Mountain spotted fever wikipedia , lookup
African trypanosomiasis wikipedia , lookup
Henipavirus wikipedia , lookup
Schistosomiasis wikipedia , lookup
Leptospirosis wikipedia , lookup
Hospital-acquired infection wikipedia , lookup
Yellow fever in Buenos Aires wikipedia , lookup
Bioterrorism wikipedia , lookup
Ebola virus disease wikipedia , lookup
Timeline of the SARS outbreak wikipedia , lookup
Transcript
Innovations in Medical Education: Teaching Contagious Disease Outbreak Awareness to Medical Students and Residents Larissa May, M.D. Department of Emergency Medicine The George Washington University School of Medicine Teaching Contagious Disease Outbreak Preparedness – – Emergency department personnel should be competent at contagious disease outbreak detection and management. Given the emphasis on emerging infectious diseases and the threat of biowarfare, there is great need to develop instructional methods on these topics. The Educational Methods The workshop is held in a hospital conference room, with the availability of internet, telephone, and other hospital resources, simulating “real-life”. A hypothetical case of Ebola presenting to an emergency department is outlined. Participants are then divided into small groups representing the ED physician, the local health department, the CDC, Hospital Administration, the Hospital Epidemiologist, and the Laboratory Director. Educational Methods Each group has 30 minutes to define their roles and responsibilities in preparation for the hypothetical outbreak. A companion manuscript outlining principles of outbreak detection, surveillance, reporting and containment is provided. After the small group sessions, each group presents and rationalizes their approach to and responsibilities in responding to the outbreak. The faculty facilitator then gives a 60 minute lecture. Educational Methods Pre and post workshop surveys have indicated the workshop is considered useful. We believe the format of this workshop is easy to reproduce and can serve as a foundation for a curriculum in emerging infections and communicable disease management, and can easily be applied to other educational topics. The Contagious Disease Outbreak Workshop: Clinical Case 28 year old previously healthy female biologist presents with fever and spreading rash Two days ago she developed a fever, sore throat, and vomiting She has had several very dark bowel movements Today her boyfriend noted she was drowsy and disoriented She returned from Uganda 3 days ago, where she was collecting samples from wild monkeys for DNA analysis Clinical Case Vitals: 84/52 HR 132 T 104.4 94% RA diaphoretic Tachypneic with bilateral bibasilar rales Centripetal maculopapular rash with hemorrhagic erythema on the palms and soles Subconjunctival hemorrhages, palatal petechiae Diffuse abdominal tenderness with guarding; black stool You are the only physician working in the Emergency Department… The nurse notifies you that you have two urgent incoming calls EMS is transporting a 44 year-old diplomat with massive GI and gingival bleeding, febrile to 102, blood pressure of 60/palp On the other line a concerned internist is sending two returned travelers with fever and rash Objectives How do we recognize potential sentinel cases for an outbreak? How do we report a suspected outbreak? What measures can we take toward outbreak containment in the emergency department? What resources are available in the event of an outbreak? Workshop ED physician Local health department National health office (CDC) Hospital administration (Incident command) Infection control officer Laboratory Workshop Each small group of 2 or 3 students uses the companion manuscript, internet, telephone and hospital resources to define their roles and responsibilities in preparing for an outbreak The small group research takes 30 minutes The groups then convene and a representative from each focus group discusses their findings A faculty member facilitates this discussion Lecture The faculty facilitator gives a 60 minute lecture on the following topics: – Outbreak Epidemiology and Recognition – Syndromic Surveillance – Outbreak Reporting – Outbreak Containment and Hospital Response Plans – Infection Control Guidelines – Clinical Case Discussion Clinical Case: Conclusion A tentative diagnosis of viral hemorrhagic fever is made Patients placed in airborne isolation, cohorted with staff You call Infectious Disease on Call and Hospital Administration for activation of the Contagious Disease Outbreak Plan You notify the DC DOH emergency hotline and the CDC for recommendations and assistance in containment of the outbreak and contact tracing Identification and confirmation of Ebola serotype made by USAMRIID BSL 4 laboratory Outbreak Preparedness: Goals for Clinicians Be familiar with epidemiologic criteria for sentinel cases Know your hospital emergency preparedness plans and how to report a suspected sentinel case Follow basic principles of isolation, infection control, and cohorting in an outbreak Summary: Workshop Materials Clinical Case Companion Manuscript “Emerging and Re-Emerging Infections: Public Health Preparedness: Introduction to Infectious Outbreak Reporting and Containment” Powerpoint Lecture Pre and Post Workshop Surveys For more information, contact Larissa May at [email protected] Note: this is not a commercial product