x

This two-hour webinar was intended for clinicians and others who are involved in the diagnosis of active TB. The recording consists of a 90-minute web-based seminar followed by a 30-minute question and answer period. This case-based training highlights common basic dilemmas in the differential diagnosis of TB. The seminar was webcast live on July 20, 2011.

Faculty
Lisa Chen, M.D., University of California, San Francisco
Philip Hopewell, M.D., University of California, San Francisco
Gisela Schecter, M.D., M.P.H., University of California, San Francisco
Kevin Winthrop, M.D., M.P.H., Oregon Health and Science University

Synopsis
The panel of experts review case scenarios of the most common diagnostic dilemmas in the diagnosis of TB which include basic issues in the recognition of NTM, infectious pneumonia, and cancers.

Participant evaluations include:

This was by far one of the BEST presentations on TB-related topics I have ever had the opportunity in which to participate.

After it was over, the nurses I work with and I sat together and discussed the information we had learned. We also discussed how we could apply the information to our patients. Excellent training!

The presentations are well-structured; interaction between presenters is helpful and engaging. The cases as a whole present a helpful range of situations encountered in diagnosing TB. As a non-clinician, I found it interesting and engaging, too.

I particularly like the interaction between the three presenters during each presentation. It is good to have the other doctors’ thoughts and opinions during each of the presentations.

If it is archived and available, I will probably listen again. Excellent material and so very applicable.

Webpage includes video and audio recording and printed transcript. Print-outs of slides, three to a page, make taking notes easy.

Links

The AIDS Education and Training Centers conduct targeted, multidisciplinary education and training programs for health care providers treating persons living with HIV/AIDS. This website provides a central repository for AETC program and contact information and for training materials developed within the AETC network.

Links

Presentations by Pacific Northwest Agricultural Safety and Health Center (PNASH): 

 

1. Age Considerations: Impacts on Pesticide Exposure and Health Outcomes

2. How to Identify the Products Your Patients are Exposed to

3. Reporting, Surveillance, Legal Aspects of Pesticide Related Illnesses

4. The Work to Home Pesticide Exposure Pathway: How to Protect Pregnant Women and Children (English and Spanish)

5. Chronic Health Effects of Pesticide Exposure

Download Resource
Sample clinical protocol for Type I and II Diabetes.
Download Resource

EthnoMed contains information about cultural beliefs, medical issues and related topics pertinent to the health care of immigrants to Seattle or the US, many of whom are refugees fleeing war-torn parts of the world. Search the site via culture and clinical topics.

Links

The importance of clinical diagnostic tools and biomonitoring of exposures to pesticides as well the role of clinicians in pesticide reporting and the challenges clinicians face in accurately diagnosing patients exposed to pesticides are described in a presentation by Matthew Keifer, MD, MPH and Amy K. Liebman, MPA. Click on the link for an APHA policy resolution underscoring the need for clinical diagnostic tools and biomomitoring of exposures to pesticides. This policy supports the information outlined by in the presentation.

Download Resource
Links

This is an MCN online course.  The primary objective is to ensure clinicians serving migrant and underserved communities are aware of general childhood agricultural safety and health concerns. This will be accomplished in a way that increases the clinicians’ ability to provide effective healthcare to their patients by assessing and understanding agricultural health risks.

Links

HEAT ILLNESS CAN BE DEADLY. Every year, thousands of workers become sick from exposure to heat, and some even die. These illnesses and deaths are preventable.

OSHA has now posted a new Heat Illness Web Page that includes educational materials in English and Spanish, including low-literacy fact sheets for workers, worksite and community posters, and a public service announcement from Secretary of Labor Hilda Solis.  The Web page also includes a video from Assistant Secretary Dr. David Michaels (in English with a Spanish transcript).  OSHA will be posting additional materials on the Heat Illness Web page, including a lesson plan that employers can use to train their workers to stay safe in the heat and a heat index Smartphone app. 

Links

Matthew Keifer, MD, MPH, a board certified occupational medicine specialist and internationally renowned researcher regarding pesticides and worker health, overviews the importance of recognizing and managing pesticide exposure.  To obtain free CME* credit, please complete this evaluation at the end of the webinar http://www.migrantclinician.org/national_webinar_eval. Sponsored by AgriSafe Network, Migrant Clinicians Network and the National Farm Medicine Center.

*Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

Links

The Alliance of Nurses for Healthy Environments (ANHE) is a network of nurses from around the country (and world) who are acting on the notion that our environment and health are inextricably connected. We are a group of nurses from all walks of our profession – hospital-based, public health, school-based, academics, and advanced practice, to name a few.   

We are helping to integrate environmental health into nursing education, greening our many workplaces, incorporating environmental exposure questions into our patient histories, providing anticipatory guidance to pregnant women and parents about environmental risks to children, implementing research that addresses environmental health questions, and advocating for environmental health in our workplaces and governmental institutions.

Links

Three newsletters the NHSC has developed for each of its primary member segments -- Clinicians in Service, Scholars in School, and NHSC sites.

Download Resource

From Health Reources and Services Administration this resource is available in Spanish and english. In an accessible, easy-to-read format, the Seasonal Flu guide provides: flu facts; every day prevention steps; and ways that community leaders can contribute to the flu prevention effort. This guide is an important fight the flu resource for our Spanish-speaking community and faith-based partners.

Order printed copies of the Seasonal Flu guide (in English or in Spanish) from the HHS Partnership Center by emailing partnerships@hhs.gov. Please include # of copies requested, mailing address (or interoffice mail stop) and person of contact in the email. Please specify if you are ordering the English or the Spanish version.

Download Resource

The Association of Clinicians for the Underserved (ACU) has partnered with over 220 leading healthcare associations to form the National Healthcare Career Network (NHCN). The network gives employers a better way to immediately connect with a wide array of health professionals, including physicians, nurse practitioners, physician assistants, and mental health workers.

ACU Career Center Benefits

  • Post your job to the ACU Career Center and have your posting distributed to other job boards in the NHCN.
  • Use the Network Wizard to see how your job will be distributed throughout the Network.
  • Have your job viewed not only job seekers that posted their resume to the ACU Career Center but also job seekers that posted their resume on other sites throughout the Network.
  • Get access to over 50,000 searchable Network resumes with your active job posting.
Links

The Diabetes and Healthy Eyes Toolkit helps community health workers provide sight-saving information to people with diabetes. The Toolkit is available in Spanish and English and includes a:

  • Diabetes and Healthy Eyes Flipchart to help community health workers educate people with diabetes about eye diseases in a small group setting.
  • Diabetes and Healthy Eyes Module for background information and materials to assist community health workers in using the flipchart.
  • Watch Out for Your Vision! Brochure to distribute to people with diabetes to educate them about eye disease and the importance of getting a dilated eye exam at least once a year.
  • Medicare Benefits Card to promote the glaucoma and diabetic eye disease benefit under Medicare and inform the public about eligibility.
  • Publications Order Form to obtain diabetic eye disease materials and resources for distributing to people in your community.
  • Evaluation Form to share your thoughts and experiences using the Diabetes and Healthy Eyes Toolkit.
  • CD-ROM with copies of the module, flipchart and handouts.

Additional materials include a:

  • TRACK Diabetes Magnet (English only) to provide tips to people with diabetes about keeping their health on TRACK.
  • Lo bello entra por los ojos...no deje que la diabetes cierre esa ventana (Beauty enters through the eyes. Don't let diabetes close the window.) Poster (Spanish only) to remind people with diabetes about receiving an annual dilated eye exam and offer tips about how to control diabetes.
Links

Presentations shared by this year's East Coast presenters. Topics include:

  • STD's
  • Outreach
  • Pesticides
  • Obesity
  • Research
  • And more...
Links

Community health workers, educators and individuals from around the world use Where There Is No Dentist to help people care for their teeth and gums. This book's broad focus makes it an invaluable resource.

The author uses straightforward language and careful instructions to explain how to: examine patients; diagnose common dental problems; make and use dental equipment; use local anesthetics; place fillings; and remove teeth. There is also a special chapter on oral health and HIV/AIDS, which provides the dental worker with a detailed, well-illustrated discussion of the special problems faced by people living with HIV/AIDS, and appropriate treatment.

Links

This fact sheet provides insight into the most common obstacles that people with disabilities in California face when attempting to access health care. Through the administration of a state-wide survey on the accessibility of health care facilities for people with disabilities, many key problem areas were brought to attention. 

Download Resource

From the CDC, complete background on cholera including: General information, resources for health professionlas, epidemiology and risk factors, diagnosis and testing, treatment, prevent & control and more.

Links

A factsheet on "How to prevent cholera" from The Hesperian Foundation. Cholera can be prevented through careful sanitation, careful use and treatment of water before drinking or cooking, and careful handling of food. This Factsheet is written in simple language and heavily illustrated and talks about the importance of sanitation, how to identify cholera and how to make your water safe to drink.

Hesperian’s Cholera fact sheet is illustrated, easy to read and available as a free download in English, Spanish, French, Haitian Kreyòl, and Arabic. The fact sheet talks about the importance of sanitation, how to identify cholera, and how to make your water safe to drink.

Links

Global Health Pathway includes online training in global health, Global Health Open Access Lecture Library, Tanzania Education Exchange, In-person Global Health Course, Community Activities, and Resident Training.

Links

Program information for counties of Wicomico, Somerset, or Worcester residents. Supported by a Grant from the Maryland Affiliate of Susan G. Koman for the Cure this presentation outlines eligibility for the Koman Program, what the Koman Program provides, documentation, and who to refer clients to.

Download Resource

Poder Sano is a new initiative by Farmworker Justice to help mobilize rural Latino communities around the prevention of HIV/AIDS, sexually transmitted infections, and tuberculosis. Through this project, Farmworker Justice will provide free capacity-building assistance and community mobilization tools to strengthen community-based organizations' HIV prevention programs, improve monitoring and evaluation practices, and create partnerships for program support.

Poder Sano aims to mobilize rural Latino communities around the prevention of HIV/AIDS, sexually transmitted infections, tuberculosis, hepatitis, and other health concerns relevant to migrant farmworkers.

Links

This webcast discusses the design, development and use of photonovelas as an effective tool for HIV/AIDS education in rural latino communiites.

Links

Therapies that integrate mind and body, seek health as well as cure, and incorporate a patient's beliefs and values are increasingly popular among consumers. Not to mention, they are supported by strong biologic and outcomes evidence. But for many physicians, this “new age” medicine has been an understandable cause for suspicion.

Now, some rigorous scientists, featured in these videoclips, are conducting groundbreaking studies of the mind-body connection. They are uncovering how and to what extent psychosocial states and events significantly influence physical phenomena like pain and wound healing.

Links

The first website in Spanish of its kind to help consumers take control of their health care by connecting them to new information and resources that will help them access quality, affordable health care coverage. President Obama wrote an op-ed in La Opinion and El Diario La Prensa today that highlights the website and the importance of health reform to the Latino community.

Links

The Community Clinic Voice (the Voice) is a free, online community for Community Health Centers and other safety net health care professionals and partners to network, share information and exchange ideas. It provides one convenient, easy to navigate center to access news, resources, and colleagues. Voice members are clinic CEOs, Medical Directors, clinicians and allied health providers, CFOs, fundraisers, CIOs, operations and administrative staff, and more. There is no cost to join or use the Voice, and it is open to anyone concerned with community health. No commercial or marketing activity is permitted.

Links

Over the last three years, we have touched on many topics that we hoped would help you as you work to improve immunization rates in your clinic. For the final edition, we return to the important issue of patient-carried immunization records.

First, we offer an article that provides a convincing yes to the title question: “Are Patient-Held Vaccination Records Associated with Improved Vaccination Coverage Rates?” The authors of the article, James T. McElligott and Paul M. Darden.

As a compliment to the article, and by way of a final thank-you for your participation, MCN, along with CHEC (Community Health Education Concepts), has developed patient-friendly, low literacy, bi-lingual immunization cards for you to use with your clients.  The cards are 5x7, and can be printed from your clinic computers.  There are two versions, a Lifetime Card for adults, and a Child and Teen Card, both in Spanish/English.  We designed the card to be as simple as possible, and to include only the most important information.  If the information is meaningful and understandable to the clients, they are more likely to understand the importance of keeping their shots up to date.

Download Resource

Special Bulletin: Outbreak of pertussis (whooping cough) in California
For Immediate Attention:
There is a critical outbreak of pertussis (whooping cough) in California: it is classified now as an epidemic. Five infants, all Latino, have died. This is due to unrecognized pertussis in older children and adults which then infects babies before they’ve had a chance to get their shots. PLEASE spread the word through every mechanism you have that it is critical to get Tdap in adolescents and adults and to get children immunized properly. This months ImmuNews includes a number of resources on Pertussis (Whopping Cough).

Download Resource

An article that provides a convincing yes to the title question: “Are Patient-Held Vaccination Records Associated with Improved Vaccination Coverage Rates?” The authors of the article, James T. McElligott and Paul M. Darden, conclude that the “Use of patient-held vaccination records is an easily implemented strategy that is associated with increased immunization rates. A greater effect was seen in groups at risk for underimmunization. Methods to incorporate and to ensure effective use of these records should be implemented” The article was published in Pediatrics in February of 2010. The full citation is as follows: Pediatrics 2010;125;e467-e472; originally published online Feb 15, 2010; DOI: 10.1542/peds.2009-0835. The online version of this article, along with updated information and services also available.

Download Resource
Links