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Promoting Clinician Readiness. Maureen Lichtveld, M.D., M.P.H. Associate Director for Workforce Development Public Health Practice Program Office/OD Centers for Disease Control and Prevention. CDC’s Role in Mobilizing Post 9/11. Recognition Detection/Laboratories Field response teams
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Promoting Clinician Readiness Maureen Lichtveld, M.D., M.P.H. Associate Director for Workforce Development Public Health Practice Program Office/OD Centers for Disease Control and Prevention
CDC’s Role in Mobilizing Post 9/11 • Recognition • Detection/Laboratories • Field response teams • Reporting/Surveillance • Treatment • Communication • Resources – Education/Training
Present but limited Undifferentiated content, target audiences, delivery modes Varying quality assurance Clinician Education and Training Observations
Cooperative agreement program for Bioterrorism (BT) and Response Collaborative Bioterrorism Preparedness and Training Plan Strategic plan for Public Health Workforce Development Clinician Preparedness:National Strategies
Key Questions What are the effective methods for . . . • The initial training of clinicians • Updating and reinforcing the training • Use of Web/telephone-based central information resources • Reporting events to a central agency • Communicating with other health care professionals Source: AHRQ-Training for Clinicians for Public Health Events Relevant to Bioterrorism Preparedness; Evidence Report/Technology Assessment; #51 p16.
Public Health Preparedness and Response for BT: A National Program Focus Areas: Preparedness planning and readiness assessment Surveillance and epidemiology capacity Laboratory capacity – biologic agents Health Alert Network communications and information technology Risk communication and health information dissemination Education and training
Sustaining the Momentum Education/Training • Competency-based, standardized • Students, residents, practicing clinicians • Interactive; usual delivery channels • Incentives (individual; operationalized)
Sustaining the Momentum • Learning systems to assure competence • Evidence linking enhanced workforce performance and organizational capacity to improved health outcomes • Research to advance early detection, medical management and surveillance
Public Health Improvement Act Implementation Preparedness and Response for Public Health Threats and Emergencies Bioterrorism Emergency Response Bioterrorism Emergency Capacities Laboratory Practice Epidemic Investigation Surveillance 7 Priority Areas: Frist-KenneadyWorking Group 3. Surveillance 2. Laboratory Capacity 3. Epidemiology Workforce Competency Organizational Capacity Information/ Communication Capacity 4. Information Systems 5. Communication Systems 1. Public Health Workforce Capacity & Competency 6. Preparedness & Response Planning 7. Policy Development & Evaluation
Summary of Capacities:Education and Training Key content areas: Biological/chemical agents – diagnosis, treatment, consequences Unified and Incident Command Systems Communications/notification systems Risk communications Worker safety Legal authorities Epi/surveillance; laboratory systems Information technology
Clinician Resources • www.bt.cdc.gov • www.phppo.cdc.gov/workforce • www.aamc.org • www.phppo.cdc.gov/PHTN • www.phppo.cdc.gov/HAN • www.phppo.cdc.gov/NLTN
AAMC/CDC Cooperative Agreement: Major Themes Promoting the teaching of public health in academic medical centers Promoting the training of public health and prevention researchers within academic medical centers Increasing the number of underrepresented minority students in medical schools Activities to eliminate health disparities
Lessons Learned - Anthrax • Public health and law enforcement – • Role clarification • Investigation methods • Information/Communications • Public health and law enforcement – joint training can lead to enhanced collaboration