NIH TUBERCULOSIS ACADEMIC AWARD*

1. NIH TUBERCULOSIS ACADEMIC AWARD* • JUZAR ALI, M.D. FRCP(C), FCCP • Professor • Section of Pulmonary/CC • Director, LSU Wetmore TB Clinics • LSU School of Medicine, New Orleans, LA • * NIH supported Academic Grant 1996-2001

2. “TEACH” PROGRAM • Tuberculosis Education Aimed at Community Health

3. Components • MEDICAL STUDENTS* • Invited through the Student Affairs Office* and the Department of Minority Affairs and Community Health , LSU* • UNIVERSITY FACULTY* • Program Director and assigned faculty of the Section* • COMMUNITY VENUES* • Included but not limited to under the auspices of the State and City TB Clinics* Network • * Cooperation/assistance gratefully acknowledged

4. Medical Student Objectives • At the end of the TEACH program, the participating student will be able to: • 1. Have an increased awareness of the public health importance of tuberculosis • 2. Increase his/her knowledge base of the subject • 3. Identify public misconceptions about TB and appreciate cultural and ethnic differences in their comprehension. • 4. Enhance communication skills and establish a base for future leadership role in public health.

5. Faculty Objectives • At the end of the TEACH program, the faculty will be able to : • 1. Appreciate the current epidemiology of tuberculosis and the need for a multi-disciplinary approach in imparting TB education • 2. Establish a liaison between academic medicine, community organizations and public health systems to improve education and increased awareness of TB

6. Community Objectives • At the end of the TEACH program, the participating community venues will be able to : • 1. Have an increase awareness of TB in their particular community setting • 2. Establish direct lines of communication and have access to a resource base of university and public health network • 3. Have a forum of discussing practical TB management problems

7. DESIGN AND FORMAT OF TEACH PROGRAM Faculty Core Curriculum * 1 MS (2) MS (2) MS (2) MS (2) Pre-Session Briefing A B C D Community Venues 2 3 Faculty & Students Groups Meet Concluding Workshop Post-sessions Briefing Collect data for informational brochure * MS= medical students team

8. Greater New Orleans Area: *Region 1; 5 parish areas Lake Ponchartrain *(1997) Orleans: TB cases= 20.6/100K Public Health Clinics *(1997) Jefferson Parish: TB cases=9.2/100K LSU-TB CLINIC PH/DIS NURSE Mississippi river Public Health Clinics *ALGIERS *GRETNA *Public Health Clinic, Marrero

9. Products • Question/Answer Brochure-Newsletter • Community Projects • Manuscript by students Family / Primary physicians Community outreach venues

10. Evaluation • Students: • 1. Pre / post questions • 2. Faculty review • 3. Audience review • Community Venues: • 1. Evaluation Sheets • 2. Impact on Screening and contact time • 3. Follow up interviews

11. “TEACH” Program: Evaluation Steps* ( DATA published in Minority Health, Vol.1,#5 July 2000 1. Student Evaluation: Instruments At point A^…..pre test Questionnaire 30 questions At Point C…..post test Questionnaire 20+10 ^… n=21 students; 3 categories 21 had < 20 answers correct 2. Evaluation of program: At point B^^ …………………………….Rating Scale 80-90 % had positive comments 1-6 ( n=12) * based on reliability coefficient and dichotomy rating scale

12. Medical students: RESULTS PRE TEST SCORE POST TEST SCORE P value N=21; 30 questions n=20; 30 questions 60.95 +- 1.85 77.5 +- 1.95 <0 .0001 N=21; 30 questions n=20; 41 questions 60.95 +- 1.85 77.93 +- 1.8 < 0.0001

13. Overall Impact: Outcome data # of clinic visits # of persons screened for TB # of PPD return rates At a Student Run Faculty Supervised Homeless clinic in New Orleans ( 6 month data) 80 PPD’s planted; 38 returned to the read 7 had PPD greater than 4 mm and were referred to the LSU/ Wetmore TB Clinic for further follow-up Data Published in Jour of LA State Medical society Vol 152 # 8, August 2000 Pg 398-404