NIH TUBERCULOSIS ACADEMIC AWARD*

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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

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TEACH PROGRAM

• Tuberculosis Education Aimed at Community Health

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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

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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.

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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

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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

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DESIGN AND FORMAT OF TEACH PROGRAM
Faculty
Core Curriculum

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MS (2)
MS (2)
MS (2)
MS (2)
Pre-Session Briefing
A
B
C
D
Community Venues
2
Faculty Students Groups Meet
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Concluding Workshop
Post-sessions Briefing
Collect data for informational brochure
MS medical students team
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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 cases9.2/100K
LSU-TB CLINIC
PH/DIS NURSE
Public Health Clinics
Mississippi river
ALGIERS
GRETNA
Public Health Clinic, Marrero
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Products

• Question/Answer Brochure-Newsletter
• Community Projects
• Manuscript by students

Family / Primary physicians
Community outreach venues
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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

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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 2010
n21 students
3 categories 21 had lt 20 answers
correct 2.
Evaluation of program At point B
.Rating Scale 80-90 had
positive comments 1-6 ( n12)
based on reliability coefficient and dichotomy
rating scale
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Medical students RESULTS
PRE TEST SCORE POST TEST SCORE P
value N21 30 questions n20 30
questions 60.95 - 1.85 77.5
- 1.95 lt0 .0001 N21 30
questions n20 41 questions 60.95 -
1.85 77.93 - 1.8
lt 0.0001
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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 PPDs 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