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

“TEACH” PROGRAM

Tuberculosis Education Aimed at Community Health

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

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.

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

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

Faculty

MS (2) MS (2) MS (2) MS (2)

A B C D

Faculty & Students Groups Meet

Collect data for informational brochure

1

2

3

Core Curriculum

Community Venues

ConcludingWorkshop

Pre-SessionBriefing

Post-sessionsBriefing

*

* MS= medical students team

DESIGN AND FORMAT OF TEACH PROGRAM

Greater New Orleans Area: *Region 1; 5 parish areas

Public HealthClinics

Public Health Clinics

*Public Health Clinic, Marrero

*(1997) Orleans: TB cases= 20.6/100K

*(1997) Jefferson Parish: TB cases=9.2/100K

Lake Ponchartrain

Mississippi river

LSU-TB CLINICPH/DIS

NURSE

*GRETNA

*ALGIERS

Products

• Question/Answer Brochure-Newsletter

• Community Projects

• Manuscript by students

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

“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 correct2. 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

Medical students: RESULTS

PRE TEST SCORE POST TEST SCORE P valueN=21; 30 questions n=20; 30 questions60.95 +- 1.85 77.5 +- 1.95 <0 .0001

N=21; 30 questions n=20; 41 questions60.95 +- 1.85 77.93 +- 1.8 < 0.0001

Overall Impact: Outcome data

# of clinic visits # of persons screened for TB# of PPD return rates

At a Student Run Faculty Supervised Homeless clinic inNew Orleans ( 6 month data)80 PPD’s planted; 38 returned to the read7 had PPD greater than 4 mm and were referred to the LSU/Wetmore TB Clinic for further follow-upData Published in Jour of LA State Medical society Vol 152 # 8, August 2000 Pg 398-404