美国医院感染流行病学培训班是啥样的？
作为“全球感控大使”项目的组成部分，本人应邀将于2009年5月2~5日在美国北卡州的Charlotte，参加由美国CDC和SHEA合作举办的医院感染流行病学培训。本人很是期待！
SHEA/CDC Training Course in Healthcare Epidemiology
Summary
The SHEA/CDC Course in Healthcare Epidemiology provides training for infectious diseases fellows, healthcare epidemiologists, infection preventionists, quality improvment staff, public health officials, and others interested in training and application of epidemiologic principles.
The course has been in existence for over a decade and consistently receives high ratings from attendees. It emphasizes hands-on exercises, practical materials, and case studies supplemented with lectures and seminars covering fundamental aspects of healthcare epidemiology, including:
• epidemiology and surveillance
• epidemic/cluster investigation
• transmission and control of nosocomial infections
• disinfection and sterilization
• employee health
• isolation systems
• regulatory compliance
• quality improvement
• patient safety
When Saturday, May 2, 2009 7:00 AM - Tuesday, May 5, 2009 4:00 PM 我们也很期待！;P
第1天的课程
Saturday, May 2, 20097:30 AM-8:30 AM
Continental Breakfast
8:45 AM-9:30 AM
Role of the Hospital Epidemiologist
Tammy Lundstrom, MD, JD
* Discuss the role of health care epidemiology across the continuum of care
* Discuss the role of epidemiology beyond infection control
* Recognize epidemiology's role in regulatory compliance
9:30 AM-10:15 AM
Introduction to Patient Safety
Gina Pugliese, RN, MS
* Outline the national quality and safety initiatives that impact on infection control programs
* List two examples of safer processes that are based on human factors engineering
* Explain how bundling of care processes can improve safety and reduce morta
10:15 AM-10:30 AM
Break
10:30 AM-11:30 AM
Transmission of Nosocomial Pathogens
Donald Goldmann, MD
* Identify basic ways in which microorganisms are transmitted in the hospital
* Illustrate the complexity of transmission with examples from the literature
* Provide participants with a rational approach to isolation and outbreak control
11:30 AM-12:15 PM
Environmental Control of Nosocomial Pathogens
Louise Dembry, MD, MS, MBA
* Describe the Spaulding scheme for selection and use of disinfectants
* Identify two control measures that can be employed to prevent fungal transmission during contruction/renovation
* Describe when microbiologic sampling of the environment should be done
12:15 PM-1:15 PM
Lunch
1:15 PM-2:00 PM
Special Public Health Issues
Arjun Srinivasan, MD
* List elements of respiratory etiquette and cough hygiene recommendations.
* Describe data on transmission of influenza
* Describe current infection control recommendations for seasonal, avian and pandemic flu.
2:00 PM-2:30 PM
Patient Safety Tools: Introduction to RCA/FEMA Methodology
Tammy Lundstrom, MD, JD
* Determine criteria for performance of RCA
* Recognize elements of RCA
* Recognize critical steps in performance of RCA
2:30 PM-2:45 PM
Break
2:45 PM-4:00 PM
Problem Session: Performing a Root Cause Analysis in Infection Control
Tammy Lundstrom, MD, JD
* Differentiate when a RCA is necessary
* Determine how to perform a RCA
* Develop an Action Plan with Measures of Success
第2天的课程
Sunday, May 3, 20097:30 AM-8:30 AM Continental Breakfast
8:00 AM-9:00 AM Introduction to Epidemiology I
Jerome Tokars, MD, MPH
* Describe how to conduct cohort and case control studies
* Use a 2x2 table to calculate a relative risk and odds ratio
* Interpret a confidence interval and p-value
* Describe 3 types of errors/problems in epidemiologic studies
* Describe ways to cope with each type of error/problem
9:00 AM-10:00 AM Introduction to Epidemiology II
Jerome Tokars, MD, MPH
* Describe how to conduct cohort and case control studies
* Use a 2x2 table to calculate a relative risk and odds ratio
* Interpret a confidence interval and p-value
* Describe 3 types of errors/problems in epidemiologic studies
* Describe ways to cope with each type of error/problem
10:00 AM-10:10 AM Break
10:10 AM-11:10 AM Introduction to Epidemiology III
Jerome Tokars, MD, MPH
* Describe how to conduct cohort and case control studies
* Use a 2x2 table to calculate a relative risk and odds ratio
* Interpret a confidence interval and p-value
* Describe 3 types of errors/problems in epidemiologic studies
* Describe ways to cope with each type of error/problem
11:10 AM-12:10 PM Approach to Epidemic Investigation
William Martone, MD
* Recognize an outbreak
* Workup an outbreak
* Control an outbreak
1:30 PM-2:30 PM Molecular Epidemiology
Neil Fishman, MD
* Recognize an outbreak
* Workup an outbreak
* Apply basic statistics
* Control an outbreak
2:30 PM-2:40 PM Break
2:40 PM-3:25 PM Antimicrobial Management: Design, Implementation, and Efficacy
Neil Fishman, MD
* Discuss different antimicrobial management interventions
* Identify the strengths and weaknesses of each intervention
* Design and implement antimicrobial stewardship programs
3:25 PM-3:35 PM Break
3:35 PM-5:30 PM Problem Session: Unusual Neonates in the Intermediate Care Unit
Neil Fishman, MD
* Discuss different antimicrobial management interventions
* Identify the strengths and weaknesses of each intervention
* Design and implement antimicrobial stewardship programs
第3天的课程
Monday, May 4, 20097:30 AM-8:00 AM Continental Breakfast
8:00 AM-8:45 AM Practical Strategies for Surveillance
David Warren, MD, MPH
* Identify data sources for surveillance
* Identify important components of a surveillance system
* List questions infections control programs should answer when evaluating their surveillance system
8:45 AM-9:30 AM Introduction to Healthcare Epidemiology in the Pediatric Setting
Lisa Saiman, MD
* Identify risk factors for health care-acquired infections that are unique to pediatric populations.
* Develop familiarity with epidemiologically significant pathogens in pediatric populations.
* Discuss priorities for surveillance in pediatric health care facilities.
9:45 AM-11:15 AM Panel Discussion: Special Isolation Issues
Loreen Herwaldt, MD
David Warren, MD, MPH
Lisa Saiman, MD
Timothy Lane, MD
12:45 PM-2:15 PM Pseudomonas Outbreak in Hematology Unit
Loreen Herwaldt, MD
* List three steps in an outbreak investigation
* Create a line list of affected patients
* Create an epidemic curve
2:15 PM-2:30 PM Break
2:30 PM-4:00 PM Problem Session: Outbreak in the OR
Timothy Lane, MD
* Implement basic steps in outbreak investigation
* Develop exposure ratio
* Develop a case control study
第4天的课程
Tuesday, May 5, 20097:30 AM-8:00 AM Continental Breakfast
8:00 AM-8:45 AM Issues in Long Term Care or Other Non-Hospital Settings
Mark Loeb, MD, MSc
Discuss the unique characteristics of long-term care facilities and other non-hospital settings and how they relate to implementing infection control strategies.Gain knowledge about the epidemiology of antimicrobial resistance in long-term care facilities as well as
strategies to improve use. Identify evidence-based interventions for reducing infection in long-term care facilities.
8:45 AM-9:30 AM Issues in Employee Health and Safety
Timothy Lane, MD
* Outline strategies for prevention of influenza among healthcare workers
* List the isolation measures and treatment of patients with scabies
* Describe the investigation and follow up of workers exposure to an index case with Norwalk virus
9:30 AM-9:45 AM Break
9:45 AM-11:15 AM Hepatitis in a Nursing Home
Darren Linkin, MD, MSCE
* Understand when a formal vs. informal investigation is indicated.
* Perform on outbreak investigation.
* Have insight into special factors related to outbreaks in nursing homes, and involving viruses.
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