A Curriculum in Bioterrorism/All-Hazards Preparedness Leonard A. Levy, DPM, MPH Associate Dean for Education, Planning and Research Director, Center on Bioterrorism/All-Hazards Preparedness College of Osteopathic Medicine

Natural Natural Man-made Man-made  Non-intentional  Intentional

Center for Bioterrorism and All-hazards Preparedness (CBAP) at Nova Southeastern University College of Osteopathic Medicine (NSU-COM) A regional resource for the provision of medical and health professions education focused on: ● Bioterrorism and all- hazards preparedness and response ● Development of training programs for first responders A regional resource for the provision of medical and health professions education focused on: ● Bioterrorism and all- hazards preparedness and response ● Development of training programs for first responders

Began as task force shortly after 9/11, becoming a center in Interdisciplinary bioterrorism and all-hazards preparedness curriculum is provided for 5,400 health professional students and continuing education for 37,000 health care professionals and health care workers in South Florida. Center for Bioterrorism and All-Hazards Preparedness (CBAP)

Total $4.8 million Total $4.8 million 3-year project 3-year project Purpose: Interdisciplinary bioterrorism all-hazard preparedness including: Purpose: Interdisciplinary bioterrorism all-hazard preparedness including: 1. Curriculum development 1. Curriculum development 2. Continuing education 2. Continuing education 2 HRSA Grants Awarded in September 2005

Goal: to train practicing health professionals in a variety of health care disciplines who are located throughout South Florida. Partners with neighboring Broward Community College (BCC) with a subcontract to provide training to health workers who require 2 years or less to earn their degrees. Continuing Education Grant

Goal: To develop and implement curricula to prepare health professional students in a variety of disciplines to work as a coordinated team in all- hazards events. Curriculum Development Grant

CBAP offers a series of courses on emergency preparedness topics for health care professionals who have a medical and/or scientific background as well as for health care workers whose training may be non-scientific. The courses are free and will be available in several formats starting in July 2006: web-based, booklet, CD, speaker program, English and Spanish. To Accomplish These Goals

Training Components 1. Technology-based online core knowledge course 2. Problem-based intermediate and executive level courses 3. Advanced-level interdisciplinary simulation 4. Other speaker programs and educational materials 5. Clinical and emergency management expertise and consultation 6. COSCE (Casualty Objective Structured Clinical Examination) development/implementation

Ambulance & Fire Rescuers Dental Hygienists/Assistants Dentists Emergency Medical Techs Laboratory Technicians Mental Health Providers (e.g., Social Workers, Psychologists, Psychiatrists) Nurse Anesthetists Nurses, Nurse Practitioners Some Health Care Professionals who Might Find These Courses Useful Occupational Therapists Optometrists Pharmacists Physical Therapists Physician Assistants Physicians – DO, MD Podiatrists Public Health Providers Respiratory Therapists X-Ray Technicians Occupational Therapists Optometrists Pharmacists Physical Therapists Physician Assistants Physicians – DO, MD Podiatrists Public Health Providers Respiratory Therapists X-Ray Technicians

Administrative Assistants Healthcare Administrators Healthcare Executives Security Personnel Support Service Staff Volunteers Administrative Assistants Healthcare Administrators Healthcare Executives Security Personnel Support Service Staff Volunteers Some Non-Medical Health Care Professionals who Might Find These Courses Useful

Acute Care Hospitals Area Health Education Centers Community Health Centers Dental Offices Emergency Medical Services Home Health Agencies Mental Health Centers Migrant Farm Clinics Physician Offices Skilled Nursing Facilities Substance Abuse Treatment Centers Urgent Care Centers Acute Care Hospitals Area Health Education Centers Community Health Centers Dental Offices Emergency Medical Services Home Health Agencies Mental Health Centers Migrant Farm Clinics Physician Offices Skilled Nursing Facilities Substance Abuse Treatment Centers Urgent Care Centers Some Facilities that Might Find These Courses Useful

READY NOW! Bioterrorism and All-Hazards Preparedness: Basic Awareness Level Free Free 4 CME/CEUs 4 CME/CEUs 4 Modules – each 1 hour in length 4 Modules – each 1 hour in length 1.Overview of Bioterrorism and All-Hazards Preparedness 2.The Emergency Response System 3.Vulnerable and Hard-to-Reach Populations 4.Personal and Workplace Planning

1. Ability to identify man- made and natural public health disasters. 1. Ability to identify man- made and natural public health disasters. Course 1 Competencies:

2. Awareness of the history of terrorism and bioterrorism. 3. Recognition of the need for an emergency response. Course 1 Competencies:

4. Basic knowledge of the emergency structure in the community, region, and state, including local, state, and federal agencies. Course 1 Competencies:

5. Basic understanding of emergency operations, including: a. Roles and responsibilities of individuals, institutions, agencies b. Hazards communications c. Hospital color coding d. Ability to activate an emergency response Course 1 Competencies:

6. Knowledge of basic infection control practices including standard precautions, isolation, hand hygiene, decontamination, etc. Course 1 Competencies:

7. Awareness of the general requirements of vulnerable populations in an all-hazards emergency situation. Course 1 Competencies: 8. Knowledge of personal and workplace emergency plans.

Who are the Vulnerable and Hard-to- Reach Populations in Florida? Non-English speaking residents Non-English speaking residents Rural residents Rural residents Older adults Older adults Children Children Cognitively impaired Cognitively impaired Mentally ill Mentally ill Developmentally disabled Developmentally disabled Physically disabled Physically disabled Sensory impaired Sensory impaired Homeless Homeless Migrant and seasonal farm workers Migrant and seasonal farm workers Seasonal residents Seasonal residents Tourists and visitors Tourists and visitors

9. Identification of the participant’s role in preparing for and responding to an all-hazards emergency situation at home and at work 9. Identification of the participant’s role in preparing for and responding to an all-hazards emergency situation at home and at work. a.Develop and implement an emergency plan b.Practice and revise annually Course 1 Competencies: Many plans and checklists are available!

For Checklists and Other Information CDC Emergency Preparedness and Response CDC Emergency Preparedness and Response – U.S. Dept. of Homeland Security U.S. Dept. of Homeland Security – Federal Emergency Management Agency Federal Emergency Management Agency – American Red Cross American Red Cross – 589_,00.html 589_,00.htmlwww.redcross.org/services/disaster/0,1082,0_ 589_,00.html

For More Information: National Weather Service National Weather Service – – State of Florida State of Florida – –Florida Dept. of Health – –Florida Dept. of Emergency Management –

The Center for Bioterrorism and All- Hazards Preparedness Nova Southeastern University College of Osteopathic Medicine