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

“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) ABCD Faculty & Students Groups Meet Collect data for informational brochure Core Curriculum Community Venues Concluding Workshop Pre-Session Briefing Post-sessions Briefing * * MS= medical students team DESIGN AND FORMAT OF TEACH PROGRAM

Greater New Orleans Area: *Region 1; 5 parish areas Public Health Clinics 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 CLINIC PH/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 Student Evaluation: Instruments At point A^…..pre test Questionnaire 30 questions At Point C…..post test Questionnaire ^… n=21 students; 3 categories 21 had < 20 answers correct 2. Evaluation of program: At point B^^ …………………………….Rating Scale % 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 value N=21; 30 questions n=20; 30 questions < N=21; 30 questions n=20; 41 questions <

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