1. Promoting Clinician Readiness Maureen Lichtveld, M.D., M.P.H. Associate Director for Workforce Development Public Health Practice Program Office/OD Centers for Disease Control and Prevention Maureen Lichtveld, M.D., M.P.H. Associate Director for Workforce Development Public Health Practice Program Office/OD Centers for Disease Control and Prevention

2. CDC’s Role in Mobilizing Post 9/11 Recognition Detection/Laboratories Field response teams Reporting/Surveillance Treatment Communication Resources – Education/Training Recognition Detection/Laboratories Field response teams Reporting/Surveillance Treatment Communication Resources – Education/Training

3. Clinician Education and Training Observations Present but limited Undifferentiated content, target audiences, delivery modes Varying quality assurance

4. Clinician Preparedness: National Strategies Cooperative agreement program for Bioterrorism (BT) and Response Collaborative Bioterrorism Preparedness and Training Plan Strategic plan for Public Health Workforce Development

5. Key Questions What are the effective methods for... The initial training of clinicians Updating and reinforcing the training Use of Web/telephone-based central information resources Reporting events to a central agency Communicating with other health care professionals What are the effective methods for... The initial training of clinicians Updating and reinforcing the training Use of Web/telephone-based central information resources Reporting events to a central agency Communicating with other health care professionals Source: AHRQ- Training for Clinicians for Public Health Events Relevant to Bioterrorism Preparedness; Evidence Report/Technology Assessment; #51 p16.

6. Public Health Preparedness and Response for BT: A National Program Focus Areas: Preparedness planning and readiness assessment Surveillance and epidemiology capacity Laboratory capacity – biologic agents Health Alert Network communications and information technology Risk communication and health information dissemination Education and training

7. Sustaining the Momentum Education/Training Competency-based, standardized Students, residents, practicing clinicians Interactive; usual delivery channels Incentives (individual; operationalized) Education/Training Competency-based, standardized Students, residents, practicing clinicians Interactive; usual delivery channels Incentives (individual; operationalized)

8. Sustaining the Momentum Learning systems to assure competence Evidence linking enhanced workforce performance and organizational capacity to improved health outcomes Research to advance early detection, medical management and surveillance Learning systems to assure competence Evidence linking enhanced workforce performance and organizational capacity to improved health outcomes Research to advance early detection, medical management and surveillance

9. 3. Surveillance 2. Laboratory Capacity 3. Epidemiology Laboratory Practice Laboratory Practice Epidemic Investigation Epidemic Investigation Surveillance Bioterrorism Emergency Response Bioterrorism Emergency Capacities 7 Priority Areas: Frist-Kenneady Working Group 7 Priority Areas: Frist-Kenneady Working Group 4. Information Systems 5. Communication Systems 4. Information Systems 5. Communication Systems 1. Public Health Workforce Capacity & Competency 6. Preparedness & Response Planning 7. Policy Development & Evaluation 6. Preparedness & Response Planning 7. Policy Development & Evaluation Information/ Communication Capacity Information/ Communication Capacity Organizational Capacity Organizational Capacity Workforce Competency Workforce Competency Public Health Improvement Act Implementation Preparedness and Response for Public Health Threats and Emergencies Public Health Improvement Act Implementation Preparedness and Response for Public Health Threats and Emergencies

10. Summary of Capacities: Education and Training Key content areas: Biological/chemical agents – diagnosis, treatment, consequences Unified and Incident Command Systems Communications/notification systems Risk communications Worker safety Legal authorities Epi/surveillance; laboratory systems Information technology

11. Clinician Resources www.bt.cdc.gov www.bt.cdc.gov www.bt.cdc.gov www.phppo.cdc.gov/workforce www.phppo.cdc.gov/workforce www.aamc.org www.aamc.org www.aamc.org www.phppo.cdc.gov/PHTN www.phppo.cdc.gov/PHTN www.phppo.cdc.gov/HAN www.phppo.cdc.gov/HAN www.phppo.cdc.gov/NLTN www.phppo.cdc.gov/NLTN www.bt.cdc.gov www.bt.cdc.gov www.bt.cdc.gov www.phppo.cdc.gov/workforce www.phppo.cdc.gov/workforce www.aamc.org www.aamc.org www.aamc.org www.phppo.cdc.gov/PHTN www.phppo.cdc.gov/PHTN www.phppo.cdc.gov/HAN www.phppo.cdc.gov/HAN www.phppo.cdc.gov/NLTN www.phppo.cdc.gov/NLTN

13. AAMC/CDC Cooperative Agreement: Major Themes Promoting the teaching of public health in academic medical centers Promoting the training of public health and prevention researchers within academic medical centers Increasing the number of underrepresented minority students in medical schools Activities to eliminate health disparities

14. Lessons Learned - Anthrax Public health and law enforcement – Role clarification Investigation methods Information/Communications Public health and law enforcement – joint training can lead to enhanced collaboration Public health and law enforcement – Role clarification Investigation methods Information/Communications Public health and law enforcement – joint training can lead to enhanced collaboration