1. Internet Educational Tool Thomas E. Terndrup, M.D. Professor and Chair Department of Emergency Medicine Director, Center for Disaster Preparedness University of Alabama at Birmingham

2. t Diverse backgrounds of trainees t Full responsibilities t Natural outbreaks vs. attacks t Rare, but high-risk t Limited or no clinical experience Bioterrorism: Challenges of Training

7. Screensaver Intervention: Screensaver Intervention: ~17% increase in correct responses BaselineIntervention

9. Neisseria meningitidis Bacillus anthracis Public Health Preparation = Bioterrorism Preparation Naturally OccurringBioterrorism “Dual-Use” “Dual-Use”

10. The Biological Terrorist Spectrum Likelihood of Occurrence Mass Casualty Devices/Agents Devices/Agents Numbers of Casualties Hoaxes Classical AgentsClassical Agents State SponsorshipState Sponsorship Many AgentsMany Agents Individual/GroupIndividual/Group Non-Mass Casualty Devices/Agents Devices/Agents

11. First Point of Care: Emergency Medicine Primary Care Providers: Internal Medicine Pediatrics Ob/Gyn Family Practice Hospital Infection Control Initial Diagnostics: Pathology Radiology Consultative Specialties: Infectious Disease Pulmonology and Critical Care Dermatology Nephrology Surgical Subspecialties Other Medical Subspecialties Medical Specialties