2019 National Travel Medicine
 

Learning Objectives

 

Day 1: Friday, March 22, 2019

Medicine & Compassion - David Shlim, MD
- Cite practices that bring joy and compassion to the interactions with patients and colleagues.

Risk and Epidemiology of Travel - Johnnie Yates, MD
- Discuss travel itineraries in the context of low, medium and high-risk travel.  (KP and GeoSentinel).
- Counsel patients on risks of travel based on the patient’s specific itinerary.
- Compare to other travel related illness or injury: MVA and CV deaths and morbidity.
- Counsel patients on appropriate vaccines using number needed to treat.

A1 The High-Risk Traveler – HIV, Elderly & Immune Compromised - Bruno Lewin, MD
- Counsel patients and tailor recommendations for elderly and immunocompromised travelers.

A2 The Last-Minute Traveler - Johnnie Yates, MD
- Communicate to patients the benefits and downsides of vaccines and medicines on a short time scale.

A3 The Ill Returned Traveler:  D. Scott Smith, MD
- Recognize the common and less common illnesses in returned travelers.
-Use the most appropriate diagnostic approach for a returned traveler based on syndromic presentation.
-Distinguish among Dengue, Chikungunya and Zika infections.
-Identify mosquito patterns (biting behavior) and control strategies for new topical illnesses in the United States.

A4 Pregnancy and Pediatric Dilemmas in Travel Medicine - Randy Bergen, MD and Susan Reines, MD
- Define dosing and safety strategies for pediatric and pregnant travelers.
- Describe accelerated vaccines and timing (Hep A, MMR, JE, Hep B)

B1 High Risk Traveler – HIV, Elderly & Immune Compromised - Bruno Lewin, MD              
- Counsel patients and tailor recommendations for elderly and immunocompromised travelers.

B2 The Last-Minute Traveler - Johnny Yates, MD
- Analyze the benefits and downsides of vaccines and medicines on a short time scale
- Assess the value of offering a vaccine or not.
- Will malaria medicine work last minute?
- Evaluate the need for TD medications.

B3 Adventure Travel - Howard Backer, MD
- Advise travelers if they are healthy enough for routine travel or adventure travel.
- Cite the legalities of sign offs for safe travel.  Discuss options for insurance and repatriation (beyond KP coverage).

B4 Pregnancy and Pediatric Dilemmas in Travel Medicine - Randy Bergen, MD and Susan Reines, MD                     
- Define dosing and safety strategies for pediatric and pregnant travelers.
- Describe accelerated vaccines and timing (Hep A, MMR, JE, Hep B).

C1 Travel Dermatology - D. Scott Smith, MD & Johnnie Yates, MD
- Treat common travel related dermatologic conditions.
- Recognize “red flag” symptoms for more complex cases.
- Offer management strategies for treatment and prevention of these ailments.

C2 Water Purification - Howard Backer, MD                                                                                        
- Counsel patients on pros and cons of water purification options.

C3 Pandemic Preparedness: Health and Medical Response in CA, Karen Smith, MD
- Cite risks and examples of how travelers (with imported disease) influence response and readiness in CALIFORNIA and how we have responded to such threats (Zika, TB, SARS, Influenza).
C4 Anatomy of a Consult: Regional approaches - Jodi Longueil, PharmD and David Page, MD and Paul Thottingal, MD               
- Compare and contrast programmatic strategies for processing travel medicine patients in view of personnel (pharmacist, MD, RN); technology (software used, Travax, CDC, TropMed) appointment type (office visit, TAV, internet forms) costs (co-pays, vaccine or med charges) and quality measures (disease rates in returning travelers, patient satisfaction, appointment time, HCW happiness index).

New Uses for Old and New Vaccines – Bruno Lewin, MD and Randy Bergen, MD
- Recommend routine vaccines and offer additional vaccines based on destination.
- Explain how to use new vaccines or the modified schedules for their use (Shingrix, Prevnar 13, pediatric use of Hep A and Measles vaccines).

Emerging Infections -- Karen Smith, MD
- Employ best practices to respond to emerging infections.

Day 2:  Saturday, March 23, 2019

Disaster Relief focus on Preparation for Humanitarian Crisis - Raina Phillips, MD and Hernando Garzon, MD                        
- Outline a sound plan for both routine medical work abroad and disaster relief work abroad considering ethical interactions and proven needs-based assessments.
- Review KP examples of response to large scale emergencies (not capacity building) that are based on coordinated needs review.
- Cite the framework and key elements for creating a successful medical mission or disaster relief response.

Megacities and Global Changes in Public Health - Michelle Barry
- Cite the greatest threats for emerging and re-emerging diseases (human infrastructure and modes of transmission) and how this is managed on a public health level.

D1 Interactive Travel Medicine (ISTM) Basics - Jodi Longueil, PharmD and Johnnie Yates MD
- Solve simple travel medicine cases and update vaccines as well as triage complex travel medicine to the travel advisory service.
(NOTE: this will be interactive and participatory through the use of the Audience Response System (ARS) format).

D2 Immigrant Care / Case Based Challenges – Susan Reines, MD                              
- Evaluate and Manage nutritional deficiencies, tuberculosis, hepatitis, eosinophilia and cultural practices.
- Screen immigrants for common infections when coming from an area of high endemicity

D3 Yellow Fever, Stamaril Learnings - Randy Bergen, MD
- Update vaccine proper use and cautions and quantify risks

D4 Fitness to Fly & Medical Emergencies at 40,000 feet - Dennis Andrade, MD and Bruno Lewin, MD                                       
Describe criteria for “fitness to fly” with respect to:
a.  Time after surgery
b.  DVT risk
c.  The top 5 medical emergencies in the air: what YOU need to know before you tell the steward person you are a HCW.

E1 Interactive Travel Medicine (ISTM) Basics - Jodi Longueil, PharmD and Johnnie Yates MD
- Solve simple travel medicine cases and update vaccines as well as triage complex travel medicine to the travel advisory service.

E2 Immigrant Care / Case Base – Susan Reines, MD                                                                         
- Evaluate and Manage nutritional deficiencies, tuberculosis, hepatitis, eosinophilia and cultural practices.
-Screen immigrants for common infections when coming from an area of high endemicity.

E3 Yellow Fever Stamaril Learnings - Randy Bergen, MD                                               
- Update vaccine proper use and cautions and quantify risks

E4 Fitness to Fly & Medical Emergencies at 40,000 feet -- Dennis Andrade, MD and Bruno Lewin, MD                                      
- Describe criteria for “fitness to fly” with respect to:
a. Time after surgery
b. DVT risk
c. The top 5 medical emergencies in the air: what YOU need to know before you tell the steward person you are a HCW.

F1 Exotic Vaccines: Rabies and Japanese Encephalitis -- David Shlim, MD                              
- Recommend exotic vaccines based on risk and destination.

F2 Altitude & Environmental Medicine:  Howard Backer, MD
- Advice and counsel travelers about altitude, cold and heat exposure, scuba risks with travel and water safety.

F3 Ethics in the Practice of Global Health - Michelle Barry, MD                                                   
- Review cases and scenarios that illustrate ethical and sustainable global health practices.

F4 Anatomy of a Consult: Regional Approaches - Jodi Longueil, PharmD and David Page, MD and Paul Thottingal, MD               
- Employ strategies to process travel medicine patients in view of personnel type; technology available; appointment type; cost; and quality measures.

Malaria: The News in 2019 - D. Scott Smith, MD
- Describe malaria empiric treatment strategy (standby) for GH workers vs travelers.
- Outline proper primaquine use by re-defined territories of risk with updated guidelines.
- Cite special circumstances for malaria drug use: interactions with HIV drugs, anticoagulation, and pregnancy.
- Counsel and offer new (tafenoquine) malaria prophylaxis to patients at risk.

Travelers’ Diarrhea: New Guidance with Evidence - David Shlim, MD                      
- Evaluate risks and offer standby treatment of traveler’s diarrhea.
- Elucidate alternatives to TD antibiotics (bismuth, ORS, loperamide, etc.)

 

Accreditation Designation Statement
The Kaiser Permanente National CME Program is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Statement
The Kaiser Permanente National CME Program designates this live activity for a maximum of 12 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses and Physician Assistants – Attendees may report up to 12 hours toward continuing education requirements for license renewal. ‘CME’ can be written in lieu of the provider number on all licensure renewal applications.

Day 1: 6
Day 2: 6

Total: 12

Target Audience: Physicians, Physician Assistants, Nurse Practitioners, Pharmacists and Public Health Partners in the departments of: Dermatology, Emergency Medicine, Urgent Care, Family Medicine, Geriatrics, Internal Medicine including Subspecialties, Pedatrics and Pharmacists.

PERSONS WITH DISABILITIES
In compliance with the Americans with Disabilities Act, all reasonable efforts will be made to accommodate persons with disabilities at the meeting. If you have any special dietary or accommodation needs, please notify the meeting planner listed, prior to the symposium in the Department of Physician Education at (626) 405-4630 or tie-line 8-335-4630. This advance notice will help us serve you better.