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| Title: “A Comprehensive Review of the 2009-2010 Recommendations for Influenza Vaccination in Infants, Children, Adolescents, and Adults”
| | | AAPA Release Date: December 14, 2009 | | | AAPA Expiration Date: December 31, 2010 | | Note: CME credit cannot be awarded after this date | | | Presented by: The American Academy of Physician Assistants | | | Funding: Supported through educational grants from Novartis Vaccines and Diagnostics | |
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“A Comprehensive Review of the 2009-2010 Recommendations for Influenza Vaccination in Infants, Children, Adolescents, and Adults”
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Clinical Dialogue
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eCase Challenge
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Clinical Dialogues are engaging, video-based roundtable discussions focusing
on new guidelines, recent publications, and hot topics in patient management. In
tandem with the clinically-focused eCase Challenge, this educational activity
creates a complete learning experience.
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eCase Challenges are interactive, text-based case studies designed to integrate
the educational objectives into day-to-day clinical practice. The video
"Clinical Pearl" summarizes key clinical aspects of this activity.
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“A Comprehensive Review of the 2009-2010 Recommendations
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for Seasonal and H1N1 Influenza Vaccination in
Infants, Children, Adolescents, and Adults”
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Thank you for taking a moment to review and hopefully participate in a pre-survey for this educational program titled, “A Comprehensive Review of the 2009-2010 Recommendations for Seasonal and H1N1 Influenza Vaccination in Infants, Children, Adolescents, and Adults.” Pre- and post-survey tools are utilized to help the AAPA assess the effectiveness of this educational activity. In order for these tools to be effective however, participants must agree to complete both the pre- and post-survey. The post-survey will be emailed directly to you approximately 90 days from the time you complete the Clinical Dialogue and/or eCase Challenge program. Your responses will be aggregated with others to generate an overall evaluation of this educational program. No personal data will be provided to any party.
Thank you in advance for agreeing to participate in this very important exercise.
Some of the questions in both the pre- and post-surveys will require you to reflect on your understanding of the recommendations for vaccination against influenza in infants, children, adolescents, and adults, the products you are using or have used, and your vaccination activities during either the current or previous influenza vaccine season.
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Thank you for participating in the pre-survey for this educational program. Please enter your contact details below and click the 'Submit' button to participate in the post-survey, which will be sent via email approximately 90 days following your completion of this program.
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© 2009 American Academy of Physician Assistants. All rights reserved.
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Faculty
| Lawrence Herman, MPA, RPA-C, DFAAPA
Physician Assistant
Academic Coordinator
Assistant Professor
Department of Physician Assistant Studies
New York Institute of Technology
Old Westbury, NY
Vice President, Medical Education
Island Medical Physicians, PC
Hauppauge, NY
Mr. Herman is an Assistant Professor (with tenure) and Academic Coordinator in the Department of Physician Assistant Studies at New York Institute of Technology, New York College of Osteopathic Medicine affiliation in Old Westbury. He is also Vice President of Medical Education and Senior PA at Island Medical Physicians PC, in Hauppauge, New York, where he sees patients and is responsible for setting all of the practice guidelines for a large, multi-office family practice group.
He received a master of public administration in health administration and health system finance from Long Island University in Brookville, New York. He was certified by the National Commission on Certification of Physician Assistants, with special distinction in both surgery and primary care and remains certified in primary care.As a Distinguished Fellow of the American Academy of Physician Assistants, Mr. Herman has served and chaired numerous AAPA committees as well as being a Past-President of the New York State Society of Physician Assistants. He has contributed numerous book chapters to the literature and has published over 30 peer-reviewed articles. He has participated in several clinical pharmaceutical trials and continues to be an invited speaker at international and national meetings. He is the 2009 recipient of the New York State Society of Physician Assistants Educator of the Year, the 2009 New York Institute of Technology Annual Scholars Award for significant publication scholarship activities, the 2008 Standard of Excellence Award for providing the highest level of research and scholarship, and the 2006 and 2008 Department of Physician Assistant Studies Educator of the Year award. | Nancy E. Dirubbo, BSN, FNP-C, WHNP-C, FAANP
Family and Women's Health Nurse Practitioner
Laconia Women's Health Center
Laconia, New Hampshire
Nancy E. Dirubbo is the founder and director of the Laconia Women's Health Center which is one of the oldest Nurse Practitioner owned and operated primary care practices in the United States today. In 2007 she started Travel Health of New Hampshire, a clinic providing counseling and immunizations for international travelers. She is a past president of the NH Nurse Practitioner Association and was directly involved in the legislative initiatives that resulted in direct third party reimbursement and prescriptive practice for NP's in New Hampshire in the 1980's. Ms. Dirubbo has lectured nationally and internationally on topics concerning women's health, practice management and travel health. She is widely published and wrote a regular column, Business Building, for the Nurse Practitioner Journal for many years. She is a fellow of the American Academy of Nurse Practitioners. In 1998 she was featured on the television program "60 Minutes". She currently serves as the President of the Board of Directors at Community Health and Hospice. Ms. Dirubbo received her FNP certificate from Northeastern University, her nursing diploma from Children's Hospital School of Nursing in Boston and her BSN from the State University of New York. | |
© 2009 American Academy of Physician Assistants. All rights reserved.
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| | Title: “A Comprehensive Review of the 2009-2010 Recommendations for Influenza Vaccination in Infants, Children, Adolescents, and Adults” | | AAPA Release Date: December 14, 2009 | | | | AAPA Expiration Date: December 31, 2010 | | Note: CME credit cannot be awarded after this date | | | Presented by: The American Academy of Physician Assistants | | | Funding: Supported through educational grants from Novartis Vaccines and Diagnostics | | | Program Overview | This CME activity will educate and inform physician assistants (PAs) about the most current CDC/ACIP recommendations regarding vaccination practices regarding seasonal influenza vaccine and novel H1N1 atypical influenza vaccine. The online Clinical Dialogue consists of 25-minute expert conversation wherein experienced health care providers share their knowledge and clinical insights. Through the case-based eCase Challenge learners participate in an educational activity designed to mirror an everyday patient care scenario, reinforcing the key concepts presented during the Clinical Dialogue for quick assimilation in the primary care setting. | | References | - Dawood FS, Jain S, Finelli L, et al. Emergence of a novel swine influenza A virus (H1N1) in humans. N. Engl J Med 2009;360:2605-15.
- Shinde V, Bridges CB, Uyeki TM et al. Triple-Reassortant Swine Influenza A (H1) in Humans in the United States, 2005–2009. N. Engl J Med 2009;360:2616-25.
- Fiore AE, Shay DK, Broder, K, et al. Prevention and control of seasonal influenza with vaccines. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR 2009;58(RR-8):1-56.
- CDC. Serum Cross-Reactive Antibody Response to a Novel Influenza A (H1N1) Virus After Vaccination with Seasonal Influenza Vaccine. MMWR 2009;58:521-4.
- CDC. Update on Influenza A (H1N1) 2009 monovalent vaccine. MMWR 2009;58;39:1100-1101.
- CDC. Use of Influenza A (H1N1) 2009 monovalent vaccine – Recommendations of the advisory committee on immunization practices, 2009. MMWR Recomm Rep 2009;58(RR-10):1-8.
- Herman LM, Gerbert DA, Larson LW, et al. Vaccines, thimerosal, and neurodevelopmental outcomes. Hypertension. J Am Acad Physician Assistants 2006;19:16-18.
- US Food and Drug Administration. Thimerosal in vaccines. Available at: http://www.fda.gov/BiologicsBloodVaccines/SafetyAvailability/VaccineSafety/UCM096228. Updated 11/06/2009; Accessed 11/11/2009.
- CDC: Updated interim recommendations for the use of antiviral medications in the treatment and prevention of influenza for the 2009-2010 season. Available at: http://www.cdc.gov/H1N1flu/recommendations.htm. Updated 10/16/2009; Accessed 11/13/2009.
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Faculty
| | Lawrence Herman, MPA, RPA-C, DFAAPA Physician Assistant Academic Coordinator Assistant Professor Department of Physician Assistant Studies New York Institute of Technology Old Westbury, NY Vice President, Medical Education Island Medical Physicians, PC Hauppauge, NY | | | Nancy E. Dirubbo, BSN, FNP-C, WHNP-C, FAANP Family and Women's Health Nurse Practitioner Laconia Women's Health Center Laconia, New Hampshire | | | Intended Audience | | Physician Assistants | | |
Clinical Dialogue Program Description
| | Clinical Dialogues are 15-20 minute video-based moderated discussions featuring leading experts and are designed to engage the users and deliver the most up-to-date educationally relevant program possible. The interactive ‘give-and-take’ format of these programs provides for lively discussions that distill topics into clinically-pertinent ‘need to know’ information which users may immediately apply to clinical practice. This Internet-based CME activity includes an optional pre-and post-survey, a CME post-test and program evaluation (feedback). CME credit will be awarded to those achieving a grade of 70% or higher on the post-test. | | |
eCase Challenge Program Description
| | eCase Challenges are 20 minute text-based case programs where PAs are presented with challenging case scenarios and are asked to make patient management decisions. At the conclusion of each case, there is a Clinical Pearl video that the participant can view which highlights the key take away messages from each program. This Internet-based CME activity includes an optional pre-and post-survey, a CME post-test and program evaluation (feedback). CME credit will be awarded to those achieving a grade of 70% or higher on the post-test. | | | Educational Objectives | |
At the conclusion of this activity, the physician assistant should be better able to:
| - Characterize the epidemiology of both the seasonal influenza viruses and the novel H1N1 Influenza virus.
- Describe the clinical features, diagnostic challenges, and treatment options for influenza viruses especially in the era of rapidly evolving resistance among certain strains to antivirals.
- Explain current recommendations and benefits of vaccination for seasonal influenza as well as novel H1N1 influenza virus, as this new vaccine becomes available and recommendations for use are released.
| | | Accreditation Statements |  | | Each program in this initiative has been reviewed and is approved for a maximum of 0.5 hour of AAPA Category 1 CME credit by the Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity. This program was planned in accordance with the AAPA’s CME Standards for Enduring Material Programs and for Commercial Support of Enduring Material Programs. Approval is valid for one year from the issue date of December 14, 2009. Participants may submit the self-assessment at any time during that period. | | |
Responsibility Statement
| | The American Academy of Physician Assistants takes responsibility for the content, quality, and scientific integrity of this CME activity. | | | Faculty Disclosures | | It is the policy of the American Academy of Physician Assistants to require the disclosure of the existence of any significant financial interest or any other relationship a faculty member has with the commercial interest of any commercial product discussed in an educational presentation. The participating faculty reported the following: | | LAWRENCE HERMAN, MPA, RPA-C, DFAAPA reports that he has no relationship with any commercial interests whose products or services may be mentioned during this presentation.
| | NANCY E. DIRUBBO, BSN, FNP-C, WHNP-C, FAANP reports that she has been on the Speaker's Bureau for GlaxoSmithKline
| | | Off-Label Discussion | | There are no references to unlabelled/unapproved uses of products in this program. | | Disclaimer | | The opinions and comments expressed by faculty and other experts, whose input is included in this program, are their own. This enduring material is produced for educational purposes only. Please review complete prescribing information of specific drugs mentioned in this program including indications, contraindications, warnings, and adverse effects and dosage before administering to patients. | | |
Archived Presentation
| | The Clinical Dialogue and eCase Challenge will be archived for clinicians. CME credits will be provided by the AAPA from December 14, 2009 through December 31, 2010 for physician assistants at www.AAPA.org. | | | Obtaining CME Credits | | Upon completion of your participation in the program, physician assistants will be directed to www.AAPA.org to complete a post-test and receive your certificates. | | | Successful completion of the self-assessment by physician assistants is required to earn Category 1.0 CME credit. Successful completion is defined as a cumulative score of at least 70% correct. Upon successful completion of the post-test, the AAPA will issue a certificate of completion for your records. | | |
Technical Requirements
| | Processor Speed: 1.4 GHz P3 | | Memory: 256 MB RAM (20MB available) | | Operating Systems Supported: Windows 2000/XP, MAC | | Browsers Supported: Internet Explorer 5.5 or greater, Mozilla Firefox and Safari 3.525 or greater | |
Additional Requirements: Flash player 8.0 or greater, 800x600 Resolution or higher with 32-bit color
| | Connection Speed: 128 Kbps or better | | Adobe Acrobat 6.0 or greater | | | Sponsored by the American Academy of Physician Assistants | 
| Supported through an educational grant from Novartis Vaccines and Diagnostics
| | Produced by: |  | | |
© 2009 American Academy of Physician Assistants. All rights reserved.
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| “A Comprehensive Review of the 2009-2010 Recommendations for Influenza Vaccination in Infants, Children, Adolescents, and Adults” | | |
At any point in which the video is playing you can return to the Main Menu by clicking the "Back To Main Menu" button.
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You can submit your Feedback by clicking on the Feedback button above.
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Technical Requirements
| | PC
| Processor Speed: 1.4 GHz P3 Memory: 256 MB RAM (20MB available) Operating Systems Supported: Windows 2000/XP, MAC Browsers Supported: Internet Explorer 5.5 or greater, Mozilla Firefox and Safari 3.525 or greater
Additional Requirements: Flash player 8.0 or greater, 800x600 Resolution or higher with 32-bit color
Connection Speed: 128 Kbps or better Adobe Acrobat 6.0 or greater
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MAC
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Processor Speed: G4 processor or higher
Memory: 256 MB RAM Operating Systems Supported: OSX Browsers Supported: IE for Mac, Mozilla Firefox and Safari 3.525 or greater
Additional Requirements: Flash player 8.0 or greater
800x600 Resolution or Higher with 32-bit color.
Connection Speed: 128Kbps or better Adobe Acrobat Reader 6.0 or greater
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Can I watch the program without a broadband connection?
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Yes, but your connection speed may be very slow and the quality may suffer. The setting to which the player is set for the video is auto-detected when you first launch the player.
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| | © 2009 Medical Logix, LLC
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IN ACCORDANCE WITH AAPA POLICY, PRIOR TO PARTICIPATING IN THIS ACTIVITY PLEASE REVIEW THE INFORMATION BELOW. YOU MAY LAUNCH THIS PROGRAM AT THE BOTTOM OF THIS PAGE.
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| | Title: “A Comprehensive Review of the 2009-2010 Recommendations for Influenza Vaccination in Infants, Children, Adolescents, and Adults” | | AAPA Release Date: December 14, 2009 | | | | AAPA Expiration Date: December 31, 2010 | | Note: CME credit cannot be awarded after this date | | | Presented by: The American Academy of Physician Assistants | | | Funding: Supported through educational grants from Novartis Vaccines and Diagnostics | | | Program Overview | This CME activity will educate and inform physician assistants (PAs) about the most current CDC/ACIP recommendations regarding vaccination practices regarding seasonal influenza vaccine and novel H1N1 atypical influenza vaccine. The online Clinical Dialogue consists of 25-minute expert conversation wherein experienced health care providers share their knowledge and clinical insights. Through the case-based eCase Challenge learners participate in an educational activity designed to mirror an everyday patient care scenario, reinforcing the key concepts presented during the Clinical Dialogue for quick assimilation in the primary care setting. | | References | - Dawood FS, Jain S, Finelli L, et al. Emergence of a novel swine influenza A virus (H1N1) in humans. N. Engl J Med 2009;360:2605-15.
- Shinde V, Bridges CB, Uyeki TM et al. Triple-Reassortant Swine Influenza A (H1) in Humans in the United States, 2005–2009. N. Engl J Med 2009;360:2616-25.
- Fiore AE, Shay DK, Broder, K, et al. Prevention and control of seasonal influenza with vaccines. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR 2009;58(RR-8):1-56.
- CDC. Serum Cross-Reactive Antibody Response to a Novel Influenza A (H1N1) Virus After Vaccination with Seasonal Influenza Vaccine. MMWR 2009;58:521-4.
- CDC. Update on Influenza A (H1N1) 2009 monovalent vaccine. MMWR 2009;58;39:1100-1101.
- CDC. Use of Influenza A (H1N1) 2009 monovalent vaccine – Recommendations of the advisory committee on immunization practices, 2009. MMWR Recomm Rep 2009;58(RR-10):1-8.
- Herman LM, Gerbert DA, Larson LW, et al. Vaccines, thimerosal, and neurodevelopmental outcomes. Hypertension. J Am Acad Physician Assistants 2006;19:16-18.
- US Food and Drug Administration. Thimerosal in vaccines. Available at: http://www.fda.gov/BiologicsBloodVaccines/SafetyAvailability/VaccineSafety/UCM096228. Updated 11/06/2009; Accessed 11/11/2009.
- CDC: Updated interim recommendations for the use of antiviral medications in the treatment and prevention of influenza for the 2009-2010 season. Available at: http://www.cdc.gov/H1N1flu/recommendations.htm. Updated 10/16/2009; Accessed 11/13/2009.
| | |
Faculty
| | Lawrence Herman, MPA, RPA-C, DFAAPA Physician Assistant Academic Coordinator Assistant Professor Department of Physician Assistant Studies New York Institute of Technology Old Westbury, NY Vice President, Medical Education Island Medical Physicians, PC Hauppauge, NY | | | Nancy E. Dirubbo, BSN, FNP-C, WHNP-C, FAANP Family and Women's Health Nurse Practitioner Laconia Women's Health Center Laconia, New Hampshire | | | Intended Audience | | Physician Assistants | | |
Clinical Dialogue Program Description
| | Clinical Dialogues are 15-20 minute video-based moderated discussions featuring leading experts and are designed to engage the users and deliver the most up-to-date educationally relevant program possible. The interactive ‘give-and-take’ format of these programs provides for lively discussions that distill topics into clinically-pertinent ‘need to know’ information which users may immediately apply to clinical practice. This Internet-based CME activity includes an optional pre-and post-survey, a CME post-test and program evaluation (feedback). CME credit will be awarded to those achieving a grade of 70% or higher on the post-test. | | |
eCase Challenge Program Description
| | eCase Challenges are 20 minute text-based case programs where PAs are presented with challenging case scenarios and are asked to make patient management decisions. At the conclusion of each case, there is a Clinical Pearl video that the participant can view which highlights the key take away messages from each program. This Internet-based CME activity includes an optional pre-and post-survey, a CME post-test and program evaluation (feedback). CME credit will be awarded to those achieving a grade of 70% or higher on the post-test. | | | Educational Objectives | |
At the conclusion of this activity, the physician assistant should be better able to:
| - Characterize the epidemiology of both the seasonal influenza viruses and the novel H1N1 Influenza virus.
- Describe the clinical features, diagnostic challenges, and treatment options for influenza viruses especially in the era of rapidly evolving resistance among certain strains to antivirals.
- Explain current recommendations and benefits of vaccination for seasonal influenza as well as novel H1N1 influenza virus, as this new vaccine becomes available and recommendations for use are released.
| | | Accreditation Statements |  | | Each program in this initiative has been reviewed and is approved for a maximum of 0.5 hour of AAPA Category 1 CME credit by the Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity. This program was planned in accordance with the AAPA’s CME Standards for Enduring Material Programs and for Commercial Support of Enduring Material Programs. Approval is valid for one year from the issue date of December 14, 2009. Participants may submit the self-assessment at any time during that period. | | |
Responsibility Statement
| | The American Academy of Physician Assistants takes responsibility for the content, quality, and scientific integrity of this CME activity. | | | Faculty Disclosures | | It is the policy of the American Academy of Physician Assistants to require the disclosure of the existence of any significant financial interest or any other relationship a faculty member has with the commercial interest of any commercial product discussed in an educational presentation. The participating faculty reported the following: | | LAWRENCE HERMAN, MPA, RPA-C, DFAAPA reports that he has no relationship with any commercial interests whose products or services may be mentioned during this presentation.
| | NANCY E. DIRUBBO, BSN, FNP-C, WHNP-C, FAANP reports that she has been on the Speaker's Bureau for GlaxoSmithKline
| | | Off-Label Discussion | | There are no references to unlabelled/unapproved uses of products in this program. | | Disclaimer | | The opinions and comments expressed by faculty and other experts, whose input is included in this program, are their own. This enduring material is produced for educational purposes only. Please review complete prescribing information of specific drugs mentioned in this program including indications, contraindications, warnings, and adverse effects and dosage before administering to patients. | | |
Archived Presentation
| | The Clinical Dialogue and eCase Challenge will be archived for clinicians. CME credits will be provided by the AAPA from December 14, 2009 through December 31, 2010 for physician assistants at www.AAPA.org. | | | Obtaining CME Credits | | Upon completion of your participation in the program, physician assistants will be directed to www.AAPA.org to complete a post-test and receive your certificates. | | | Successful completion of the self-assessment by physician assistants is required to earn Category 1.0 CME credit. Successful completion is defined as a cumulative score of at least 70% correct. Upon successful completion of the post-test, the AAPA will issue a certificate of completion for your records. | | |
Technical Requirements
| | Processor Speed: 1.4 GHz P3 | | Memory: 256 MB RAM (20MB available) | | Operating Systems Supported: Windows 2000/XP, MAC | | Browsers Supported: Internet Explorer 5.5 or greater, Mozilla Firefox and Safari 3.525 or greater | |
Additional Requirements: Flash player 8.0 or greater, 800x600 Resolution or higher with 32-bit color
| | Connection Speed: 128 Kbps or better | | Adobe Acrobat 6.0 or greater | | | Sponsored by the American Academy of Physician Assistants |  | | | Supported through an educational grant from Novartis Vaccines and Diagnostics | | | Produced by: |  | | |
© 2009 American Academy of Physician Assistants. All rights reserved.
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