TB Continuing Education for Civil Surgeons in NC

Hello again!

This week, I finished my practicum with the TB Control Program, a subset of the NC Department of Health and Human Services. My practicum was the last phase of a project called “Civil Surgeon Educational Survey and Evaluation on Latent TB Infection (LTBI) Diagnosis and Treatment.” The project focused on strengthening the partnership with the community to combat active tuberculosis by increasing treatment initiation and completion of latent tuberculosis infection for those at higher risk of LTBI.

A previous student completed the beginning phases of this project: she confirmed which civil surgeons in NC are active/practicing, created a database of civil surgeon contact information, and assessed current civil surgeon knowledge of TB, and gauged interest in a presentation focusing on the most updated information on TB and LTBI care. My part of the project was the creation of educational materials and the delivery of information to the civil surgeons.

There are about 65 practicing civil surgeons in North Carolina. To try to reach as many civil surgeons as possible, we held 3 webinar sessions over the course of the summer. We hoped that, even with summer schedules, this flexible format would appeal to most providers. Information about the webinars and how to sign-up was sent to each civil surgeon utilizing the previously created NC civil surgeon database.

Each webinar lasted about an hour and focused on the medical screening for tuberculosis among people applying for adjustment of status for US permanent residence. This process must be completed by a civil surgeon, and involves a medical exam, physical examination, and other diagnostic tests for TB/LTBI. I ran the presentation and was accompanied by nurse consultants for the TB Control program. The nurse consultants were able to answer any questions that the civil surgeons had in real time.

Feedback from the webinars was positive! Two civil surgeons noted that the presentation was a great overview of pertinent TB information. Although more than 12 civil surgeons expressed interest in attending one of the webinars, only 10 were able to attend (10 spread out between the 3 presentations). However, these 10 civil surgeons represented 6 different counties across the state. Additionally, when given a pre-webinar “knowledge-check” survey which tested baseline TB knowledge, the average score was 75%. After the webinar, when the same knowledge-check was administered, the average score increased to 96%.

Although it would have been wonderful to reach more civil surgeons, these providers are busy people providing direct care to patients! We were happy to reach as many as we did and strengthen the relationship between providers and the health department.

Thanks for reading!

– Audrey

Busby is Back

Hello!

I am back in North Carolina from Eldoret, Kenya! Wow, what an incredible experience. I was able to complete my practicum work, see the hospital system, and go on safari! It was so valuable to see how the health system in Kenya is different from the health system in North Carolina. Ultimately, I know that the work I did was meaningful and helpful to the people of Kenya. I was able to meet so many wonderful people and develop so many friendships along the way. I know that it wouldn’t have been possible without support from UNC.

In addition to the meaningful work, I was able to spend some time going for hikes at Kessup Falls, see the city of Eldoret and Umbrella Falls, attend seminars of how to attain a career in global health, see most of the Big 5 animals on safari, and learn how to navigate the rain forest and call in various birds!

It has been such an incredible summer to end my first year of MPH work. I am so excited to see what this next year will bring at Gillings.

All best wishes,

– Ken

Reflecting on my Internship at UNC-Chapel Hill’s Office of Emergency Management and Planning

Hi everyone! My name is John Shusko, and I am a Master of Public Health candidate on a Global Health track at the Gillings School of Global Public Health. I wrote a blog post at the beginning of my practicum, and now I wanted to discuss the closeout of my practicum and how the experience has benefitted my overall MPH.

This photo was taken at the State Emergency Operations Center in Raleigh – one of many important emergency management facilities I was able to tour during my internship!

I am completing my practicum at the UNC Office of Emergency Management and Planning (OEMP). I have had two main projects and a few smaller projects during my internship. My main project this summer has been to research frameworks for an end-of-year emergency management report that UNC-Chapel Hill can adopt in the future. I recently presented these findings via an oral presentation to the entire office, as well as representatives from Orange County Office of Emergency Management, and a few UNC officials.

My other main project has been looking at other partner institutions’ experiences with conducting a hazard assessment. I reached out to these schools via a Qualtrics survey I created and produced a report with my findings.

My two deliverables that I will present to the MPH Practicum team at Gillings will be the presentation from my first main project and the report/survey for my second main project.

Over the past 10 weeks, I have had the opportunity to shadow experienced emergency managers and other professionals in the field to understand how emergency management works at the University level. (The short answer: lots of teamwork, collaboration across departments, and ample training and planning during “blue sky” days). I have visited facilities both on and off campus that are essential to effective emergency management at our university and got to meet the essential personnel that staff these facilities. I was fortunate to tour the State of North Carolina’s Emergency Operations Center in Raleigh, and chatted with emergency managers for Orange County, among many people I met.

These relationships will continue well beyond my summer internship, and having this internship has introduced me to the field of emergency management that goes beyond the classroom. I am immensely grateful for the opportunity I have had and the people I have met and look forward to returning to my last year at Gillings in the fall!

– John Shusko