CDC Technical Instructions: What Civil Surgeons in California Need to Know

Training Date: Thursday, June 17, 2021  [virtual training offered via Zoom]

Training Time: 9:00 AM - 2:00 PM Pacific Time. (All of our virtual trainings are in Pacific Time. If you are unsure about the time zone differences, please use the  Time Converter)

Cost:  There is no fee for this training

Credit: This training is approved for up to 5.0 continuing education hours (see below). Certificates will be available approximately 12 weeks after the training.

Target Audience: This training is intended for civil surgeons, and their medical staff in California, who complete medical examinations of applicants seeking to adjust their immigration status in the United States.

Training Goals: 

• Strengthen the capacity of civil surgeons in California to complete medical examinations of applicants seeking to adjust their immigration status in the United States
• Articulate the Centers for Disease Control's (CDC’s) TB Elimination goals and describe current progress in achieving TB elimination in the United States and in California
• Identify gaps in current TB prevention efforts and ways in which clinicians can contribute to TB elimination in California

Training Objectives: (partial list)

By the end of the training, participants will be able to:

• Discuss the immigration process and the medical examination of applicants seeking to adjust their immigration status in the United States, including the laws and policies governing the examination and CDC’s Technical Instructions for the Medical Examination of Aliens in the United States, which specify the examination requirements
• Explain the roles of civil surgeons, the CDC, USCIS, and the local health department in the medical clearance process for applicants seeking to adjust their immigration status in the United States
• Correctly and accurately complete the United States Citizenship and Immigration Services (USCIS) Form I-693, Report of Medical Examination and Vaccination Record 
• Describe the role of physicians, the CDC, and local health departments in the prevention and control of TB to benefit patients and communities in California
• Identify when, where, and how to refer applicants for LTBI follow-up for optimal treatment
• Describe the current recommended treatment options for latent tuberculosis infection (LTBI) and the advantages versus disadvantages, to inform appropriate use in clinical practice

Training Agenda: https://www.currytbcenter.ucsf.edu/sites/default/files/course-material/%5Bnid%5D/civil_surgeon_training_agenda_final_0.pdf

Training Format:  Includes didactic lectures, discussion, and case presentations.

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Presenters:

Laura Rakuljic
Adjudications Officer (Policy)
U.S. Citizenship and Immigration Services (USCIS)
Office of Policy and Strategy
Department of Homeland Security
Washington, DC

Drew Posey, MD, MPH
Team Leader
Medical Assessment and Policy Team  
Immigrant, Refugee, and Migrant Health Branch
Division of Global Migration and Quarantine
Centers for Disease Control and Prevention
Atlanta, GA

Joanna Regan, MD, MPH
Medical Officer
Medical Assessment and Policy Team  
Immigrant, Refugee, and Migrant Health Branch
Division of Global Migration and Quarantine
Centers for Disease Control and Prevention
Atlanta, GA

Varsha Hampole, MPH
Chief, TB Registry, Tuberculosis Control Branch
Division of Communicable Disease Control, Center for Infectious Diseases
California Department of Public Health
Richmond, CA

Pennan Barry, MD, MPH
Chief, Surveillance and Epidemiology
Tuberculosis Control Branch
California Department of Public Health
Richmond, CA

Chris Keh, MD
Public Health Medical Officer, Tuberculosis Control Branch
Division of Communicable Disease Control, Center for Infectious Diseases
California Department of Public Health
Richmond, CA

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The Curry International Tuberculosis Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. This training is approved for up to 5.0 continuing education hours.

The Curry International Tuberculosis Center designates this educational activity for a maximum of 5.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The Curry International Tuberculosis Center is approved as a provider of continuing education by the California State Board of Registered Nurses, Provider Number CEP 12308. This training is approved for up to 5.0 continuing education hours. Board requirements prevent us from offering CE credit to people who arrive more than 15 minutes after the start of the training, or leave the training early. Therefore, partial credit will not be awarded.

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The Curry International Tuberculosis Center is designated as a Tuberculosis Center of Excellence for Training, Education, and Medical Consultation (TB COE) via a funded cooperative agreement with the Centers for Disease Control and Prevention. The Curry International Tuberculosis Center prioritizes learners from the western region of the United States which consists of seventeen jurisdictions: Alaska, Arizona, California (including Los Angeles, San Diego, and San Francisco), Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming, and the U.S. Pacific Island Territories.

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*If you need any assistance, please email us at: CurryTBcenter@ucsf.edu.