Technical Instructions on TB & Immunizations: What Civil Surgeons in Los Angeles Need to Know

Recordings and Training Materials:

YouTube playlist is available here: 

https://www.youtube.com/playlist?list=PLWC7cRLwcHsGDYVRjGYlbOob4_fCxzhrJ

The training materials, including PDF handouts of the PowerPoint slides, are located here.

Please note:  This presentation contains information about the treatment of latent tuberculosis infection (LTBI). It was produced prior to the release of updated guidelines from the CDC in February 2020.  For the most current guidance available regarding LTBI treatment, please see: Guidelines for the Treatment of Latent Tuberculosis Infection: Recommendations from the National Tuberculosis Controllers Association and CDC, 2020

CME and CE units are not being offered for this recording and there is no participant evaluation.

Technical Instructions on TB & Immunizations, 1 of 6 [Chang, Shin] - Epidemiology of Tuberculosis in Los Angeles County

Remote video URL

Technical Instructions on TB & Immunizations, 2 of 6 [Brown-Frei, Larson] - The Role of the Civil Surgeon

Remote video URL

Technical Instructions on TB & Immunizations, 3 of 6 [Naughton] - Tuberculosis and Form I-693

Remote video URL

Technical Instructions on TB & Immunizations, 4 of 6 [Shah] - Risk Factors, Treatment and New Tools   

Remote video URL

Technical Instructions on TB & Immunizations, 5 of 6 [Chang] - Tuberculosis Reporting and Referrals in Los Angeles County 

Remote video URL

Technical Instructions on TB & Immunizations, 6 of 6 [Naughton] - Vaccination Requirements and Form I-693

Target Audience: This training is intended for Civil Surgeons in Los Angeles County who complete medical examinations of applicants seeking to adjust their immigration status in the United States.  

Training Goals: 

• Articulate the CDC’s TB Elimination goal and describe current progress in achieving TB elimination in the United States and in Los Angeles County
• Identify gaps in current TB prevention efforts and ways in which clinicians can contribute to TB elimination in Los Angeles County

Training Objectives: 

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, including the TB and Immunization sections of the form
• Describe the role of physicians, the CDC, and local health departments in the prevention and control of TB to benefit patients and communities in Los Angeles
• Discuss pros and cons of the tuberculin skin test (TST) versus the interferon-gamma release assay (IGRA) and their application to different risk groups, to improve application in clinical practice  
• 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
• Understand the differences between vaccinating the general population and vaccinating applicants seeking to adjust their immigration status in the United States

 Faculty:

    Roselyn Brown-Frei
    Adjudications Officer (Policy) 
    USCIS, Office of Policy and Strategy
    Department of Homeland Security
    Washington, DC

    Alicia Chang, MD, MS
    Acting TB Controller 
    Tuberculosis Control Program 
    Los Angeles County Department of Public Health
    Los Angeles, CA

    Mary Naughton, MD, MPH
    Captain, U.S. Public Health Service
    Senior Medical Officer    
    Immigrant, Refugee, and Migrant Health Branch
    Division of Global Migration and Quarantine
    Centers for Disease Control and Prevention
    Atlanta, GA

    Neha Shah, MD, MPH
    Commander, US Public Health Service
    Centers for Disease Control and Prevention
    California Department of Public Health
    Richmond, CA

    Sanghyuk Shin, PhD
    Assistant Professor
    Department of Epidemiology
    Fielding School of Public Health, UCLA
    Los Angeles, CA

 

Training Format:

Includes didactic lectures, discussion and case presentations.

 

The Curry International Tuberculosis Center designates this educational activity for a maximum of 4.5 AMA PRA Category 1 Credit(s)TM. 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 4.5 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.

The Curry International Tuberculosis Center is designated as a Regional Tuberculosis Training and Medical Consultation Center (RTMCC) 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 thirteen jurisdictions: Alaska, California (including Los Angeles, San Diego, and San Francisco), Colorado, Hawaii, Idaho, Nevada, Oregon, Utah, Washington, and the U.S. Pacific Island Territories.

Important:
In order for your application to be successfully submitted click the Apply button.