Treatment of Upper Respiratory Tract Illnesses 2015 PCN CME Module 1 This activity is only available to UC Davis Primary Care Physicians and other UC Davis health care providers as staff development and at no charge to learners. CME activity released: April 22, 2015 Expires: April 22, 2017 _______________________________________________________________________________ Needs Assessment: This module has been prepared for the primary care physicians who provide primary care to adults and children within the UC Davis Primary Care Network to enhance their knowledge and awareness of treatment guidelines of common upper respiratory tract illnesses. Target Audience For a variety of reasons, a PCN CME module did not come out in the first quarter of 2015, so two will be available in the second quarter. The first module's topic was selected due to three parts of the Pay For Performance program (P4P) in which we can improve. The first is Avoidance of Antibiotic Treatment for the Adults with Acute Bronchitis. The percentage of adults 18–64 years of age with a diagnosis of acute bronchitis who were not dispensed an antibiotic prescription. A higher rate indicates appropriate treatment of adults with acute bronchitis (i.e., the proportion for whom antibiotics were not prescribed). Our UCDMC results a 20% rate with the goal being 40-80%. The second is Appropriate Testing for Children with Pharyngitis The percentage of children 2–18 years of age who were diagnosed with pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode. A higher rate represents better performance (i.e., appropriate testing). Our UCDMC results are at the 75%tile but could improve. The third is newer so there is no results graph on Appropriate Treatment of Children with Upper Respiratory Infection. However, other audits have shown antibiotics are inappropriately prescribed as they are with acute bronchitis. The percentage of children 3 months–18 years of age who were given a diagnosis of upper respiratory infection (URI) and were not dispensed an antibiotic prescription. A higher rate indicates appropriate treatment of children with URI (i.e., the proportion for whom antibiotics were not prescribed). The information for this module comes from UpToDate as well as CDC summary sheets designed for clinicians. The acute bronchitis module applies to both adults and pediatrics. Objectives: After reading the course material, participants should be able to: 1. Describe the recommended evaluation and treatment of acute pharyngitis. 2. Discuss why antibiotics are not needed for viral respiratory illnesses. 3. Describe the presentation and diagnosis of cough illness/chest cold/acute bronchitis and discuss when treatment does and does not include antibiotics. _______________________________________________________________________________ This internet enduring material consisting of: Articles from the CDC and UpToDate (in a PDF format). Activity will take approximately 2 hours to complete.
CME credit is obtained upon reviewing articles, submitting the online evaluation and successfully passing the test. An electronic CME certificate will be available after requirements are completed. FOR THIS ACTIVITY - ONCE YOU PASS YOUR TEST THE RESULTS WILL SHOW ON PAGE 2 OF YOUR CERTIFICATE Method of participation: 1. Read articles specific for your track (Adult or Pediatric/Adolescent) 2. Complete the test (must pass with 80% - only 3 attempts allowed) 3. Complete the evaluation 4. Certificate will generate after passing test and evaluations are completed Activity Material The articles are in a PDF format or if you are on an UCDHS internal computer you can access UpToDate ™. To review the "UpToDate" articles online, log in on the "UpToDate" website. "UpToDate" online is only available to use by UC Davis staff and faculty.
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Accreditation The University of California, Davis Health System is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Physician Credit: The University of California, Davis Health System designates this educational activity for a maximum of 2.0 AMA PRA Category 1 Credits ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AMA PRA Category 1 CreditsTM acceptable for multidisciplinary team members
Nurse: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™ (report hours of credit and fill in “CME Category 1” for the provider number).
Physician Assistant: The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification.
_______________________________________________________________________________ Disclosures of Relevant Financial Relationships No relevant financial relationships with commercial interests:
FACULTY Kevin Tracy, M.D. Kurt Slapnik, M.D.