The National STD Curriculum Official Launch Webinar

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The National STD Curriculum Official Launch Webinar David Spach, M.D. Professor of Medicine, Division of Infectious Diseases University of Washington Introductions By: Jami Fraze, PhD, NNPTC Project Officer Gail Bolan, MD, DSTDP Division Director January 25, 2018

PROVIDERS ARE PIVOTAL Gail Bolan, MD Director, Division of STD Prevention Centers for Disease Control and Prevention Visit: https://www.cdc.gov/std/default.htm

2018 STD PREVENTION C NFERENCE Call for Abstracts OPEN through Feb. 16, 2018 intersecting epidemics, integrated solutions https://www.cdc.gov/stdconference/2018/abstracts.htm

Centers for Disease Control and Prevention Resources STD Treatment Guidelines Visit: www.cdc.gov/std/tg2015 /default.htm FREE STD Treatment Guidelines App (Apple and Android)

National Network of STD Clinical Prevention Training Centers (NNPTC) Resources Visit: www.nnptc.org Clinical Training and Consultation Network Visit: www.stdccn.org. Resources and tools for STD treatment STD Clinical Toolbox App

National STD Curriculum David H. Spach, MD Professor of Medicine Division of Infectious Diseases University of Washington January 25, 2018 Disclosures: NONE

Objectives Provide an overview of the National STD Curriculum web site How to optimize use of the curriculum Explain administration functions (register, track progress, CE) Summarize 1 Year site data Describe future activities on site

This project is funded by a grant from the Centers for Disease Control and Prevention

National STD Curriculum: Acknowledgments Editors - David Spach - Jeanne Marrazzo - Christine Johnston - Kimberly Workowski Technology Team - Andrew Karpenko - Kenton Unruh Project Management - Bruce Maeder - Julia Freimund - Mary Annese - Karin Bauer CDC Division of STD Prevention - Diane Ballard - Roxanne Barrow - Gail Bolan - Jami Fraze - Jennifer Fuld - Suzanne Haecker - Sheila McKenzie - Rachel Powell - Salina Smith Continuing Education Partners - CME at UAB - CNE at UW School of Nursing Funding Source: Centers for Disease Control and Prevention

National STD Curriculum: Acknowledgments Additional Authors - Elfriede A. Agyemang - Lindley A. Barbee - William M. Geisler - Seth R. Glassman - Andrew W. Hahn - Rebecca G. Kinney - Laura A. Quilter Additional Reviewers - Khalil G. Ghanem - Margaret R. Hammerschlag - Katherine Hsu - Hillary Liss - Ina Park - Nicholas Van Wagoner Note: most of the authors and reviewers are part of the National Network of STD Clinical Prevention Training Centers Funding Source: Centers for Disease Control and Prevention

NATIONAL STD CURRICULUM Site Overview

To access the National STD Curriculum go to: www.std.uw.edu

National STD Curriculum: Features Interactive self-paced on-line learning and assessment tool Free CNE and CME credits Expert, up-to-date content consistent with CDC guidelines Free module-by-module certificate program Group functionality Intended audience: Medical Professionals

Site Overview STD Modules

STD Modules: Dual Functionality Self-Study Sequential (Step-by-Step) Flexible modular options Certificate program Ideal for training programs Quick Reference Highly organized interface Quick search On demand topics Ideal for staying updated

Check on Learning (optional)

Sample Illustrations on Web Site Illustrations by Jared Travnicek and David Ehlert, Cognition Studio

Site Overview Question Bank

Site Overview Links to Other National Network of STD Clinical Prevention Training Centers

LINK to: STD Clinical Consultation Provided by the STD Clinical Consultation Network

www.stdccn.org

www.nnptc.org

Synergy of Three CDC-Funded STD Programs National Network of STD Clinical Prevention Training Centers National STD Curriculum STD Clinical Consultation Network

Site Overview Master Bibliography

More than 1200 STD-related references

Accounts, Tracking Progress, and CE

3 2 1

National STD Curriculum Learning Groups Director/Administrator/Leader

1 2 3 4 5 6 7

1 2 3 4 5 6 7

NATIONAL STD CURRICULUM 1 Year Data

National STD Curriculum Number of Registered Users by Month 2,000 Through January 24, 2018 Number of Registered Users 1,500 1,000 500 814 1,245 764 834 619 752 547 1,077 855 1,524 928 1,511 0 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan 2017 2018

National STD Curriculum Cumulative Number of Registered Users Through January 24, 2018 Cumulative Number of Registered Users 12,500 10,000 7,500 5,000 2,500 2,059 2,823 3,657 4,276 5,028 5,575 6,652 7,507 9,031 9,959 11,470 0 814 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan 2017 2018

National STD Curriculum Running Sum of Modules + Question Bank Completed Modules plus Question Bank Completed 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5,000 6,370 9,183 12,397 14,681 17,843 19,909 23,096 27,595 31,027 33,690 36,961 0 2,575 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan 2017 2018

Through January 24, 2018 National STD Curriculum Running Sum Continuing Education Credits (CNE + CME) 40,000 Continuing Education Credits Awarded 35,000 30,000 25,000 20,000 15,000 10,000 5,000 5,336 7,587 10,488 12,581 15,358 17,169 20,731 23,825 26,851 29,185 32,329 0 2,247 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan 2017 2018

Check on Learning Activity in Self Study Modules Check on Learning Activity in Self-Study Modules Title of Module # Questions # Participants # Answers Chlamydia 12 6,986 72,046 Gonorrhea 10 5,182 46,814 Herpes Simplex Virus 9 4,426 35,995 Human Papillomavirus 10 3,873 34,856 PID 10 3,292 29,973 Syphilis 10 3,578 31,072 Vaginitis 13 3,726 43,035 TOTAL 74 293,791

National STD Curriculum Registered Users by Zip Code

National STD Curriculum Registered Users by Zip Code STD Curriculum Registered Users CT Rate by county GC Rate by county Syphilis Rate by county

NATIONAL STD CURRICULUM Future Developments for Curriculum

National STD Curriculum Expansion of Question Bank STD Treatment Guidelines Learning and Assessment Tool

National STD Curriculum: STD Case Studies Revision Tentative Planned Topics Routine STD history and examination Genital ulcer Cervicitis Vaginal discharge Urethritis/Urethral discharge Proctitis Testicular swelling and pain Evaluation and management of acute HIV

National STD Curriculum Clinical Challenges/Expert Opinions Expert opinions for challenging cases Expert opinions for controversial topics

National STD Curriculum Power Point Slide Decks

Primary and Secondary Syphilis Rates of Reported Cases by Age and Sex, U.S., 2016 Men Primary and Secondary Syphilis Rate (per 100,000 population) Women 50 40 30 20 10 0 Age Group 0 10 20 30 40 50 0.1 10-14 0.1 8.9 15-19 3.3 37.9 20-24 6.7 48.5 25-29 5.6 35.0 30-34 4.3 26.8 35-39 3.0 19.4 40-44 1.9 17.3 45-54 1.2 6.8 55-64 0.4 1.3 65+ 65+ 0.0 15.6 Total 1.9 Source: CDC. Sexually Transmitted Disease Surveillance 2016. Syphilis.

Syphilis Reported Cases of Congenital Infection, United States, 1941 2016 20,000 800 Congenital Syphilis Cases 17,500 15,000 12,500 10,000 7,500 5,000 2,500 Syphilis Congenital Cases Syphilis Congenital Rate 700 600 500 400 300 200 100 Congenital Syphilis Rate (per 100,000 population) 0 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 Year 0 Source: CDC. Sexually Transmitted Disease Surveillance 2016. Syphilis.

Tube Dilution with Syphilis RRP Testing 0.9%Saline 0.5 ml Serum 0.5 ml 0.5 ml 0.5 ml 0.5 ml 0.5 ml etc. 1:1 1:2 1:4 1:8 1:16 1:32

Sample Syphilis VDRL Titer Changes 2-fold Decrease Example 1 1:1 1:2 1:4 1:8 1:16 1:32 1:64 1:128 1:256 1:512 2 1 4-fold Decrease Example 2 1:1 1:2 1:4 1:8 1:16 1:32 1:64 1:128 1:256 1:512 2 1 8-fold Decrease Example 3 1:1 1:2 1:4 1:8 1:16 1:32 1:64 1:128 1:256 1:512 2 1

National STD Curriculum Long-Range Plans: Learning Platform/Portfolio STD Modules Self Study Question Bank Case Studies Clinical Challenges Power Point Slide Decks

Visit the National STD Curriculum at: www.std.uw.edu Questions? Use chat box