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Live Programs
Moving on Mycoses: Issues in Prophylaxis
and Treatment of Invasive Fungal Infections
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Report Back to Audience
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Fourteen live regional dinner meetings were held in major cities across the nation over the
course of 2007. These educational programs presented the latest evidence-based perspectives
on the prevention, diagnosis and treatment of invasive fungal infections. Thank you to
everyone who participated in these activities for your attendance and feedback. Your
comments were greatly appreciated, and after tallying and analyzing the responses to
questions asked on the meeting evaluation forms, we are pleased to share the results
with you in this innovative report back to the audience.
_____________________________________
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| Program Overview |
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The MOVE on Mycoses live CME/CE programs were developed to meet the educational needs of physicians,
nurses, pharmacists and other health care professionals who care for immunosuppressed patients, work
in the field of transplantation, or are responsible for seriously ill, hospitalized patients,
especially those in the ICU. Each meeting featured a presentation by a leading expert in fungal
infections followed by a question and answer session, where a regional expert joined the discussion.
While the faculty presenters lent their expertise based on a broader, national level, the local
clinicians were able provide insight into regional issues that are associated with the management
and treatment of IFIs. These programs were planned and implemented in accordance with the Essential
Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME), ACPE, and ANCC.
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| Faculty |
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For overall planning faculty, click here to meet the Fungal Affairs Council.
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The program faculty consisted of nationally esteemed experts in the area of infectious diseases:
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| Pranatharthi H. Chandrasekar, MD |
Wayne State University School of Medicine |
| Richard H. Drew, PharmD |
Duke University School of Medicine |
| Carol A. Kauffman, MD |
University of Michigan |
| Michael E. Klepser, PharmD |
Ferris State University College of Pharmacy |
| James S. Lewis, PharmD |
University of Texas Health Science Center, San Antonio |
| Kieren A. Marr, MD |
Oregon Health and Science University |
| Alla Paskovaty, PharmD |
Memorial Sloan-Kettering Cancer Center |
| Thomas F. Patterson, MD |
University of Texas Health Science Center, San Antonio |
| Jack D. Sobel, MD |
Wayne State University School of Medicine |
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The program moderators were local experts in invasive fungal infections:
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| Richard B. Brown, MD |
Tufts University School of Medicine |
| Erin Callen, PharmD |
Southwestern Oklahoma State University |
| Noreen Chan-Tompkins, PharmD |
Allegheny General Hospital, Pittsburgh, PA |
| Gregory A. Filice, MD |
University of Minnesota |
| Jason C. Gallagher, PharmD |
Temple University School of Pharmacy |
| Debra A. Goff, PharmD |
Ohio State University Medical Center |
| Shellee A. Grim, PharmD |
University of Illinois at Chicago |
| Michael P. Habib, MD |
University of Arizona |
| Thomas V. McCaffrey, MD, PhD |
University of South Florida |
| Peggy S. McKinnon, PharmD |
Barnes-Jewish Hospital, St. Louis, MO |
| John Mohr, PharmD |
University of Texas Medical School at Houston |
| Kyle Weant, PharmD |
University of North Carolina |
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| Topics Discussed |
- Etiology and epidemiology of invasive fungal infections including the identification of important risk factors
- Prophylaxis, diagnosis and treatment of invasive fungal infections
- Pharmacological considerations in the selection of antifungal agents
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| Target Audience |
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This activity was designed to meet the needs of physicians, pharmacists,
nurses, and all healthcare professional who care for and who may be involved in the
diagnosis, management, and treatment of invasive fungal infections.
The American Academy of CME provided certification for physicians, pharmacists, and nurses.
If you attended a meeting and submitted your CME/CE materials but have not yet received credit,
please contact the Academy directly.
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| Learning Objectives |
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At the conclusion of each program, participants were better able to:
- Define risk factors associated with specific fungal pathogens likely to cause clinically significant infections in high-risk patients
- Recognize the barriers to timely diagnosis of invasive fungal infections (IFIs)
- Assess the current evidence for appropriate prophylaxis and empiric therapeutic strategies in the treatment of IFIs
- Evaluate the best evidence for the treatment of proven IFIs
- Explain the issues related to the selection of appropriate antifungal therapy including toxicities and relevant drug-drug interactions with concomitant therapies
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| Program Evaluation |
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Of those who filled out the evaluation forms, 88% rated the overall clinical relevance of the
program as 'Excellent' or 'Good.' Thirty-six percent indicated that they would change patient
care based on what they had learned during the program. When asked to what extent they were
committed to implementing this change, 96% responded either 'Very committed' or 'Committed.' When
asked how they intended to modify their practice performance, MOVE attendees had many
responses, with the most common being:
- Encourage treatment without delay
- Work with the lab to isolate cause of infection
- Apply information about the susceptibility of various agents
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| Barriers to Best Practices |
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One question on the evaluation form was "What barriers outside of your control have an impact on
patient outcomes?" Respondents were asked to review a list of potential barriers and check all
that applied. Here are the results:
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Lack of patient compliance/adherence |
21.7 % |
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Insurance/financial |
21.0 % |
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Adverse side effects of treatment |
17.7 % |
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Institutional |
14.8 % |
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Lack of practice guidelines |
12.9 % |
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Patient lack of knowledge regarding disease/treatment |
11.9 % |
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Participants' Learning Priorities
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Participants were asked to identify what CE/CME topics represent their highest learning priority.
Responses to this question were quite varied and were not restricted to the therapeutic area of
infectious diseases. More pharmacist and physician attendees listed MRSA, community-acquired MRSA,
and the epidemiology of community-acquired infections as their primary area of educational interest
than any other category or therapeutic area.
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Presentations
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We are pleased to offer you an extensive slide library set that was employed in this education
activity and includes the latest information on all aspects of invasive fungal infections.
To download a PDF of any of these slide libraries, please click on the icons below.
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Let Us Hear from You
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We are extremely pleased to share this Report Back to the Audience with you and hope that it
has served you well. If you have any feedback or would like to receive future cumulative
reports, we would like to hear from you. Also, if you have any suggestions or requests for
educational activities in the area of infectious diseases or any other therapeutic area, please
let us know. You can e-mail us at info@moveonmycoses.com.
We are always interested in the following:
- Topics for new educational activities
- New educational approaches
- Preferred methods for receiving education
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