HEPATITIS B IN IMMIGRANT POPULATIONS:
CHALLENGING CASES IN PRIMARY CARE
Jointly presented by the Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing.
Supported by an educational grant from Bristol-Myers Squibb Company.
Hepatitis B virus (HBV) infection is one of the most common infectious diseases worldwide, with an estimated 350 million people chronically infected, many of whom reside in the developing world including the Asian-Pacific region, sub-Saharan Africa, parts of Eastern Europe, and the Middle East. Several studies show that the prevalence rates of HBV in some US areas can actually mirror those of highly endemic regions. Whereas Asian and Pacific Islanders are being screened fairly well for HBV markers in the United States, screening should be expanded to Middle Eastern and Eastern European populations. Furthermore, a better understanding of beliefs about HBV in refugee communities is critical when discussing the implications of test results with patients. This understanding will facilitate completion of immunizations and compliance with prevention strategies and long-term follow-up. Therefore, this case-based online monograph will provide a knowledge source for clinicians to learn the best practices for recognizing, managing, and improving outcomes for diverse cultures with HBV.
This educational activity will provide primary care physicians, nurses, nurse practitioners, and physician assistants with up-to-date information about the detection, prevention, and management of patients with HBV.
This activity is designed for primary care physicians, nurses, nurse practitioners, and physician assistants working with Asian and Pacific Islander, Middle Eastern, and African populations. No prerequisites required.
Upon the conclusion of this activity, participants will demonstrate the ability to:
- ASSESS populations at high risk for developing HBV to provide better comprehensive screening and management resources.
- FORMULATE population-specific interventions that will better articulate treatment goals to patients with chronic HBV infection to remove cultural barriers to care.
The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing take responsibility for the content, quality, and scientific integrity of this CME/CNE activity.
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 1.0 AMA PRA Category I Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
This 1.2 contact hour educational activity is provided by The Institute for Johns Hopkins Nursing. Claim only those contact hours actually spent in the activity. Contact hours will be awarded for this educational activity until February 15, 2013.
After reading this monograph, participants may receive credit or contact hours by completing the CME/CNE test, evaluation, and receiving a score of 70% or higher.
The estimated time to complete this activity: 1 hour.
Release date: February 15, 2011. Expiration date: February 15, 2013.
As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), it is the policy of the Johns Hopkins University School of Medicine Office of Continuing Medical Education (OCME) to require a signed disclosure of the existence of financial relationships with industry from any individual in a position to control the content of a CME activity sponsored by OCME. Members of the Planning Committee are required to disclose all relationships regardless of their relevance to the content of the activity. Speakers are required to disclose only those relationships that are relevant to their specific presentation.
It is the policy of The Institute for Johns Hopkins Nursing to require our continuing nursing education faculty and planning committee members to disclose any financial relationships with companies providing program funding or manufacturers of any commercial products discussed in the educational activity.
Ahmet Gurakar, MD, FACG (Co-Chair)
Associate Professor of Medicine
Division of Gastroenterology and Hepatology
Medical Director, Liver Transplantation
Johns Hopkins University School of Medicine
Susan L. Humphreys, RN, MS (Co-Chair)
Johns Hopkins Hospital Kidney Transplant Program
Comprehensive Transplant Center
Jane C. Shivnan, MScN, RN, AOCN (Nurse Planner)
The Institute for Johns Hopkins Nursing
Aijaz Ahmed, MD
Associate Professor of Medicine
Division of Hepatology
Stanford University Medical Center
Daryl Lau, MD, MSc, MPH
Associate Professor of Medicine
Harvard Medical School (HMS)
Director of Translational Liver Research
Beth Israel Deaconess Medical Center, HMS
Dr Gurakar reports receiving honoraria from Schering-Plough Corporation; serving as a consultant for Gilead; and for receiving other financial or material support from BMS for CME activities and mentoring of a fellow (received an award).
Dr Ahmed reports serving as an advisor for Bristol-Myers Squibb Company and Gilead.
Dr Lau reports receiving research grants from Bristol-Myers Squibb Company and a pending research grant from Gilead; and receiving research funding (medication supply only) from Roche Pharmaceuticals and Schering-Plough Corporation.
Dr Gurakar reports receiving honoraria from Schering-Plough Corporation; serving as a Principal Investigator for BMS; serving as a consultant and a regional Board Consultant for Gilead; and for receiving other financial or material support from BMS for CME activities and mentoring of a fellow (received an award).
No other planners have indicated that they have any financial interests or relationships with a commercial entity.
No faculty member has indicated that their content will include information on off-label products.
The Institute for Johns Hopkins Nursing and the American Nurses Credentialing Center do not endorse the use of any commercial products discussed or displayed in conjunction with this educational activity.
The opinions and recommendations expressed by faculty and other experts whose input is included in this activity are their own. This case-based online monograph is produced for educational purposes only. Use of Johns Hopkins University School of Medicine name implies review of educational format, design, and approach. Please review the complete prescribing information of specific drugs or combinations of drugs, including indications, contraindications, warnings, and adverse effects before administering pharmacologic therapy to patients.
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The mission of the Institute for Johns Hopkins Nursing is to share the innovations of Johns Hopkins Nursing in practice, education, and research—locally, nationally, and globally.
Our goal in continuing nursing education is to bring you activities that reflect the expertise and creativity of Johns Hopkins Nursing. Our service values are quality, integrity, flexibility, and personal attentiveness. We appreciate your thoughts and welcome your concerns—please feel free to e-mail us: IJHN@son.jhmi.edu.
Please note: This activity is for reference only as credit has expired.