Module 1: Transmission and Pathogenesis of Tuberculosis

This educational module is designed to provide basic information about tuberculosis (TB) in a self-study format for new TB Disease Intervention Specialists. After completion of this module, the staff will be able to:

•     Identify ways in which tuberculosis (TB) is spread; 

•     Describe the pathogenesis of TB;

•     Identify conditions that increase the risk of TB infection progressing to TB disease;

•     Define drug resistance; and

•     Describe the TB classification system.

Instructions:

  1. Please review the PowerPoint presentation “ The Epidemiology of Tuberculosis.” You can find the PowerPoint embedded on the course homepage (see below).
  2. Complete the quiz with a passing grade of 70% or higher.

Deadline: The course should be completed within the first 6 months of employment.

Additional Resources

Dental Care Coordination for People with Developmental Disabilities (recorded webinar)

Course Description

This session will provide dental providers and their support personnel with an understanding of dental care coordination in SF Bay area for people with special health care needs. Learners will learn about the barriers to effectively implementing care coordination for this vulnerable population. Learners will also learn about the existing lists of dental providers used by Child Health and Disability Prevention Program (CHDP). You will hear about the dental care coordination system used by the Alameda County Public Health Department, Office of Dental Health. The session will highlight some real-time stories from a wonderful parent of on self-advocate’s accessing dental care journey.

Roxana M. Lopez & Jake Lopez

Roxana Lopez is a Bilingual Case Manager at Support for Families. In her role she support other families with children with disabilities through information and education. She is also a mother of 3 wonderful boys. One with Autism and my other son has a Sensory Processing Disorder and Dyslexia. Her youngest son suffers from anxiety when attending any medical appointment. As parents they also face their own challenges. She has Fibromyalgia and her husband was born with a condition called congenital deformity of bilateral legs. They have overcome many challenges for their kids to start receiving dental care. They understand they still have long way to go, but with the support of dental providers that are willing to serve families like theirs she is hopeful that one day kids and adults with special needs will have the care they deserve.

May Bosco

May Bosco is a registered dental hygienist in Alternative Practice. She been in dentistry for over 20 years and practicing dental hygiene for 15 years. May completed registered dental hygienist in alternative practice (RDHAP) program at University of Pacific, in 2010. Since then, she has provided services to a wide spectrum of patients including patients with dementia, and intellectual disability. May also provides oral health training as Child Health and Disability Program dental hygienist with Department of Public Health. Her both personal and professional goal is to improve access to oral care for everyone.

Dr. Shakalpi Pendurkar

Dr. Shakalpi Pendurkar is the current Dental Health Administrator for Alameda County Public Health Department’s Office of Dental Health. Prior to joining us, Dr. Pendurkar provided leadership on oral health in two Bay Area counties. For over 19 years, Dr. Pendurkar has worked as Lead Supervising Dentist at Gardner Health Services, an FQHC in the heart of downtown San Jose. She is committed to improving access to care and the overall health of her patients and has successfully advocated for the fluoridation of San Jose’s drinking water. She is the Founder and Chair of the Collaborative for Oral Health and Chief Advisor to Santa Clara County Oral Health Program. She is part of Santa Clara County’s Coalition Against Sugar-Sweetened Beverages.

Dr. Karen Raju

 Dr. Karen Raju is a foreign-trained dentist from India who has credentialed with a Master of Public Health from the University of California, Berkeley, and received her residency certificate in Dental Public Health from the University of California, San Francisco (UCSF). She is passionate about identifying and addressing vulnerable and underserved communities’ oral and public health problems across the lifespan through education, research, and service. Her research work includes a critical appraisal of the available evidence on pregnant women, people with special health care needs, and older adults’ oral and public health issues. She has published and presented her work both at national and International platforms.

**Please fill out the evaluation after you have completed the course in order to receive CDE credits.

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Acknowledging Gender and Sex

In this course, built by the UCSF Center of Excellence for Transgender Health, participants will learn strategies to improve the overall health and well-being of transgender people.

DoxyPEP STI Prevention

Prevent Syphilis, Gonorrhea, and Chlamydia with taking doxycycline with 72 hours after sexual encounter. 

Learning Objectives:

  1. Describe the findings of the DoxyPEP study
  2. Be aware of key considerations for implementing DoxyPEP in clinical practice
  3. Describe at least one way the local health department can support integration of HIV and STI prevention

Geriatric Dentistry for People with Developmental Disabilities (recorded webinar)

Speakers:

Dr. Elisa Chavez

Dr. Chávez is a Professor in the Department of Diagnostic Sciences at the Arthur A. Dugoni School of Dentistry, San Francisco. She graduated from The University of California San Francisco, School of Dentistry and earned her certificate in Geriatric Dentistry from The University of Michigan, Ann Arbor. She has practiced in private, community health, long-term care and hospital settings and PACE (Program of All-Inclusive Care for the Elderly) serving frail, older adults in the San Francisco Bay Area. She is also the Director of the Pacific Center for Equity in Oral Health Care at the Dugoni School of Dentistry.

Dr. Elisa Ghezzi

Elisa M. Ghezzi, DDS, PhD, FGSA, has practiced geriatric dentistry for over 25 years providing dental care for residents of assisted living facilities in Michigan.  She is an Adjunct Clinical Assistant Professor in the Department of Cariology, Restorative Sciences, and Endodontics at the University of Michigan (UM) School of Dentistry.  She received her DDS from UM, completed a General Practice Residency at the Veterans Administration Medical Center in Minneapolis, MN, trained in a geriatric dentistry fellowship at UM, and obtained both an MS in Clinical Research Design and Statistical Analysis and a PhD in Epidemiology from UM School of Public Health.  Dr. Ghezzi serves as the past chair of the Michigan Coalition for Oral Health for the Aging and is a member of the Healthy Aging Committee of the Association for State and Territorial Dental Directors, and the Oral Health Workgroup of the Gerontological Society of America.  Her research has focused on the effects of oral diseases on systemic health.  She has written and lectured extensively on the topic of oral health care for older adults and persons with dementia. 

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SFDPH Communicable Disease Control Unit

This course contains eight lessons that together provide a fundamental overview of the SFDPH Communicable Disease Control Unit. Lessons do not need to be taken in sequence, though all are recommended as content for this course. All of the modules conclude with a Knowledge Check you must complete and pass to receive credit. Knowledge Checks can be taken more than once. To learn more about the CDCU, please visit our website at https://www.sfcdcp.org/communicable-disease/.

Lesson Overview:

Communicable Disease Control:

This lesson provides the general framework and responsibilities of Communicable Disease Control. The lesson should take about 30 minutes to complete.

Important Terminology Used in Communicable Disease:

This lesson provides critical terms used in Communicable Disease Control. Terminology is sourced from the Control of Communicable Diseases Manual (2016). The lesson should take about 30 minutes to complete.

Testing Methods for Communicable Diseases:

This lesson provides an overview of testing methods for communicable diseases. An orientation to types of tests and test results are reviewed. The lesson provides information about genomic sequencing, specimen management, and some common terms related to test results. The lesson should take about 15 minutes to complete.

CDCU Officer of the Day and Clinical Consultation:

This lesson provides training for DCIs and RNs regarding the CDCU Officer of the Day (OD). The lesson should take about 45 minutes to complete.

  • Overview and Responsibilities of Officer of the Day
  • Procedures for Managing Common Calls to Officer of the Day
  • Consultation Guidance
  • CD Nurse of the Day Proposal

Communicable Disease Control: Vector-Borne Diseases:

This lesson provides a brief overview of Vector-Borne Diseases (VBD), defined as infectious diseases of animals and humans caused by pathogenic agents transmitted by arthropod vectors. The lesson should take about 25 minutes to complete.

Importance of Public Health Investigations of Enteric Infections:

This lesson provides an overview of the importance of public health investigations of enteric infections. It should take about 30 minutes to complete.

  • Enteric infections, common enteric infections reported to CDCU, and actions taken by CDCU in response
  • Information about testing and specimen management
  • Sensitive occupations and situations
  • CDCU protocols for enteric infections

SFDPH Communicable Disease Control Training: Animal Bites and Rabies:

This lesson provides SFDPH Communicable Disease Control training on animal bites. Specifically, the lesson gives information on CDCU’s role in supporting the prevention of rabies after animal exposure. There is information on epidemiology, testing, transmission, symptoms, PREP and PEP. The lesson should take about 45 minutes to complete.

Public Health Investigation of Vaccine Preventable Diseases:

This lesson provides an overview of the public health investigation of vaccine preventable diseases. The lesson includes VPD reports, determinations made, test results, interviewing, exposures and outbreaks, and a summary of actions for VPDs when working in CDCU. The lesson should take about 15 minutes to complete.

Diagnosis, Preventive, and Restorative Treatment for Patients with Special Health Care Needs (recorded webinar)

Course Description

This session will provide dental providers, and their support personnel with a skill set in diagnosing and delivering preventive and restorative dental treatment in traditional dental settings for Children and Youth with Special Health Care Needs across their lifespan. 

Learning Objectives

  • Learn from a self-advocate’s experience accessing specialized dental care.
  • Understand barriers to delivering required dental services to CYSHCN across their lifespan in traditional dental settings and approaches to addressing them.
  • Learn how to accommodate special needs while delivering preventive and restorative dental services in a traditional dental office.
  • Learn ways to promote a happy clinical environment and prevent physical restraints for CYSHCN.

Speakers

Kathleen Moralez

Kathleen Moralez was born and raised in Montana. She completed her dental assistant training in Arkansas, where she became DANB certified in 1992. In addition to life experience, her dental assisting training includes sedation dentistry, emergency medical response, and advanced life support. She is also proficient in American Sign Language. Prior to working in Arizona for the last 28 years, she worked in Montana, Texas, and Oregon. Her current primary role is Senior Dental Assistant in the Dr. Rick Workman Advanced Care Clinic at The Center for Advanced Oral Health at A.T. Still University’s Arizona School of Dentistry & Oral Health. Mrs. Moralez has received her National Emergency Medical Technician (EMT) certification. For the last thirteen years, her passion has been helping patients with special needs. Kathy is the mother of two sons with autism, ages 13 and 31. Her personal and professional experiences have helped her discover her professional calling: working with patients who have special needs and complex medical conditions. She hopes to inspire and guide others in better understanding and working with this underserved population.

Dr. Mai-Ly Duong

Mai-Ly (My-Lee) received her Doctor of Dental Medicine (DMD) and Masters in Public Health (MPH) from A.T. Still University. She completed a Masters in Education (MAEd) with a dental emphasis from the University of the Pacific. She serves as a full-time Associate Professor and Director of Special Care Dentistry at the Arizona School of Dentistry and Oral Health The Center for Advanced Oral Health. She works to support students, residents, and faculty treating individuals with special needs and complex medical conditions. She also works as a part-time associate dentist at Sundance Dental Care.

She completed a certificate in Advanced Education in General Dentistry from New York University Langone Medical Center. This program evolved her clinical skills to include CADCAM (Computer Aided Design Computer Aided Manufacturing), sedation dentistry, and advanced periodontal and oral surgery.

Dr. Maureen Perry

Dr. Maureen Perry is a Professor and Director of the Center for Advanced Oral Health at A.T. Still University, Arizona School of Dentistry & Oral Health (ASDOH). She completed a 3-year hospital training program focused on treating patients with medically complex conditions, behavioral health issues, and developmental disabilities Dr. Perry is a fellow of the Academy of Dentistry for Persons with Disabilities and is a diplomate of the American Board of Special Care Dentistry. She is a past president of the Special Care Dental Association and has served as a U.S. council member for the International Association for Disability & Oral Health.

Dr. Perry has had a 25-year career both practicing and teaching special care dentistry with a particular interest in working with patients with developmental disabilities. She has conducted research on oral health-related quality of life for people with developmental disabilities and education in special care dentistry, as well as lectured and published at the national and international levels. Her professional service includes the editorial boards of both the Special Care in Dentistry Journal and the Journal of Disability and Oral Health. In addition, she has served as a subject matter expert in special care dentistry for the US Navy (USNS Comfort Hospital Ship), the Hamad HealthCare Corporation of Qatar, and the Republic of Ireland.

**Please fill out the evaluation after you have completed the course in order to receive CDE credits.

Limiting Architectural Barriers in Dental Office Design for Patients with SHCN (recorded webinar)

Course Description

This session will provide dental providers and their support personnel with a comprehensive demonstration of designing and implementing dental offices using an oral health equity lens with an example of the Oral Health Center for People with Disabilities at New York University and Canada. It will also help the learners understand how to design and implement a patient-friendly dental practice for people with physical, developmental, and cognitive disabilities from a San Francisco Dentist’s perspective.

Learning Objectives

  • Learn from a parent-advocate’s experience accessing specialized dental care for her kid.
  • Learn about a multi-disciplinary approach to the design process including the architect and equipment designers. As well as the design of a multisensory room utilizing other schools within the university.
  • Learn how to design a dental practice that caters to patients with physical, developmental, and cognitive disabilities who often run into obstacles when trying to access dental care.
  • Understand barriers to designing dental offices using an oral health equity lens effectively.
  • Learn ways to implement a patient-friendly atmosphere in dental clinics effectively.

**Please fill out the evaluation after you have completed the course in order to receive CDE credits.

Doreen Bestolarides

Doreen is a parent and professional advocate with over three decades of hospital nursing experience, with a focus in critical care. She has dedicated the direction of her nursing career, by developing a nursing role, to better serve hospitalized patients with Developmental Disabilities. She has continued that advocacy in her personal life to not only be a resource and educator in her own community, but to pursue her vision on the national stage through organizations such as DDNA- Developmental Disabilities Nurses Association, on the Practice Committee, defining Nursing practice standards; AADMD – American Academy of Developmental Medicine and Dentistry Board member and also serving as a Board member for ADHC- Alliance for Disability in Healthcare Education. She is the 2021/2022 recipient of the AADMD Family Advocacy Award. She retired from the hospital in 2020.

Dr. Alison Sigal

Dr. Alison Sigal graduated from McMaster University with an Honours degree in Kinesiology before attending the University of Toronto, Faculty of Dentistry where she earned her Doctor of Dental Surgery and Masters of Science Degree with Specialty training in Pediatric Dentistry. Between programs, she completed a hospital-based residency at Mount Sinai Hospital (Toronto).

She is currently practicing in Milton, ON at Little Bird Pediatric Dentistry, which she opened in 2017 to provide comprehensive airway centric oral care to all children from birth onwards and persons with special needs of all ages. Dr. Sigal designed and built Little Bird with sensory integration at the forefront and the goal of bringing the natural rejuvenating outdoors, inside. It is a clinic that feels more like home as opposed to a traditional medical environment. In addition to the provision of patient care, Little Bird is focused on multidisciplinary collaboration, research, educating and training.

She continues to serve as a dental consultant to Special Olympics Ontario – “Healthy Smiles” initiative, and as a clinical director overseeing volunteers provide dental screenings of athletes at Special Olympics events. 

Dr. David Rothman

Dr. David Rothman is a Board Certified Pediatric Dentist in private practice in San Francisco and Associate Clinical Professor at Case Western Reserve University and Medical College of Virginia.  He completed residencies in General Practice at Albert Einstein Medical Center in Philadelphia, Anesthesia at the Medical College of Pennsylvania and Pediatric Dentistry at Children’s Hospital Oakland and UCSF. He is past Chair of Pediatric Dentistry at the University of the Pacific and has been President of the College of Diplomates of the American Board of Pediatric Dentistry and the California Society of Pediatric Dentistry. He is President of the American Dental Society of Anesthesiology.  He is a member of OKU, Pierre Fauchard, ICD and ACD as well as a Fellow of the American Academy of Pediatric Dentistry.  He recently was guest editor of 2 issues of the Journal of the California Dental Association on Safety in the Dental Office and chaired the CDA CoVid 19 Clinical Care Workgroup subcommittee on Protocols, Guidance and Training. He lectures and publishes nationally and internationally on pediatric dentistry, safety, anesthesia and sedation.

Laura Sussman

Laura Sussman is a New York based architect with 10 years of experience in design for higher education institutions and healthcare facilities. She a graduate of the Rhode Island School of Design where she received a BFA in interior architecture, and of the University of Pennsylvania where she received a masters in Architecture. As an Associate Principle of Education, Science, and Advanced Technology at HDR, she is passionate about helping institutions create spaces that foster learning, patient comfort, and design equality. Her work has been featured in various publications, most recently winning the gold award in Healthcare Design Magazine for the Oral Health Center for People with Disabilities project with NYU College of Dentistry.

Dr. Ronald Kosinski

Dr. Ron comes to us from Long Island where he was the Chief and Program Director a the Steven and Alexandra Cohen Children’s Medical Center in New Hyde Park, NY. Dr. Kosinski left the Children’s Medical Center in 2014 and moved to NYU College of Dentistry where he assumed the title of Director of sedation and Anesthesia .. In 2018 Dr. Kosinski was named Clinical Director of the Oral Health Center for People w Disabilities. Dr Kosinski was instrumental in its design and implementation.

Dr. Kosinski has maintained a private practice for over twenty-five years. Dr. Kosinski is both a pediatric dentist as well as an anesthesiologist. Dr. Kosinski loves what he does and is excited to have a presence in Manhattan.

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Sexual Health & Sex Positivity Workshop

Facilitator: Joshua Oneal

In this workshop participants will explore sexual health topics through the lens of sex positivity and harm reduction. Participants in this workshop will define sexual health and unpack how their own relationship with sex and sexuality impacts their ability to connect with and support others. In addition we will discuss sexual health disparities and best practices in combating these disparities through counseling, education and prevention efforts.

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Community Health Leadership Initiative Welcome Meeting

Facilitator: Terrance Walker & Katie Faulkner

The CHLI Welcome Orientation serves as a brief overview of the CHLI Training and mentorship program. It provides background information on the program objectives, expectations, as well as participants and mentors responsibilities.