DSFH-REC Program. Web page proposal By. Ayman Khater, MD, FCCP Program director

DSFH-REC Program Web page proposal By Ayman Khater, MD, FCCP Program director

Respiratory Educator Certificate Upcoming Courses The career The program Certification Recertification Our partners Resources Contact Us Program Approved and endorsed by The Canadian Network for Respiratory Care (CNRC)

Upcoming Courses Date: 22/9/2012 to 8/10/2012 Saturday to Thursday 5-9 pm Venue Xxxx auditorium, dr. Fakeeh hospital complete address Registration Opening ceremony Evaluation Faculty 40 CME hours Previous courses Sponsors Platinum Gold Silver

Respiratory Patient Education: The career Patient Education Chronic Respiratory Disorders Respiratory Educators Health Economic perspective Future career opportunities Reference: Khater A. Medicine News Today No. 368; published at DSFH internal email on Tuesday, March 13, 2012

Program Information Background Why take it? Outcomes Modules Format Evaluation Academic concerns Disclaimer DSF-REC Program

Certification Course Attendance Certificate DSFH-Respiratory Educator Certificate CNRC-Certified Educator Certificate

Our Partners CNRC SCHS DSFH Respiratory Educator Course (September 2012) was approved by the Saudi commission for Health Specialties for 40 CE hours according to

Resources Education Asthma COPD Spirometry Smoking Cessation Oxygen therapy and mechanical ventilation Pulmonary Rehabilitation Sleep apnea Respiratory Infection Control Tuberculosis CNRC KEY RESOURCES FOR 2012 CAE & CRE EXAMS http://cnrchome.net/pdfs/cnrc%20key%20resources%20for%202012% 20CAE%20&%20CRE%20EXAMS.pdf

Contact Us Scientific advisory: Ayman Khater, MD, FCCP Consultant Respirologist, DSFH Director, DSFH-REC Program Email: ayman.khater@drfakeehhospital.com Tel: 6655000 (ext. 1589) Registration and administrative assistance: Myrna Alday Department of Academic and teaching Affairs Address: hospital address

Registration page Link to registration page or just email box to Myrna

Opening Ceremony Dear students, guests and tutors, You are all invited to attend the opening ceremony of our 1 st respiratory Educator Course on Saturday September 22, 2012 @ 3:30 pm Venue: Ibn Cina. Program: 3:30 4:00 pm: Meet and greet / Refreshments 4:00 4:10 pm: Welcome by Director ATA 4:10 4:20 pm: Welcome by Director General 4:20 4:30 pm: Welcome by CNRC representative 4:30 4:50 pm: Introduction to the course by Program Director 5:00 pm: Start of classes Admission with ID cards (Student, Tutor and Guest)

Guest Tutors Renata Rea DSFH Tutors Ayman Khater Bassant Hamad Hassan Aref Huda Ahmad Mohamad Barzanji Shybi Faculty

Previous Courses

Platinum sponsors Name and logo of company

Gold sponsors Name and logo of company

Silver sponsor Name and logo of company

Patient Education For patients with chronic disease, there is growing interest in "self-management" programs that emphasize the patients' central role in managing their illness. Efforts to improve health by increasing patient knowledge alone were rarely successful. So, we have recently witnessed a shift from traditional approaches of patient education to a focus on patient-centered perspectives, self-efficacy, and empowerment. Thus, behaviorally-oriented programs, often with special attention to changing the environment in which patients care for themselves, were consistently more successful at improving the clinical course of chronic disease 3. Patient education is defined as the process of influencing patient behavior and producing the changes in knowledge, attitudes and skills necessary to maintain or improve health. To provide effective patient education, not only theoretical knowledge but also practical skills have to be mastered. Skills include ascertaining patients' educational needs, identifying barriers to learning, implementing motivational interviewing methodology and using appropriate education approaches based on specific learning styles 4. Reference: Khater A. Medicine News Today No. 368; published at DSFH internal email on Tuesday, March 13, 2012

Chronic Respiratory Disorders Chronic respiratory patients constitute a big proportion of patients attending health care facilities all over the world. Asthma, COPD and Tuberculosis are common respiratory diseases encountered in daily medical practice. Asthma affects more than 2 million Saudi of which only 5% are considered controlled 1. The prevalence of COPD is 14.2% while smoking prevalence in the adult Saudi population is 35% in males and 4.7% in females 2. Prevalence of tuberculosis in Saudi Arabia is 24 per 100 thousands population according to 2010 WHO statistics. Reference: Khater A. Medicine News Today No. 368; published at DSFH internal email on Tuesday, March 13, 2012

Respiratory Educators Unfortunately, physicians seldom have the time to provide effective and comprehensive patient education. Certification of health care professionals as patient educators in various disease entities (e.g. Asthma, COPD, Diabetes, etc) is becoming a well recognized health care practice. National organizations, mostly in North America and Australia, have evolved to standardize the educator career through credentialing educators, conducting certifying exams, and approving and setting learning objectives for educational programs. Examples of organizations credentialing respiratory educators are Canadian Network for Respiratory Care, National Asthma Educator Certification Board in US, and Australian Asthma & Respiratory Educators Association. Reference: Khater A. Medicine News Today No. 368; published at DSFH internal email on Tuesday, March 13, 2012

Health Economic perspective A randomized clinical trial demonstrated the potential of selfmanagement to improve health status and reduce health care utilization in patients with chronic diseases. At 1 year, participants in the program experienced statistically significant improvements in health behaviors (exercise, cognitive symptom management, and communication with physicians), self-efficacy, and health status (fatigue, shortness of breath, pain, depression, and health distress) and had fewer visits to the emergency department 3. A Norwegian study showed that education of COPD patients improved outcomes and reduced costs in a 12-month follow-up. The need for GP visits decreased by 85% and 73% of patients were independent of their GP during the 12-month follow-up, compared with 15% in the no-education group. Patient education also reduced the need for reliever medication from 290 to 125 daily dosages and reduced total costs from 19,900 Norwegian Kroner to 10,600 per patient. For every Kroner put into patient education, there was a saving of 4.8 Kroner 5. Similar results were also reported for asthma education 6, 7 and Diabetes education 8, 9 Reference: Khater A. Medicine News Today No. 368; published at DSFH internal email on Tuesday, March 13, 2012

Future career opportunities Health care professionals of different disciplines seek certification as respiratory educators either to; pursue a career in patient education or to broaden the scope of their current practice as pharmacists, nurses, respiratory therapists, physicians, etc. Reference: Khater A. Medicine News Today No. 368; published at DSFH internal email on Tuesday, March 13, 2012

Program Information PROGRAM: Dr. Soliman Fakeeh Hospital Respiratory Educator Certificate (DSFH-REC) Post-Graduate Certificate PRE-REQUISITE(S): A (minimal) 2 year degree in a recognized healthcare profession (Nursing, pharmacy, respiratory therapy, physiotherapy, medical doctor, etc.); plus A minimum of one year past experience in working with patients at a recognized health care facility. PRE-REQUISITE FOR: Certification as a Respiratory Educator HOURS: 60 Hours (20 practical + 40 didactic) Approval and Endorsement Canadian Network for Respiratory Care Saudi commission for health specialties

Program Background This postgraduate certificate program is designed to provide graduates of health related programs a framework for understanding the up to date disease background and educational theory and process required for health education of patients with respiratory diseases including asthma, chronic obstructive pulmonary diseases, and tuberculosis. Theoretical knowledge, hands on experience and patient interactions will help students develop the skills necessary to council patients regarding disease background, inhaler use, oxygen therapy, smoking cessation, respiratory infection control, pulmonary rehabilitation and other topics. This program is a pre-requisite for certification as a Respiratory Educator at DSF Hospital and for certification by the Canadian Network for Respiratory Care.

Why take the program? A unique learning experience leading to a new career Accredited by the Canadian Network for Respiratory Care (CNRC) Qualifies you to sit for the Canadian certification exam 40 CME hours from Saudi Commission for Health Specialties

Program Outcomes There are both cognitive and performance outcomes of the program. They are based on the Saudi and international guidelines on the modules included. Click here for a PDF file showing the list of the outcomes.

Program Modules 1. Education 2. Asthma 3. COPD 4. Smoking cessation 5. Spirometry 6. Pulmonary rehabilitation 7. O2 therapy and mechanical ventilation 8. Sleep apnea 9. Tuberculosis 10. Respiratory Infection control

Course Format Live course to be held once or twice a year Tutors: physicians, pharmacist, nurse, respiratory therapist Usual Format: 4h per day Intensive Format: 8h per day Didactic (40h) Practical (20h) hands on workshops Field visits: sleep lab, TB testing, spirometry lab Methods of teaching: Brain storming, Case studies, Video clips, demonstration/return demonstration, Role playing, Patient interaction session, etc.

Course Evaluation* Type of assessment Topics Description Weightin g Quizzes Patient Interaction Modules 1-10 Councelling: Smoking TB Asthma COPD Inhaler technique Oxygen therapy 10 quizzes, 2% each $ 20% 4 evaluations 5% each 20% Final Exam # All topics Written exm. $ 60% * Dates, times and locations for tests and evaluations will be declared early enough before the start of the program. # only for those aiming at getting certified as Respiratory educator by DSFH $ Quizzes and final exam may consist of short answer, multiple-choice, fill in the blank, matching and or any combination of the above formats.

Academic concerns Any student having an academic concern or questioning an academic decision should first discuss the matter directly with their tutor. If the issue cannot be resolved then to be discussed with the program director.

Disclaimer While every effort is made by faculty to cover all material listed in the outline, the order, content, and/or evaluation may change in the event of special circumstances (such as time constraints due to inclement weather, sickness, venue closure, and technology/equipment problems or changes). In any such case, students will be given appropriate notification in writing, with approval from the program director and DSFH management.

Course Attendance Certificate Will receive an attendance Certificate Plus 40 CME hours from SCFHS Must: hold a degree or diploma in a recognized healthcare profession Have a scope of practice that includes counselling patients have satisfactorily completed the DSFH respiratory educator program

DSFH-Respiratory Educator Certificate Will receive an attendance Certificate Plus 40 CME hours from SCFHS Plus recognition as Certified Educator from DSFH Must: hold a degree or diploma in a recognized healthcare profession Have a scope of practice that includes counselling patients have satisfactorily completed the DSFH respiratory educator program Have successfully passed DSFH-REC certifying exam

CNRC-Certified Educator Certificate Will receive an attendance Certificate Plus 40 CME hours from SCFHS Plus recognition as Certified Educator from CNRC Must: Hold a degree or diploma in a recognized healthcare profession Have a scope of practice that includes counselling patients Have satisfactorily completed the DSFH respiratory educator program Have successfully passed CNRC certifying exam

Re-certification Re-certification is required every 5 years. The candidate should : Submit a record of activities that lists at least 500 hours in respiratory education experience or Re-write the Examination

Resources: Education Canadian Network for Asthma Care. Respiratory Educator Guide. 2007

Resources: Asthma Saudi thoracic Society. Saudi Initiative for Asthma. Accessed online at http://www.saudithoracic.org/admin/uploads/annthoracmed44216-6909208_015509.pdf Global Initiative for Asthma website: http://www.ginasthma.com/ Canadian Thoracic Society Respiratory Guidelines Website http://www.respiratoryguidelines.ca/guideline/asthma 2010 CTS Guideline - Asthma Management Continuum Consensus Summary for children six years of age and over, and adults http://www.respiratoryguidelines.ca/canadian-thoracicsociety-asthma-management-continuum-%e2%80%93-2010-consensus-summary-forchildren-six-year Asthma & Epidemiology, Etiology & Risk Factors http://www.cmaj.ca/cgi/reprint/181/9/e181?maxtoshow=&hits=10&resultformat=1&and orexacttitle=and&titleabstract=asthma&andorexacttitleabs=and&andorexactfulltext=and&se archid=1&firstindex=0&sortspec=date&resourcetype=hwcit,hweltr Achieving Control of Asthma in Preschoolers http://www.cmaj.ca/cgi/rapidpdf/cmaj.071638v1?ijkey=c37de13b1b41826c7eef0480b5f672 2103d56bb0&keytype2=tf_ipsecsha

Resources: COPD Saudi Thoracic Society. COPD recommendations on Diagnosis and management in Saudi Arabia. Accessed online at http://saudicopd.com/mini/index.php Canadian Thoracic Society Respiratory Guidelines. Website: http://www.respiratoryguidelines.ca/guideline/chronic-obstructivepulmonary-disease 2008 Update CTS Guideline Highlights for Primary Care Recommendations for Management of COPD. Website: http://www.respiratoryguidelines.ca/copd-2008-update Global Initiative for Chronic Obstructive Lung Disease (GOLD) website: http://www.goldcopd.com/

Resources: Spirometry

Resources: Smoking Cessation Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. May 2008. Available online at http://guideline.gov/content.aspx?id=12520 Canadian smoking cessation guideline available at https://www.nicotinedependenceclinic.com/english/canadaptt/guidelin e/introduction.aspx

Resources: Oxygen therapy and mechanical ventilation

Resources: Pulmonary Rehabilitation Ries AL, Bauldoff GS, Carlin BW, et al. Pulmonary Rehabilitation. Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest 2007;131(5):4S-42S. doi: 10.1378/chest.06-2418 (hard copy) Living well with COPD (web) http://www.lung.ca/diseases-maladies/copd-mpoc/living-vivre/exerciseexercice_e.php http://www.lung.ca/diseases-maladies/copd-mpoc/breathingrespiration/index_e.php

Resources: Sleep apnea American Sleep Apnea Association. Available at http://www.sleepapnea.org/resources/index.html Canadian Thoracic Society. Recommendations for the diagnosis and treatment of sleep apnea - 2011 update. Available online at www.respiratoryguidelines.ca

Resources: Tuberculosis World Health Organization. Tuberculosis. Website; http://www.who.int/tb/topics/en/ Saudi Guidelines for Testing and Treatment of Latent Tuberculosis Infection. Retrieved at http://www.saudiannals.net/temp/annsaudimed30138-806033_001326.pdf ATS/CDC/IDSA Official Joint Statement. Treatment of Tuberculosis. Am J Respir Crit Care Med Vol 167. pp 603 662, 2003 Department of Health and Human Services, Centers for Disease Control and Prevention. Core curriculum on tuberculosis what the clinician should know. Fourth edition, 2000 Victorian Government Department of Human Services, Melbourne Victoria, Australia. (2002 2005). Management, Control and Prevention of Tuberculosis. Guidelines for Health Care Providers.

Resources: respiratory Infection control Saudi thoracic Society. H1N1 Guidelines. Accessed online at http://www.saudithoracic.org/admin/uploads/swine_flu.pdf

Renata Rea, RTT, CRE Renata Rea is a Registered Respiratory Therapist and Certified Respiratory Educator. She has 28 years of experience clinically and 18 years of pharmaceutical experience in the Respiratory area. She has a keen interest in understanding the barriers to implementation of guidelines in primary care, and how to improve patient outcomes in asthma and COPD (chronic obstructive pulmonary disease). She presently works at the Credit Valley Hospital as a Staff Respiratory Therapist involved in the care of patients, acute and chronic, with respiratory illness and their families and consults for the pharamaceutical industry.

Ayman Khater, MD, FCCP Program Director Dr. Khater is a professor of respiratory medicine at Ain-Shams University, Egypt and worked as a consultant respirologist at DSFH since 1997. Dr. Khater has 25 years clinical and teaching experience in the field of respiratory disorders and is also certified as a respiratory educator from the Canadian Network for Respiratory Care. Email: ayman.khater@dsfh.com Tel: 6655000 (1588)

Bassant Hamad, RN Course facilitator Bassant Hamad was graduated as a registered nurse in 1995. She is currently the director of Academic and Training affairs at DSFH since 2009. As a clinical nurse educator, Basic Life Support instructor and communication skills trainer, Bassant is extensively involved in training and education of health care providers. Email: bassant.hamad@dsfh.com Tel: 6655000 (xxxx)

Hassan Aref, MD, FCCP Course facilitator Dr. Aref was graduated as a Medical Doctor in 1993. He is a professor of respiratory medicine at Cairo University, Egypt and worked as a consultant respirologist at DSFH since 2009. Dr. Aref has extensive clinical and teaching experience in the field of respiratory disorders. Email: hassan.aref@dsfh.com Tel: 6655000 (1588)

Huda Ahmad, RPh Course facilitator Huda Ahmad is a registered pharmacist since 1997. She is the director of pharmaceutical services at DSFH since 2008. She is extensively involved in policy making and accreditation as well as training and continuous education activities of pharmacy students and pharmacist assistants. Email: huda.ahmed@dsfh.com Tel: 6655000 (1524)

Mohamad Barzanji, MD, ABP Dr. Barzanji was graduated as a medical doctor in 1998. He had his Training in Pediatrics at The university of Manitoba, Canada then he did his training in Pediatrics Pulmonology, Immunology and Allergy at University of Manitoba, Canada. Dr. Barzanji is American Board Certified. Dr. Barzanji is currently the head of Allergy, Immunology, Respirology and sleep Medicine Department at DSFH and has been involved in a lot of teaching activities in the field of Respirology. Email: mohammed.barzanji@dsfh.com Tel: 6655000 (1589)

Shybi Joseph, RN Course facilitator Shybi Joseph was graduated as a registered nurse in 1999 and is working as a nurse manager at DSFH. Shybi is a certified Pediatric Advanced Life Support (PALS) and Nursing Resuscitation Program (NRP) instructor who also has extensive teaching experience working as a clinical nursing educator since 2005. Email: shybi.joseph@dsfh.com Tel: 6655000 (xxxx)

Link to outcomes Link to a word document

Renata Rea