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Registration Form for "Preventing Tuberculosis in Your Clinical Setting" Guidebook Webinar

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Thank you for your interest in this training. The webinar, "Preventing Tuberculosis in Your Clinical Setting" is a clinical training designed for medical providers, clinic administrators and healthcare system leaders who see patients at high risk for TB. The training will be held virtually on a Zoom platform, and will be offered free of charge on Friday, May 30, 2025 from 9:00-11:00am PDT.

To register and request CME and nursing CE units, please complete all the fields below. Once registered, you will receive a confirmation email. Zoom details and other pertinent information will be sent out shortly after the completion of registration.

Please email tbfreecatraining@cdph.ca.gov with any questions you have about this training.

TB Free California, California Department of Public Health.

Last Name

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First Name

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Middle initial

Degree(s)

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Nursing Degree(s) (ADN, BSN, MSN, LVN, FNP, RN, etc.)

Medical Degree(s) (MD, DO, etc.)

Other

Other - Please specify degree

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Certificate type - You must provide your license number and meet requirements in order to receive CME/CEU credit.

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CME

Nursing CE

Certification of Participation (not requesting CME/CEU)

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Street address (1st line)

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Street address (2nd line)

City

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State

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Zip

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Organization name

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Department name

Division

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Job title

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Work Phone Number

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Work Phone EXTENSION

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state

local

other

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Other - Please specify employer type

Occupation

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nurse

doctor

other

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Other - Please specify occupation

How much experience do you have working in TB prevention?

< 1 year

2-3 years

4+ years

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What knowledge and skills do you hope to gain from participating in this training?

Please add any other information about your interest in this training.

Which of the following electronic resources on the CDPH TB Control Branch (TBCB) and/or TB Free California (TBF) website do you use? Please select all that apply.

[TBCB] TB Disease Data & Publications

[TBF] Resources for Providers

[TBF] Resources for the Community

[TBCB] Resource Page for Local Health Departments

[TBF] TB Testing (information for patients who test positive)

[TBF] TB and Children

[TBCB] TB Guidelines and Regulations

TB Guidebook Preventing TB in Your Clinical Settings: A Practical Guidebook

None - I do not use these resources because they are not useful to me.

None - I do not use these resources because I did not know about them.

Other not listed

Other - Please specify electronic resources used

What new TBCB/TBF electronic resources would you find useful?

None - current resources are sufficient.

Additional tools for medical providers, such as information on drug dosages and drug-drug interaction - please specify below

Additional educational resources (posters, factsheets, videos, etc.) for community members and community-based organizations (CBOs) - please specify below

Information about upcoming trainings for health care providers and/or community health care workers

Link to CTCA Directory of CA TB Controllers

Other, please specify below

Other - Please specify what new TBCB tools/educational materials or other resources would be useful:

Do you have any other feedback on our TBCB electronic resources?

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Curry International Tuberculosis Center and TB Free California.

The Curry International Tuberculosis Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. This training is approved for up to 1.75 continuing education hours.

The Curry International Tuberculosis Center designates this educational activity for a maximum of 1.75 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The Curry International Tuberculosis Center is approved as a provider of continuing education by the California State Board of Registered Nurses, Provider Number CEP 12308. This training is approved for up to 1.75 continuing education hours. Board requirements prevent us from offering CE credit to people who arrive more than 15 minutes after the start of the training, or leave the training early. Therefore, partial credit will not be awarded.

TB Free California
California Department of Public Health
tbfreecatraining@cdph.ca.gov

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