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Food Systems and Health: Clinical and Public Health Strategies to Limit Antibiotic Resistance
This webinar on antibiotic resistance features national experts working at the intersection of medicine, public health, and agriculture. The experts address how agricultural use of antibiotics affects human health and discuss clinical and public policy strategies for reducing the prevalence of antibiotic-resistant strains of bacteria. Should you have technical questions, please call the AMA Unified Service Center at 800-621-8335. Should you have any questions regarding the content, please contact Vanessa Salcedo at vanessa.salcedo@ama-assn.org.
Clinical and Public Health Strategies to Limit Antibiotic Resistance
Release Date: February 13, 2013
Expiration Date: February 13, 2015

Objectives
At the end of this activity, participants should be able to:

1. Describe the nature of the microbial ecosystem and how it relates to the development of antibiotic resistance as an ecological phenomenon.
2. Summarize the scientific literature on the contribution of agricultural antibiotics to antibiotic resistance, including extra-intestinal E. coli, Salmonella, and Campylobacter infections.
3. Identify multiple strategies for limiting the spread of antibiotic resistance.

Nurses
Please follow this link www.unmc.edu/nursing/oe to claim CNE credit. To receive CNE credit, please view the activity in its entirety and evaluate the content presented. Complete the post-test and evaluation. You must answer 7 out of the 10 questions correctly to receive credit. The estimated time to complete this activity is 1.25 hours.

Instructions for CME credit
This online activity is presented as an archived video webcast with attendant slide presentation; the webcast was recorded in June 2012. To receive credit, please view this CME activity in its entirety and evaluate the content presented. Complete the post-assessment and evaluation. You must answer 7 out of the 10 post-test questions correctly to receive credit. The estimated time to complete this activity is 1.25 hours.

Statement of Need
According to the Centers for Disease Control and Prevention (CDC), nearly 50% of antimicrobial use in hospitals is unnecessary or inappropriate (http://www.cdc.gov/getsmart/healthcare/,accessed 2/1/12). While the CDC and others are working to reduce the over-prescription of antibiotics by clinicians, there are no concerted efforts to educate clinicians on other sources of antibiotic resistance. Considering that only about 15% of all antibiotics consumed each year in the US are used by people, a 2003 Institute of Medicine (IOM) Workshop on this topic concluded that "substantial efforts must be made to decrease inappropriate overuse [of antibiotics] in animals and agriculture." There is a need to educate clinicians on the full range of factors that contribute to the development of antibiotic resistant bacteria, as well as specific actions they can take to help limit the spread of antibiotic resistant bacteria. 

Statement of Competency
This activity is designed to address the following ABMS/ACGME competencies: medical knowlege, interpersonal and communication skills, systems-based practice and interdisciplinary teamwork. 

Accreditation Statements
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statements
The American Medical Association designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Planning Committee
• Catherine Bevil, EdD, RN - Director University of Nebraska Medical Center College of Nursing Continuing Nursing Education
• Barry Dickinson, PhD - Director, AMA Department of Science and Biotechnology and Secretary, Council on Science and Public Health
• Heidi Keeler, PhD, RN - Nurse Planner, University of of Nebraska Medical Center
• Suzen Moeller, PhD - Senior Scientist, AMA Department of Improving Health Outcomes
• Litjen Tan, PhD – Formerly, Director, AMA Department of Medicine & Public Health
• David Wallinga, MD, MPA - Senior Advisor, Keep Antibiotics Working and the Institute for Agriculture and Trade Policy 

Faculty
• David Wallinga, MD, MPA - Senior Advisor, Keep Antibiotics Working and the Institute for Agriculture and Trade Policy
• James Johnson, MD - Professor of Medicine, University of Minnesota and Director, Molecular Epidemology Unit, Minneapolis VA Medical Center 
• Lance Price PhD - Associate Professor and Director, Center for Food Microbiology and Environmental Health at the Translational Genomics Research Institute 

Disclosure Statement
The content of this activity does not relate to any product of a commercial interest as defined by the ACCME; therefore, neither the planners nor the faculty have relevant financial relationships to disclose.

Commercial Support
No commercial support was received for this activity.

Hardware/Software Requirements
•Adobe Flash 9.0.115 or above
•Audio speakers or headphones
•Screen resolution of 800X600 or higher
•MS Internet Explorer 8.0 or higher, Firefox, Chrome, Safari, etc.  
A media player such as:
•VLC Media Player
•Media Player Classic  
•Apple Quicktime  
•Quicktime Alternative

Should you have any questions regarding the content, please contact Vanessa Salcedo at vanessa.salcedo@ama-assn.org. 

Should you have technical questions, please call the AMA Unified Service Center at 800-621-8335.

Type:     Internet Activity (Enduring Material)
FREE
Activity Price
88 Registered Users
Credits
1.25 Credits> AMA> AMA PRA Category 1 Credit

0 Credits> AMA> Certificate of Participation for Non-Physicians