Continuing education approval for: cAES cBBS cSLPA



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|CONTINUING EDUCATION CREDITS REQUESTED FOR: |

|Certified Health Ed Spec (CHES) Certified in Public Health (CPH) Dietician (CDR) EMT/Paramedic (ICEMA) |

|Laboratory (CLS) Nursing (BRN) Occupational Therapy (SLPA ) Pharmacy (CAPE) Physical Therapy (PT) |

|Radiology (ASRT) Speech Pathology (SLPA) Social Work / Psychology (APA) Other ANCC, Respiratory Practitioner, Nurse Practitioner |

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|New Course Title Change Existing Course Master Course Code #       PT Approval #       |

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|Max Class Size 300 Advertised on Internet |

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|APPLICATION FOR CONTINUING EDUCATION COURSE |

|LLUAHSC entity – no fee for application |

|Outside applicant – Please submit Application Fee: $150 |

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|Instructions: |

|Complete and submit the application, fee, and requested documentation at least 45 days prior to the first day of the course. |

|Please check off the following documents to be sure they are included with the application. Forms are available on the Loma Linda Staff Development website |

|Forms. Failure to include ALL requested documentation will result in the application being delayed or rejected. |

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|Copies of advertising materials/flyers (prior to distribution) |

|Complete Curriculum Planning Notes form |

|Copy of all handouts pertinent to course description and objectives |

|Syllabus Required Information form |

|Presentation handouts |

|Course evaluation |

|Blank quiz/post-test if applicable |

|Certificate of completion or proof of attendance copy – Outside Applicants Only |

|Speaker Disclosure/Conflict of Interest Declaration form for EACH speaker |

|Speaker Resume for EACH speaker |

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|Requestor Name: |Phone: Email: |

|Dr. Bryant Nguyen C/O Crystal Stueve Adm Asst |82962 CStueve@llu.edu |

|Address: |Fax: |City: |State: |Zip Code: |

|LLUH Dept of Pulmonary and Critical Care |      |Loma Linda |CA |92354 |

|Staff Development Contact Name: | | | |

|Renee Lundin | | | |

|TYPE OF OFFERING: Conference Course Self Study Hybrid Skills lab Online |

|VENUE: Classroom Cent Complex/Damazo Room Online       Web link to course       |

|FEE TYPE AMOUNT: |TARGET AUDIENCE: |

|Complimentary for Employees (OWL only) |Behavioral Health Specialist Case Manager Chaplain |

|LLUH $      |Certified Health Education Specialist Clinical Lab Specialist |

|LLU Student $25.00 |Dietician Aide Leadership Non-Licensed Registered Nurse |

|--------------------------------------------------------- |Occupational Therapist Pharmacist Physical Therapy |

|Other Student $      |Radiation Therapist Radiologic Technologist |

|Adventist Health System $      |Respiratory Care Practitioner Social Worker Speech Pathologist |

|Others $LLUH Residents and Fellows $25.00. LLUH MD's |Other PA, NP, MD |

|$145.00. Physicians $195.00. Residents, Fellows and | |

|Students $45.00. Other $125.00. LLUH Other $95.00 | |

|INSTRUCTORS: (Attach Vitaes) |

|Name: |Title: |

|Wes Ely, MD Barbara Phillips, MD |MD |

|Elizabeth Lee-Daugherty, MD |MD |

|Aaron Waxman, MD |MD |

|Marin Kollef MD Phil Gold, MD |MD |

|Laren Tan, MD Ara Chrissian, MD |MD |

|      |MD |

|      |      |

|      |      |

|If more than eight instructors, please submit a program copy showing all names and attach vitaes |

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|COURSE DESCRIPTION: |

|The 2nd Annual LuCIS Symposium will highlight recent advances in the diagnosis and treatment of lung diseases, critical illness, and sleep disorders. National |

|and local experts in pulmonary, critical care, and sleep medicine will discuss various topics, guidelines, and cutting edge technology for these conditions. They|

|will also emphasize when referral to a specialist and tertiary care facility is indicated. |

|ADDITIONAL PARTICIPANT INFORMATION/ADVERTISING INFORMATION: |

|      |

|OBJECTIVES OF COURSE: (BEHAVIORALLY STATED) |

|Upon completion of this symposium, participants should be able to: |

|1. Recognize and treat pumonary diseases such as COPD, pulmonary hypertension, and lung cancer. |

|2. Improve the recognition of ventilator-associated pneumonia and provide appropriate treatments |

|3. Improve overall care of ICU patients, including family engagement, to decrease delirium and hospital length of stay |

|4. Recognize sleep apnea and provdie state-of-the-art care |

|CONFIRMATION LETTER CONTENTS/SPECIAL INSTRUCTIONS TO REGISTRANTS: |

|      |

|TEACHING METHOD(S): |

|Lecture with PowerPoint Slides Video Tape DVD Case Studies Skills Labs |

|Audio conference |

|Video conference |

|CONTENT (Outline/Schedule): |

|7:30 to 8:00 am Registration and continental breakfast |

|8:00 – 8:15 Welcome – H. Bryant Nguyen, MD |

|8:15 – 9:05 Wes Ely, MD (Vanderbilt, TN) -ABCDEF bundle |

|9:05 – 10:00 Aaron Waxman, MD (Harvard, Boston, MA) - Pulmonary hypertension |

|10:00 – 10:20 Break - Visit with Sponsor Exhibits |

|10:20 – 11:10 Marin Kollef, MD (Washington University, St Louis, MO) - Ventilator-associated Pneumonia |

|11:10 – 12:00 Laren Tan, MD- COPD |

|12:00 – 1:00 pm Buffet lunch – Visit with Sponsor Exhibits |

|1:00 – 1:50 Elizabeth Lee-Daugherty, MD (Johns Hopkins, MD)- Triaging Critical care in Mass Casualites |

|1:50 – 2:35 Ara Chrissian, MD- Lung cancer and interventional pulmonary |

|2:35 – 3:00 Break - Visit with Sponsor Exhibits |

|3:00 – 3:50 Barbara Phillips, MD (University of Kentucky, KY) - Sleep apnea |

|3:50 – 4:35 Phil Gold, Md - History of pulmonary medicine |

|4:35-5:00 Closing Remarks, H. Bryant Nguyen, MD |

|METHOD OF EVALUATION: |

|Written Post Test Return Demonstration Other       |

|APPLICATION SUBMITTED BY: |Title: |Date: |

|Renee N. Lundin |Educator, SD |10/20/2017 |

Reviewed by:

Gwen Wysocki, DNP, RN-BC

Loma Linda University Medical Center

Executive Director, Department of Staff Development

_________________________________________________________ ______________________

Signature Date

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