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Case 2: WB1545 - Mark, a 27-year-old man complaining of a genital ulcer.

The National Network of STD/HIV Prevention Training Centers
The Centers for Disease Control and Prevention

CE Origination Date: 07/01/2009

CE Expiration Date: 07/01/2011


Course Description
This web-based case series is designed for practicing clinicians who diagnose, treat and manage patients with, or at risk for, sexually transmitted diseases (STDs). The series includes case presentations of common STD-related syndromes with a guided, interactive process to evaluate each case, arrive at a diagnosis and provide recommended treatment. In addition, each case is designed to improve skills in assessing patient risk, communicating risk reduction techniques and managing partners.

Each case should take about one hour to complete. In order to receive credit/contact hours you must complete a posttest and evaluation. Continuing education is available free of charge.

Goal/Purpose
To improve health care providers' ability to recognize, diagnose and treat STD.

Objectives
Upon successful completion of the program, participants will be able to:
  1. Describe the elements one should include in taking the history of the patient with genital ulcer disease.
  2. Describe the appropriate physical examination for the patient with genital ulcer disease.
  3. Discuss the differential diagnosis of a genital ulcer whose appearance is consistent with any of the major genital ulcer disease etiologies.
  4. Discuss the diagnostic work-up of genital ulcer disease.
  5. Discuss selected aspects of diagnosis and treatment of genital ulcer disease.
  6. Discuss management of sex partners of people with genital ulcer disease.
  7. Discuss appropriate STD/HIV prevention counseling for people with genital ulcer disease.
Intended Audience
This online training module is for licensed, practicing health care providers who see patients with or at risk for STD/HIV, including doctors, physician assistants, nurses, advance practice nurses.

Presenters/Content Experts
Jeanne Marrazzo, MD, MPH
Medical Director, Seattle STD/HIV Prevention Training Center
Associate Professor, University of Washington School of Medicine, Division of Allergy & Infectious Disease

Contributors
Alice Gandelman, MPH, Director, California STD/HIV Prevention Training Center

Denise Tafoya, M.P.A., Training Coordinator/Trainer, California STD/HIV Prevention Training Center

Greg Perez, Training Instructor, California STD/HIV Prevention Training Center

Solwazi Johnson, Training Coordinator/Instructor, Denver STD/HIV Prevention Training Center

Emily Carson, Curriculum Developer/Instructor, Denver STD/HIV Prevention Training Center

Jay Todd, Director, Texas STD/HIV Prevention Training Center

Tammy Foskey, MA, Assistant Director, Texas STD/HIV Prevention Training Center

LaShonda Kissentaner, Training Manager, Texas STD/HIV Prevention Training Center

Jayson Trussel, Training Coordinator, Florida Department of Health

Sue Anne Payette, MS, Training Director, New York State STD/HIV Prevention Training Center

Paul Reyes, Training Instructor, New York State STD/HIV Prevention Training Center

Staff from the CDC Division of STD Prevention Training and Health Communications Branch who also contributed to the development of the content on partner management include Frankie Barnes, MPH, Health Education Specialist; Stacy Harper, Public Health Advisor; Bruce Heath, Public Health Advisor; Jerry Shirah, Public Health Advisor; and, Duane Wilmot, Public Health Advisor.

Content Expert Reviewers
Sharon Adler, MD, MPH, Clinical Instructor, California STD/HIV Prevention Training Center

Heidi Bauer, MD, MS, MPH, Chief, Office of Medical and Scientific Affairs, STD Control Branch, California Department of Health Services, California STD/HIV Prevention Training Center

Gail Bolan, MD, Chief, STD Control Branch, California Department of Health Services and Medical Director, California STD/HIV Prevention Training Center

Charles L. Heaton, MD, Professor of Dermatology, University of Cincinnati College of Medicine and Medical Director, Cincinnati STD/HIV Prevention Training Center

Sylvie Ratelle, MD, MPH, Medical Director, Division of STD Prevention, Massachusetts Department of Public Health, Medical Director of the STD/HIV Prevention Training Center of New England and Assistant Professor of Family Medicine and Community Health, University of Massachusetts Medical School

John Toney, MD, Associate Professor of Medicine, University of South Florida College of Medicine and Medical Director, Florida STD/HIV

Continuing Education
For CME: The Centers for Disease Control and Prevention is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Centers for Disease Control and Prevention designates this educational activity for a maximum of 1.25 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

For CNE: The Centers for Disease Control and Prevention is accredited as a provider of Continuing Nursing Education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity provides 1.0 contact hours.

For IACET CEU: The CDC has been approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET), 1760 Old Meadow Road, Suite 500, McLean, VA 22102. The CDC is authorized by IACET to offer 0.1 IACET CEU's for this program.

Disclosure Statements
CDC, our planners, and our content experts wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters.

Presentations will not include any discussion of the unlabeled use of a product or a product under investigational use.

There was no commercial support provided for this activity.

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