Education Goal
Participants will receive evidence-based education that will help them prevent the spread of MRSA among ED patients and staff.

Objectives
Upon completion of this activity, the participant will be able to:

1. Recognize the importance of the rising incidence of community-associated Staphylococcus infections and MRSA in emergency department settings.
2. List factors to consider for accurately diagnosing antibiotic-resistant infections.
3. Explain the current recommendations for managing and preventing Staphylococcus infections and MRSA in the emergency department.
4. Explain the indications for and choice of medications for treating MRSA.
5. Explain the proper technique for incision and drainage procedures that minimizes recurrence and spread of infection.
6. Recognize the steps that can be taken to prevent ED staff from becoming infected or colonized by MRSA, with potential spread to colleagues, patients and family.

Target Audience
Emergency Department physicians in the United States.

Implementation
The estimated time for completion of this program is two hours. In order to get the greatest value from this program we recommend a four-step process:

1. Read this manual, taking notes as necessary.
2. Carefully read the test questions and select your answers.
3. Return to the manual for a final review of your notes and finalize your test answers.
4. Complete and submit the CME answer sheet and course evaluation via mail, fax or internet.

Program Faculty
BARRY CHARLES FOX, MD, Clinical Associate Professor of Medicine, University of Wisconsin School of Medicine
Faculty in the Division of Infectious Diseases and Director of the Anti-Infective Program
University of Wisconsin Medical Foundation, University of Wisconsin Hospitals

MITCHELL B. CORDOVER, MD, FACEP, Emergency Physician, Missouri Baptist Medical Center, Saint Louis, Missouri
Chairman, American College of Emergency Physicians (ACEP) Physician Well-being Committee

JOYCE ROUSE, Copywriter, TIV, Inc., Saint Louis, Missouri

Program Planning Committee
MITCHELL B. CORDOVER, MD, FACEP, Emergency Physician, Missouri Baptist Medical Center, Saint Louis, Missouri
Chairman, American College of Emergency Physicians (ACEP) Physician Well-being Committee

BARRY CHARLES FOX, MD, Clinical Associate Professor of Medicine, University of Wisconsin School of Medicine
Faculty in the Division of Infectious Diseases and Director of the Anti-Infective Program
University of Wisconsin Medical Foundation, University of Wisconsin Hospitals

MARGIE MILLER, Director, Continuing Medical Education
University of Oklahoma College of Medicine, Oklahoma City, Oklahoma

WILLIAM OAKEY, President and CEO, TIV, Inc., Saint Louis, Missouri

Faculty and Planning Committee Disclosure Information
It is the policy of the University of Oklahoma Health Sciences Center College of Medicine to ensure balance, independence, objectivity and scientific rigor in all its educational programs. All faculty in these programs are expected to disclose to the program audience any real or apparent conflict of interest related to the content of their presentation.

Per ACCME guidelines, the following information was received from the faculty and planning committee for MRSA: An Emerging Crisis in the ED:

BARRY CHARLES FOX, MD, has disclosed that he is a member of the Speakers Bureau of Cubist, Wyeth and Pfizer. He has further disclosed that his presentation will include discussion of some products from the above-listed commercial interests and that he will make clinical recommendations in his presentation, based on the best evidence available.

MITCHELL B. CORDOVER, MD, FACEP, has no significant financial relationships to disclose.

MARGIE MILLER, University of Oklahoma College of Medicine, has no significant financial relationships to disclose.

WILLIAM OAKEY, TIV, Inc., has disclosed that he is president of TIV, Inc., a medical education company that receives commercial education grants.

JOYCE ROUSE, TIV, Inc., has disclosed that she is an employee of TIV, Inc., a medical education company that receives commercial education grants.

Conflict Resolution
The University of Oklahoma College of Medicine, Office of Continuing Medical Education has reviewed this activity’s faculty and planning committee disclosures and resolved all identified conflicts of interest, if applicable.

Americans with Disabilities Act
The University of Oklahoma is an Equal Opportunity Institution. For accommodations on the basis of disability, please call TIV, Inc., 800-473-0138.

ACCME Accreditation and Credits
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of Oklahoma College of Medicine and TIV, Inc. The University of Oklahoma College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Oklahoma College of Medicine designates this activity for a maximum of two (2) AMA PRA Category 1 Credits™. Physicians should claim only credits commensurate with the extent of their participation in the activity.

The American Academy of Physician Assistants (AAPA) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME.

The American Osteopathic Association (AOA) designates this educational activity for a maximum of two (2) category 2-B credits of the AOA CME program.

ACEP Accreditation and Credits
This activity has been approved by the American College of Emergency Physicians for two (2) hours of ACEP Category 1 Credit.

How to Obtain Continuing Education Credits
A certificate of completion will be awarded to physicians completing the program with a score of 70% or higher. In order to receive your continuing education credits, the answer sheet and course evaluation form located at the end of this program must be filled out completely and sent to TIV, Inc.:

A certificate of completion will be mailed within 7-10 working days after the receipt of the test and evaluation form. In the event you do not pass, you will be notified regarding a retake examination on the same concepts.

On-line Option: You can complete the program on-line and print the CME certificate immediately upon passing the test with a score of at least 70%. To do so, go to www.usawellnesscme.com/mrsa and follow the simple instructions. If you have any questions or problems, please call 800-473-0138.