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  Organizational Overview
 
  MISSION
  The mission of The Forum for Regional Clinical Education Inc. is:
 
(1) to provide continuing clinical education to health care professionals,
(2) to translate state-of-the-art knowledge and research findings into clinical practice,
and
(3) to provide a setting for clinical education free of commercial bias.
   
  HISTORY
 
The Forum for Regional Clinical Education (FORCE) Inc., is a non-profit corporation created in April 2002 to provide ongoing health education free of commercial bias yet with practically applicable information for both patients and practitioners. We began our program services within a few months of our accreditation as a non-profit (501c3) corporation by the United States Internal Revenue Service. World-renowned faculty members have provided stellar presentations during 27 educational programs, on topics in fields with rapidly emerging scientific developments (e.g., Hepatitis C, HIV, depression, coronary syndromes, etc), chronic illnesses (e.g., diabetes, hypertension, obesity, addiction), and public health (bio-terrorism, addictions, medication adherence, and medication resistance).
   
  PROGRAM PHILOSOPHY
 
The FORCE Inc. strives to perform its tasks independently, forthrightly, and scientifically, without interference by political, social, or venture capital agendas. We believe in accomplishing our mission with excellence, and at a minimal cost to our supporters. We believe in minimizing administrative expenses, and maximizing program services. We believe in listening to and fulfilling the needs of healthcare providers as well as patients. We believe our work defines us more than our corporate affiliation. And, we recognize that scientific truth is only that set of facts that has heretofore survived scientific scrutiny and probabilistic theory, that the whole truth includes the hypotheses that require on-going testing. We have the conviction that education about one truth without considering other possibilities confers a pervasive bias and masked perspective.
   
 
The FORCE Inc. recognizes the futility of uni-dimensional and unilaterally-sponsored educational programs. Our educational programs are prompt, present scientific material utilizing a multi-media format (visual, audio, and print) to allow different individuals to learn in their preferred manner, and are financially supported by several private companies. Our programs review the complexities of clinical management of patients with various disorders, and include updates in the co-management of general medical problems that often co-exist (e.g., anemia, asthma, diabetes, erectile dysfunction, heart disease, osteoporosis, dyslipidemias, depression). As needed, our programs address special populations that are often omitted in general medical education: e.g., substance users, HIV patients, incarcerated persons, and patients with viral hepatitis. Additionally, topics are presented in various formats: didactic, interactive, clinico-pathologic case conference, and debate.
   
 
Our programs are planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME), and also comply with recent standards established by the American Medical Association and Pharmaceutical Manufacturers Research Association for participation of pharmaceutical corporations in CME programs. We utilize the guidelines for educational objectives developed by the American Academy of HIV Medicine (AAHIVM), and our programs meet the training needs specified by HIV Medicine Association
   
  STAFF and The Board of Directors
 
The common thread amongst this group of persons is a dedication to the conviction that the mission of The FORCE Inc. can be accomplished while maintaining its unique humble character. Our staff is lean, and comprises of a President, Secretary, Director of Information Technology, Director of Business and evelopment, and Board of Directors. We all donate our time, energies, expertise, and loyalty. Our Board of Directors meets quarterly, has both men and women, and represents a diverse cultural and professional background; it actively participates in the governance as well implementation of our program services
   
  AUDIENCE
 
Our audience comprises of health care professionals and clients who wish to learn. Gradually, at a pace determined by our resources, we have opened our programs to physicians, nurse practitioners, physician assistants, and pharmacists. We plan in the short term to establish programs for nurses, social workers, health educators, and patients
   
 
   
  OUTCOMES
 
The increasing attendance at our Clinical Seminar Series, and the fact that our audience repeatedly evaluated our programs as excellent and without bias, are testament to our prominence as a rigorous, highly respected educational provider. Most importantly, our programs have facilitated the building of referral networks amongst our audience participants—to maximize the availability of specialty clinical services for patients in need.
   
 
   
  SUPPORTERS & PARTNERSHIPS
 
Our financial support has come from various private corporations, mainly in the pharmaceutical industry. Corporate donors know fully well that their contributions do not fund any single activity in its entirety, and it is the pooled resources that are utilized to implement our programs. Their commitment to education has been no less noble than that of academic centers or government: afterall, each of these entities has a bias. In fact, private corporations have neither requested nor had any influence in our educational programs; and our curricula are devised and conducted independently, where-in CME-accreditation is obtained.
   
 
We have the benefit of amazingly well-accomplished faculty, primarily from New York, and some from other parts of the nation. As a private non-profit organization not based at one of these institutions, there is no hesitation for tapping the brain trust of diverse institutions. Our first program on January 29, 2003 featured presentations by Dr Douglas Dieterich (whose role in education about viral hepatitis is unsurpassed), and Dr Jay Dobkin (who has steered the Columbia University AIDS Center to immense success). They set the high standards for subsequent programs, and the presenters who followed have sustained that standard
   
 
A Sampling of our Invited Faculty
Jay Dobkin, MD
Douglas Dieterich, MD
Graeme Moyle, MD
Nicholas Hellman, MD
Brian Conway, MD
Amar Munsiff, MD
Marshall Glesby, MD
Harvey Katzeff, MD
Kathryn Anastos, MD
Mark Sauer, MD
Jeffrey Birnbaum, MD
Edward Handelsman, MD
Judith Wethers, MSHSM
Roy Gulick, MD
Peter Alpert, MD
Brian Boyle, MD
Andrew Wiznia, MD
Michael Rosenberg, MD
Sonal S. Munsiff, MD
Marie Charles, MD, MIA
   
  Ongoing Activities
   
  Several distinct programs services are now available to meet the educational needs of our clinical audience:
 
(1) Clinical Seminar Series
(2) Hepatitis Treatment Network, and
(3) My MedChart
   
 
The Clinical Seminar Series has distinct pathways: Virology, General Medicine and Public Health. Each pathway utilizes different presentation formats (didactic, case-presentations, interactive workshop), as best-suited for any given topic. As diverse as our programs have been, translucent themes interlace them--such that each program will prompt a reminiscence of at least a few others. The strength of our programs lies in the fact that our programs have a long-term planned curriculum whose interwoven themes become self-evident, thereby facilitating the learning process.
 
The Virology Pathway was designed to address the fact that HIV and Viral Hepatitis continue to plague New York in numbers that dwarf other parts of the United States. Despite having a large number of highly skilled HIV clinicians in New York State, most HIV specialty practices continue to operate at maximal capacity, a situation that will be exacerbated by increasing longevity of the HIV population and the nation’s mission to identify (and enlist in primary care) persons with HIV early in the natural history of their infection. Moreover, the intersection of multiple viral infections has required even greater knowledge in otherwise ripened clinicians.
 
The Public Health Pathway provides a global perspective on emerging threats to the public well-being, and reminds us how to integrate prevention interventions into disease management. The FORCE Inc. is the only local educational provider that systematically has included public health officials in its faculty and programs.
 
The General Medicine Pathway addresses the need for our audience to remained well versed in new strategies for the management of old illnesses (e.g., diabetes, high cholesterol, hypertension)—which are becoming an increasing problem as longevity of the US population increases. By juxtaposing these topics with the subspecialty topics mentioned above, we have facilitated approaches to comprehensive patient care.
 
HIV Clinical Series
Current Issues in HIV
Translating Recent Developments in Resistance into Practice
Co-Managing HIV, Mental Illness, & Substance Abuse
Gender Issues in HIV
Rapid HIV Testing
Perinatal HIV Management
HIV in Infants & Children
New Drugs for HIV
Impact of Viral Fitness on Treatment Decisions
Opportunistic Diseases in the HAART Era
Simplification Strategies
Metabolic Disorders Associated with HIV & HAART
 
 
Public Health Series
Global Issues in HIV & Substance Abuse
Assisted Reproductive Technologies
Protocols for Implementing Rapid Testing
Changing Paradigms for HIV
MedicoLegal Issues in Medicine
US Public Policy Issues in HIV
Emergency Preparedness
Epidemiologic Trends in HIV & HAART
The Global HIV Pandemic
   
 
General Medicine Series
The Metabolic Syndrome & Cardiac Risk
Dyslipidemias
STD update
Managing HPV infection
Managing Depressive Disorders
Medical Management of Bioterrorism
Diabetes Update
Brain Reward Systems and Tobacco Cessation
Tuberculosis Control
   
 
 
 
     
The Hepatitis Treatment Network was created for the purposes of familiarizing medical practitioners and patients about the management of viral hepatitis. Viral hepatitis is highly prevalent in the United States, and viral hepatitis B and C especially common in New York (with its large immigrant and substance using populations). With more cases identified, specialists as well as primary care providers will increasingly have to grapple with the conundrums of HCV management. Hepatitis B & C remain complex diseases, and their treatment is rapidly emerging. Hence, in order to remain up-to-date, ongoing clinical education is essential for practitioners. Our goal is to increase the awareness, treatment and monitoring of hepatitis patients by primary care physicians b linking this medical provider set to key subspecialists actively providing consultation services (e.g., antiviral treatment, biopsy, transplant) for viral hepatitis.
 
     
   
 
   
 
My MedChart is the first step in improving Medication Adherence-which has been increasing recognized as a crucial determinant in treatment efficacy of a many disease states. The concept intersects all aspects of medicine as well as tenets of public health. Adherence to medications for some diseases (e.g., HIV, TB, pneumonia, hepatitis) has an immediate impact on recovering (or dying) from that disease, whereas it has a slow, cumulative impact on the longevity of an individual with other diseases (e.g., hypertension, diabetes). Despite the increasing availability of more and more medicines, there has been no parallel increase in simple patient education—to allow individuals to know (in a snapshot)
 
when and how take all of their medications. Our pilot software (My MedChart) describes how to print a graphic depiction of any patient’s antiretroviral regimen. This program does not request any patient identifiers, and does not record the identity of the user in any manner. It simply allows the user to select medications and specify (in any language), how they should be taken; and then prints a graphic of how and when the medications should be administered. The program’s use is available free, at www.TheForceInc.org .
 
   
   
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