Diagnostics , Featured , Fundamental , Specialty ,

One Health Tools for Primary Care

1.0 CME. This course provides an overview of the One Health framework and describes how it can be applied in clinical practice. This framework recognizes that the health of people, animals, and the environment are inextricably interconnected. The course uses Lyme disease to illustrate this approach, drawing on relevant peer-reviewed studies on clinical strategies.

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Elizabeth L. Maloney, MD

Instructors

Elizabeth L. Maloney, MD
Education Co-director, Invisible International

Nevena Zubcevik, DO
Chief Medical Officer, Invisible International

This course provides an overview of the One Health framework and describes how it can be applied in clinical practice. This framework recognizes that the health of people, animals, and the environment are inextricably interconnected. The course uses Lyme disease to illustrate this approach, drawing on relevant peer-reviewed studies on clinical strategies. The course teaches clinicians how to integrate One Health into clinical practice, and introduces a validated symptom questionnaire and a risk assessment tool. These tools will demonstrate how collaborations across human and animal health disciplines are essential to further developing innovative and climate-responsive clinical care.

Learning objectives:

List the major One Health issues
Describe clinical presentations of early and acute Lyme disease
Explain which tools you would use to enhance your clinical approach to patients with suspected Lyme disease

This session, One Health Tools for Primary Care, is approved for 1.0 enduring AAFP Prescribed credit.

AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

The AAFP has reviewed One Health Medical Education for a Changing Climate, and deemed it acceptable for AAFP credit. Term of approval is from 01/02/2023 to 01/01/2024. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Evidence-based bibliography for further study

Rabinowitz, P.M., Natterson-Horowitz, B.J., Kahn, L.H. et al. Incorporating one health into medical education. BMC Med Educ 17, 45 (2017). https://doi.org/10.1186/s12909-017-0883-6

https://www.emro.who.int/about-who/rc61/zoonotic-diseases.html

https://www.cell.com/trends/parasitology/fulltext/S1471-4922(16)30010-1

https://www.cdc.gov/mmwr/volumes/67/wr/mm6717e1.html

https://capcvet.org/maps/#/2022/all-year/lyme-disease/dog/united-states

Aucott JN, Yang T, Yoon I, Powell D, Geller SA, Rebman AW. Risk of post-treatment Lyme disease in patients with ideally-treated early Lyme disease: A prospective cohort study. Int J Infect Dis. 2022 Mar;116:230-237. doi: 10.1016/j.ijid.2022.01.033. Epub 2022 Jan 21. PMID: 35066160.

https://www.cdc.gov/lyme/stats/humancases.html

https://storymaps.arcgis.com/stories/f64d0c19a3ab42cf90e8ce38397e96e0

https://pubmed.ncbi.nlm.nih.gov/19403477/

https://pubmed.ncbi.nlm.nih.gov/6967274/

https://pubmed.ncbi.nlm.nih.gov/18829794/

https://onlinelibrary.wiley.com/doi/10.1002/lary.26273

https://pubmed.ncbi.nlm.nih.gov/29720355/

https://www.frontiersin.org/articles/10.3389/fmed.2019.00283/full

https://pubmed.ncbi.nlm.nih.gov/32974369/

https://pubmed.ncbi.nlm.nih.gov/30753241/

Course Content

Video

Quiz (4 questions)

Course evaluation

About Instructor

Elizabeth L. Maloney, MD

Dr. Elizabeth Maloney is a Minnesota family physician. She received her medical degree from the University of Minnesota in 1986 and completed her residency in family medicine at the University in 1989. Early in her career, she practiced in Guam, where lab and other testing modalities were often unavailable. It was here that she honed her clinical skills and learned to translate history and exam findings into clinical diagnoses and treatment plans. Dr. Maloney began reviewing the scientific literature on tick-borne diseases in earnest in 2006. Her initial review was an attempt to understand why some patients did not present or respond as described in review articles and conference lectures. When she discovered that Borrelia burgdorferi, the agent of Lyme disease, is a complex organism, the immune response to it is nuanced and there are gaps in the clinical understanding of Lyme disease, Dr. Maloney changed her focus towards educating medical professionals about tick-borne illnesses. Dr. Maloney began providing accredited continuing medical education courses on Lyme disease for physicians in 2007 and continues to do so. She has also developed similar education for nurses and mental health providers. She has published several papers in peer-reviewed medical journals and is frequently invited to speak to medical professionals across the US. She has served as a consultant to private organizations and government agencies in the US and Canada. In February 2018 she was selected to serve on the Pathogenesis, Transmission and Treatment subcommittee of the federally mandated Tick-borne Disease Working Group. Additionally, she recently accepted an invitation to serve on a peer review committee for the Canadian Institutes of Health Research.

12 Courses

One Health Tools for Primary Care

Course Content

About Instructor

Elizabeth L. Maloney, MD

Course Includes