CALTCM Online Continuing Education Series


CALTCM Online Continuing Education Series - Course 1

Release Date: December 3, 2015

Expiration Date: December 3, 2016


  • UTI Antibiotic Stewardship: Non-Urinary Tract Infection ​a Burning Issue

  • The Medical Director as a Quality Improvement Champion

Estimated Time to Complete Activity: 60 minutes


Instructions for Participation and Credit:

Accreditation Statement


Accreditation Statement:
CALTCM is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. CALTCM takes responsibility for the content, quality and scientific integrity of this CME activity.

Credit Designation

CALTCM designates this Enduring Material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.   


Board of Registered Nursing (BRN)
The California Association of Long Term Care Medicine (CALTCM) is a provider approved by the California Board of Registered Nursing (Provider #CEP-16690). This activity has been approved for up to 1 contact hours.

Statement of Need and Purpose

Antibiotic stewardship in the Nursing Home requires a radical change from current practices. This two part presentation will demonstrate knowledge and skill that a medical director/leader requires to generate a change in practice. Urinary Tract Infection is a paradigm used to demonstrate the required needs.

Target Audience

This activity is designed to meet the educational needs of physicians and other healthcare professionals working in the long term care settings.

Learning Objectives Course 1

Part 1

UTI Antibiotic Stewardship: Non – Urinary Tract Infection ​a Burning Issue

  • Identify an area in your practice which may lead to antibiotic overuse and a strategy to address it​;

  • Describe McGeer’s criteria and their utility in post-acute & long term care​;

  • Describe indications, benefits and drawbacks for fecal transplant in C diff colitis and how you might obtain it​.

Part 2

Medical Director as Quality Champion

  • Name and use three areas of knowledge required for a fully effective medical director​;

  • Describe three specific types of actions a medical director can take to drive improved performance​;

  • Describe and be able to implement three specific examples of a process change that can drive meaningful improvement in nursing home performance.

Statement of Conflict Resolution and Disclosure

It is the policy of California Association of Long Term Care Medicine (CALTCM) to ensure balance, independence, objectivity, and scientific rigor in all of its sponsored educational programs.  All faculty participating in any activities which are designated for AMA PRA Category 1 Credit(s) are expected to disclose to the audience any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the CME activity.  This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic.  The intent of this policy is not to prevent a speaker with a potential conflict of interest from making a presentation.  It is merely intended that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts.  It remains for the audience to determine whether the speakers’ outside interests may reflect a possible bias in either the exposition or the conclusions presented.

The following faculty and planners have indicated any affiliation with organizations which have interests related to the content of this conference.  This is pointed out to you so that you may form your own judgments about the presentations with full disclosure of the facts.  All conflicts of interest have been resolved in accordance with the ACCME’s Standards for Commercial Support.

Faculty and Planner Disclosures to Participants

The following planners had no relevant financial relationships with commercial interests to disclose:

  • Barbara Hulz, Association Manager, CALTCM

  • Renee Toti McNally, Education Coordinator, CALTCM

  • Dan Osterweil, MD, Chief Executive Officer, Chair, Development Committee, CALTCM

The following planners have disclosed a relevant financial relationship:

  • Michael Wasserman, MD, CMD, Chair Education Committee, CALTCM received honoraria from Merck for his role on the Editorial Board for the Merck Manual. 

The following faculty had no relevant financial relationships with commercial interests to disclose:

  • James Mittelberger, MD, MPH, CMD, FACP

  • Peter Patterson, MD, MBA, FCAP

Faculty Biographies:

James Mittelberger, MD, MPH, CMD, FACP
Chief Medical Officer, Øptum Palliative and Hospice Care

Peter P. Patterson, MD, MBA, FCAP
Medical Director, Arizona and San Diego Diagnostic Laboratories & Radiology

Commercial Support

This activity has received no commercial support.