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TB Notes 4, 2004

No. 4, 2004

TB Education and Training Network Updates

TB ETN Receives the Horizon Health Education Program Award

On October 22, 2004, the Tuberculosis Education and Training Network (TB ETN) was awarded the Horizon Health Education Program Award by CDC’s Public Health Education and Promotion Network (PHEP-Net). PHEP-Net, an employee organization for health educators at CDC and the Agency for Toxic Substances and Disease Registry (ATSDR), presented the award as part of the 2004 CDC Health Education Day.

Each year PHEP-Net sponsors the Excellence in Health Education Awards to honor outstanding health education programs developed by CDC or in collaboration with CDC partners. The Horizon Award is given to a program developed by CDC or in collaboration with CDC partners, which has been in existence for 2-4 years, and exhibits significant potential to substantially and positively affect the practice of health education.

Image of Maria Fraire accepting the Horizon Award for TB ETN

Maria Fraire accepting the Horizon Award for TB ETN

TB ETN was nominated for the award because of its significant growth and impact since its inception in 2001. There are now over 400 members in the network representing 48 states within the United States and a growing international representation. The network provides members opportunities to improve their skills, abilities, and knowledge about available resources and promotes collaborative efforts between TB programs and other organizations conducting TB education and training. Maria Fraire of DTBE accepted the award on behalf of TB ETN; her acceptance remarks are included in the next article.

To learn more about TB ETN, please visit the TB ETN website at

—Reported by Betsy Carter, MPH, CHES
Div of TB Elimination

TB ETN Horizon Award Acceptance Remarks

I am pleased to accept the Horizon Award on behalf of the Tuberculosis Education and Training Network, or TB ETN. TB ETN was established by the Division of Tuberculosis Elimination in 2001 as a result of recommendations outlined in the Strategic Plan for Tuberculosis Training and Education.  One of the plan’s key recommendations was the establishment of an education and training network that would help build a cadre of TB educators and trainers with improved skills and abilities, knowledge of available resources, and ability to serve as a resource for high-priority needs, such as outbreaks and implementation of new guidelines.

Because primary job responsibilities vary widely among the professionals conducting TB education and training (for example, nurses, outreach workers, physicians, health educators), TB ETN strives to build capacity by ensuring that members become familiar with and utilize the systematic health education process when developing education and training products and courses. 

The goals of TB ETN include furthering TB education and training by

  • Building, strengthening, and maintaining collaboration
  • Providing a mechanism for sharing resources to avoid duplication
  • Developing, improving, and maintaining access to resources
  • Providing updated information about TB courses and training initiatives
  • Assisting members in skill building


TB ETN membership is open to all persons who have an interest in TB education and training issues, and there are no membership fees. There are over 400 members representing U.S. and international agencies, such as TB programs, correctional facilities, hospitals, nursing homes, federal agencies, universities, the American Lung Association, the National TB Model Centers, and other organizations interested in TB education and training issues. 

TB ETN is guided by a steering committee chosen by its members and in 2002, the network created three subcommittees to assist with carrying out and guiding TB ETN activities: Communications and Membership, Cultural Competency, and Conference Planning. Staff of the steering committee as well as of the subcommittees meet monthly via conference call and are guided by CDC staff.

The most important activity of TB ETN is the annual conferences that focus on the systematic health education process. Conferences emphasize skill-based sessions and networking activities.  We’ve also been very pleased to have some PHEP-Net members attend the conferences.

In the 4 years since the network’s inception, TB ETN has grown significantly and has become progressively more active. Collaborative efforts between TB programs and other organizations conducting TB education and training have increased the visibility, momentum, and impact of TB education and training efforts. TB ETN has raised awareness about the importance of education and training as an essential part of a TB program and as a result, has influenced the creation of new funding for education and training. This is demonstrated by the 2005 TB control program cooperative agreements in which DTBE included provisions of funds for human resource development (i.e., education and training). As part of this core component, each TB program must have at least one designated TB ETN member.

I would like to acknowledge the many people who help make the Network successful, including both past and current steering committee members, subcommittee co-chairs and members, and staff at CDC, including Wanda Walton, Betsy Carter, Gaby Benenson, and Teresa Goss.

And there is no better way to sum up the impact of TB ETN than to read a quote from Suzy Peters, a steering committee member, who was asked to write a letter of support for the award application.

“If they only knew how much TB ETN means to those of us who are in TB education and training, there would be no contest. I have seen tremendous growth and excitement among TB educators over the last four years. The annual meetings are a great avenue for networking and I have made many new professional contacts all over the US and Canada. Now that TB ETN has more than 400 members, hosted four annual meetings, and holds three monthly sub-committee and steering committee calls, there is no limit to what this organization can accomplish.

I have been in public health and university education since 1967.  I hold three degrees in health education and have been a member of many professional organizations. I can honestly say that I have never seen the level of positive impact of any of those groups that TB ETN has had in four years. I am very proud to be associated with TB ETN, and I know any new TB educators coming into the field will benefit greatly from this organization.”

And, again, on behalf of TB ETN, thank you PHEP-Net for recognizing the outstanding contribution of the Tuberculosis Education and Training Network to the field of health education.

—Presented by Maria Fraire, MPH, CHES
Div of TB Elimination


TB ETN Member Highlight

Julie McCallum, RN, MPH, is a Regional TB Nurse Consultant for the American Lung Association of Michigan. She received her BSN from Indiana Wesleyan University and her MPH from the University of Michigan.

Julie, an active member of TB ETN, heard about the organization shortly after she was hired by the American Lung Association of Michigan 2½ years ago. She saw information about an upcoming TB ETN conference and thought it would be very helpful. “I attended my first conference 2 years ago; it was a great opportunity for me to network with other nurses who were also involved in TB education. The networking opportunities with other TB educators appealed to me the most, as well as having access to resources from around the country and world,” Julie said. In addition to being a member of TB ETN, Julie also serves on the TB ETN cultural competency subcommittee. “I have an interest in cultural competency matters, and this subcommittee has given me an opportunity to work on projects related to the topic.” Julie would like to see continued increases in membership and in networking opportunities in TB ETN’s future.

Julie’s job responsibilities include providing education and training for health care professionals on TB matters, and technical support and assistance for local TB control programs. Julie worked with Teri Lee Dyke (who also served as a Regional TB Nurse in Michigan) to develop a TB case management course targeted for local health department TB control staff, primarily nurse case managers. They gathered material from a number of sources and tailored it to their state’s audience. This course has been presented eight times across Michigan, with attendance by 95 participants who are actively involved in a local TB control program.

Julie and Teri also developed a TB Skin Testing Workshop, with the help of the Ingham County Health Department. In 2002 and 2003, Julie and Teri provided this workshop at 70 sites across the state and trained 771 persons to administer and read the TB skin test. The sites have included local health departments, acute and long term care settings, state and county correctional facilities, mental health facilities, medical offices, and infection control networking groups.

Julie’s state TB control staff also developed a TB contact investigation course, also targeted to local public health department staff. Since 2002, this course has been presented in 15 different locations statewide, with 181 persons attending.

All three of these core TB trainings were approved by the Michigan Nurses Association, which is accredited as an approver of continuing education in nursing by the American Nurses Credentialing Center Commission on Accreditation.

On the personal side, Julie keeps busy at home with her young family. Her interests include gardening and camping, and she adds, “I am a big University of Michigan football fan (Go Blue!) and enjoy following their season.” Julie is married to Chad and had their first child last September. “Each day is a new adventure with our son Chase,” Julie says.

—Submitted by Regina Bess
Div of TB Elimination

TB ETN Cultural Competency Subcommittee Update

“Scientists do not resist investigation of the human genome because it represents too much variety; the same scientific logic works equally well for sorting and classifying information about culture, ethnicity, and race.”1

The Institute of Medicine report cited above states that the goal in cultural competency education is to increase public health professionals’ cultural awareness, knowledge of self and others, communication skills, attitudes, and behaviors. To this end, the Cultural Competency Subcommittee of TB ETN is composed of TB trainers, educators, and controllers who are passionate about cultural competency and its application to TB control activities. The goal of the Cultural Competency Subcommittee is to inculcate the value of providing culturally and linguistically appropriate services among TB ETN members.  If you are interested in joining this subcommittee, please send an e-mail to

The Cultural Competency Subcommittee is currently focused on compiling a cultural competency resource list. The list includes organizations that provide cultural competency–related services, cultural competency assessment tools, and references to cultural competency–related published research. The resource list will be printed and included in the TB ETN conference binder. The group also plans to meet at the TB ETN conference in Atlanta, Georgia, to plan and discuss tasks for the following year.

Cultural Competency Tip

By examining the successes and lessons learned among community-based organizations, health care providers can glean several strategies for effective outreach. Listen for the community’s agenda and assign your priorities based on their expressed needs. Reach into the community through existing, respected groups, select culturally relevant media or materials to convey your message, and target whole families with understanding and respect. Make certain that outreach materials are not simple translations from English but rather are developed by persons familiar with the language, literacy level, and culture of the specific target subgroup.2

—Submitted by Chris Ogolla, MA, MPH
TB ETN Cultural Competency Subcommittee


  1. The Institute of Medicine. Who Will Keep the Public Healthy. Educating Public Health Professionals for the 21st Century. Washington DC: National Academy Press; 2003.
  2. The National Alliance for Hispanic Health. A Primer for Cultural Proficiency: Towards Quality Health Services for Hispanics. Washington, DC: Estrella Press; 2001.


TB ETN Fourth Annual Conference

The fourth annual TB Education and Training Network (TB ETN) conference was held in Atlanta last year. This two and a half day event took place August 11-13, 2004, and attracted approximately 130 participants from diverse professional affiliations who work in TB education and training. The conference theme, “TB Education and Training Survivor: Improving Skills, Building Alliances, Meeting Challenges,” was adapted from the popular TV series “Survivor.”

The presentations covered a wide array of topics, with the central focus on the systematic health education process. Participants attended both plenary lectures as well as breakout sessions designed to enhance skill-building. Presentations by TB program staff from Florida, Colorado, and Massachusetts provided participants with examples of how different health programs are answering the call to educate TB providers and patients. Representatives from the National TB Model Centers delivered updates about their programs, and CDC staff gave an overview of the 2005 Cooperative Agreement Funds for States and Designated Big Cites and the 2004-2008 National Strategic Plan for TB Education and Training. 

One aspect of the conference focused on “Learning the Island Lingo—Cultural Competency in TB Education and Training” and addressed several pertinent areas, including conducting cultural competency assessments, working with interpreters and translators, understanding cross-cultural communication, and developing cultural competency training. These sessions were especially helpful for providers who are increasingly serving a more diverse population.  Also underscored was “Communicating with the Mainland—How Technology is Changing TB Education and Training.” This session highlighted a spectrum of new modes of communication such as online training and educational software, satellite and video broadcast, electronic mailing lists, and online databases.  

To cap off each day of the conference, a series of “tribal challenges” were played among conference participants. Participants were divided into teams or “tribes” and participated in interactive and competitive training games. These were created to reinforce the concepts learned throughout the day, and were designed in the spirit of “Survivor.” One tribe was declared the overall tribal challenge winner at the end of the conference. The winning tribe, who called themselves “Front and Center,” consisted of Bill Bower, Teri Lee Dyke, Genevieve Greeley, Hernando Salgado, MaryAnette Grayer, Joanne Sheppard, and Judith Thigpen.  Each received a book on education and training activities. 

Image of tribe working on finding answers for the Open-Book Bingo Tribal Challenge

Tribe “Front and Center” working on finding answers for the “Open-Book Bingo” Tribal Challenge.

Participants came away from the conference invigorated and equipped with new knowledge to practice and share in their work. They had the chance to form partnerships with others attending the conference by networking at such events as a social, hosted this year by a translation company, Translation Plus. Also, a wealth of resources in a variety of media were provided by exhibitors who showcased their education and training products.

Image of participants viewing and sharing resources at the Educational Materials Exhibit

Participants view and share resources at the
Educational Materials Exhibit.

This year will be the 5-year anniversary of TB ETN and its annual conference.  We would like to invite you to join us in celebrating this important milestone.  Please complete and return the attached registration form to join or renew your membership (instructions are on the form). New and renewing members will receive a TB ETN membership lapel pin. Additional information about TB ETN can be found on the TB ETN website at

—Submitted by Elizabeth Kalayil, MPH
Div of TB Elimination

TB ETN Fifth Annual Conference:
Stepping Up Education and Training to Eliminate TB

Call for Abstracts

The Fifth Annual TB Education and Training Network (TB ETN) Conference will be held in Atlanta, GA, August 17-19, 2005. This year’s conference will feature a poster session to give members of TB ETN an opportunity to share and discuss their work.

Please consider developing an abstract for poster presentation on a significant or innovative aspect of TB education and training in your work. Techniques that are associated with the systematic health education process (needs assessment, development, implementation, and evaluation) would be especially appropriate for poster presentation during this session.

If you have completed or will soon complete an education and training project that you would like to include in the session, please visit for submission details. The deadline for submission is April 1, 2005.

For further information, please contact Betsy Carter at or by telephone at (404) 639-8386.


Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination -

Please send comments/suggestions/requests to:, or to
CDC/Division of Tuberculosis Elimination
Communications, Education, and Behavioral Studies Branch
1600 Clifton Rd., NE - Mailstop E-10, Atlanta, GA 30333