SCI Model Systems Complicated UTI Consensus Guidelines Training (Non-MedStar Clinicians)

This is a self-directed training module that introduces the Spinal Cord Injury Model Systems (SCIMS) Consensus Guidelines for symptom-based diagnosis of complicated UTI (cUTI). cUTI is highly prevalent among people with spinal cord injury and disease (SCI/D), but evidence-based diagnostic guidelines do not exist. The training outlines a decision-making algorithm, using reliable and validated Urinary Symptom Questionnaires for Neurogenic Bladder (USQNBs), with symptoms specific to bladder management by intermittent catheterization (USQNB-IC), indwelling catheterization (USQNB-IDC) and voiding (USQNB-V). This training is part of a project funded by National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR 90SIMS009-01-00). The survey part of the project was approved by the Georgetown University IRB, STUDY00004475.

MedStar Associates: Please log in to the SiTEL Learning Management System (LMS) to access the module.

Course ID: OD-040123

1. Recognize the variety of urinary symptoms, dependent on bladder management method, that patients’ experience.
2. Use the USQNB appropriate for a patient’s management method to determine if a symptom is endorsed repeatedly/consistently over time, and that this might be a “new normal”.
3. Use the USQNB appropriate for the patient’s management method to encourage patients to be more like partners in their urinary health care.
4. Use the USQNB appropriate for the patient’s management method to improve communication between patient and clinician about urinary symptoms, management, and health.
5. Recognize the roles and responsibilities of members of the healthcare team in promoting best practices in urinary health care.

In support of improving patient care, this activity has been planned and implemented by MedStar Health and Georgetown University. MedStar Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation

This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) credits for learning and change.

Nurses: This activity is approved for 1.0 ANCC contact hour(s). Nurses should claim only the credit commensurate with the extent of their participation in the activity.

Physicians: MedStar Health designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Physician Assistants: 
MedStar Health has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until 12/31/2027. PAs should only claim credit commensurate with the extent of their participation.

References: 

1. Tractenberg RE, Groah SL, Rounds AK, Ljungberg IH, Schladen MM. Preliminary validation of a Urinary Symptom Questionnaire for individuals with Neuropathic Bladder using Intermittent Catheterization (USQNB-IC): A patient-centered patient reported outcome. PLoS One. 2018;13(7):e0197568. Published 2018 Jul 10. doi:10.1371/journal.pone.0197568

2. Tractenberg RE, Frost JK, Yumoto F, Rounds AK, Ljungberg IH, Groah SL. Reliability of the Urinary Symptom Questionnaires for people with neurogenic bladder (USQNB) who void or use indwelling catheters. Spinal Cord. 2021;59(9):939-947. doi:10.1038/s41393-021-00665-x

3. Tractenberg RE, Groah SL, Rounds AK, et al. Clinical Profiles and Symptom Burden Estimates to Support Decision-Making Using the Urinary Symptom Questionnaire for People with Neurogenic Bladder (USQNB) using Intermittent Catheters. PM R. 2021;13(3):229-240. doi:10.1002/pmrj.12479

4. Tractenberg RE, Groah SL, Frost JK, Yumoto F, Rounds AK, Ljungberg IH. Urinary Symptoms Among People With Neurogenic Lower Urinary Tract Dysfunction (NLUTD) Vary by Bladder Management. Top Spinal Cord Inj Rehabil. 2023;29(3):31-43. doi:10.46292/sci22-00065 

5. Tractenberg RE, Frost JK, Yumoto F, Rounds AK, Ljungberg IH, Groah SL. Validity of the Urinary Symptom Questionnaires for people with neurogenic bladder (USQNB) who void or use indwelling catheters. Spinal Cord. 2021;59(9):948-958. doi:10.1038/s41393-021-00666-w 

The following Planning Committee Members have no relevant financial relationships with ineligible companies to disclose: Les Becker, PhD; Kathryn Pellegrino, PA; Cynthia Pineda, MD; Catherine Tierney, DNP; Rochelle Tractenberg, PhD


The following Planning Committee members have reported all relevant financial relationships with ineligible companies: Ana Valeria Aguirre Guemez, MD - Researcher - principal or named investigator -Astek Diagnostics Inc | Researcher - principal or named investigator Aspire|Researcher - principal or named investigator-Altrazeal Life Sciences Inc

Mitigation of Relevant Financial Relationships