Learning Objectives for this Presentation:
By the end of the presentation participants will be able to recognize the importance of adjusting an immunization education programs to match the changes in immunizations.

Background:
In 1994, Michigan had the lowest immunization rate in the Nation for children 19 to 35 months. Multiple agencies in Michigan came together to address this issue. Since then, the programs have had to make changes to address the constant changes in immunizations.

Setting:
Michigan Department of Community Health had:
•content base for an immunization program
•fiscal resources to conduct statewide programs
•ability to reach target audiences
Michigan State University had:
•expertise in program planning, facilitation, and evaluation
•human capacity to carry out daily activities

Population:
Physicians and other health care providers

Project Description:
•20 physicians are trained to conduct immunization updates
•CME-accredited educational materials were developed and used at all sessions
•Knowledge and behavior changes were studied through a pre- and post-test, quasi-experimental research design
•From January 1997 to September 2007, 17,912 participants were reached through 615 lectures

Results/Lessons Learned:
•The program started in 1997 with one module covering pediatric immunizations. Currently the program has nine modules discussing various topics.
• Our modules were solely lecture-based and now incorporate interactive case studies.
•Delivery for immunization updates has gone from grand rounds sessions to also include university residency programs and statewide conferences.
•The evaluation process now includes a six-month follow-up survey.
•Some modules have been tied to immunization rates.
Conclusion
There has been an increased interest in immunization education because there have been multiple changes to immunization recommendations and vaccines. These changes apply to diverse groups and specialties including pediatricians, internists, OB/GYNs, and family practice doctors, creating the need to expand our project.