This document presents an educational module to improve recognition and response to food anaphylaxis by teaching the proper use of epinephrine injectors. The module includes multiple choice questions, a practical training session, and an educational video. Participants would be assessed before and after the module to evaluate changes in their knowledge, confidence, and ability to correctly use an epinephrine injector in case scenarios. Follow up assessments would occur 3-6 months later to check retention of the skills and confidence over time. The study aims to determine if this module effectively improves competency in recognizing when to use an injector and properly administering it during an allergic reaction emergency.

1. ALERT Presentation: Using an Epipen educational module to improve Food Anaphylaxis Recognition and Response D.J. Scherzer

2. Background Incorrect outpatient epinephrine-injector usage leads to preventable mortality among food allergy children in the U.S. The devices are prescribed with inadequate teaching and follow-up. Succinct educational modules improve competence when directed towards specific goals (eg. AED). Competency Gaps Incomplete knowledge of indications Complexity of a multi-step process Lack of confidence, concern for treatment risks

3. PICO Question P opulation Parents, patients, school personnel, healthcare staff Prescribers I ntervention Succinct educational module comprised of MCQ, practicum and video C omparison Historical control – before and after O utcome Improve ability to know when and how to use epinephrine injector and to be prepared to actually do it. Improve ability to teach others to do above.

4. Approach Prospective longitudinal study; learner outcomes Subjects serve as their own controls. Pre- assessment survey of subjects: Experience and confidence questions Knowledge and case management questions 1:1 practical performance assessment. Post- assessment: Review practicum and repeat until success with individuals Group presentation of edu-video c Q&A. Immediate resurvey of individuals with confidence and case management questions Follow-up with confidence question and case management questions in 3-6 months. Mock scenario on site?

5. 3 Questions Do the case management questions and practicum get at the active ingredients of food anaphylaxis competency? How can we make the practicum feel more realistic? Can we roll this out in a way that is easier logistically? More eLearning? Mock scenarios on site rather than 1:1 practicum.