Embed Size (px)
DESCRIPTION
Integration of Public Health Medicine in General Practice PHASE III/IV TUTORS DEVELOPMENT DAY Thursday 17 th May 2012. Dr Mike Crilly Senior Lecturer in Clinical Epidemiology MD MPH MRCGP MFPHM m [email protected]. Public Health Medicine. - PowerPoint PPT Presentation
Citation preview
Integration of Public Health Medicine in General Practice
PHASE III/IV TUTORS DEVELOPMENT DAYThursday 17th May 2012
Dr Mike CrillySenior Lecturer in Clinical Epidemiology
MD MPH MRCGP [email protected]
Public Health Medicine• “Improving health through the organised efforts of
society”• Based on epidemiology (‘population based’)• PEST (political, economic, social, technology)• Grand strategies
• Back page BMJ– Des Spence (Glasgow GP)– health promotion– medical nutrition– digital rectal examination– sports medicine
Evidence based medicine
• Based on clinical epidemiology • ‘Old wine, new bottle’• Involves numbers ! (measure or count)• Diagnosis & Prognosis• Therapy & Harm
the Sackett Cube‘How to get the most from CME’
Phase IV – Professional Practice Block
Phase III
• Student selected module (SSM3) – clinical effectiveness (RCT’s & systematic reviews)– GP under-represented (only 1 out of 35 groups)
Most likely diagnosis?
A. Multiple SclerosisB. Bell’s PalsyC. Lyme DiseaseD. Acoustic NeuromaE. Stroke
Most likely diagnosis?
A. Multiple SclerosisB. Bell’s PalsyC. Lyme DiseaseD. Acoustic NeuromaE. Stroke
Phase III
• Student selected module (SSM3) – clinical effectiveness (RCT’s & systematic reviews)– GP under-represented (only 1 out of 35 groups)
• Community block– START: needs assessment & evidence based med. – END: case presentation & discussion topics
Case Presentation
• High standard & variety of cases• Focus on ‘single condition’• Relevant evidence/guidelines
• Co-morbidity & multiple morbidity • Poly-pharmacy• Indications for current drug therapy• Adherence with medication
Discussion Topics
• Practice population – urban/rural; young/old• Evaluation in practice – audit & screening• Evidence based practice – guidelines
GP Groups Integration of Public Health Medicine in General Practice
• General Practice• Digital rectal examination• Health Promotion• Modern Medicine
Feedback from Groups Integration of Public Health Medicine in General Practice
• General Practice• Digital rectal examination• Health Promotion• Modern Medicine
