Transcript Preventive Medicine

Introduction to Preventive Medicine
& Public Health Training
INTORDUCTION TO
GRADUATE MEDICAL
EDUATION
AT
GRIFFIN HOSPITAL
YALE UNIVERSITY SCHOOL OF
MEDICINE
YALE UNIVERSITY SCHOOL OF
PUBLIC HEALTH
Answers to commonly asked questions
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VISA
– Sponsor both H and J visa
– Do not pay for attorney fees
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Board Pass rate
– Internal Medicine
– Preventive Medicine
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100%
100%
Out of Match offers
– We go through NRMP match
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How many positions?
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Internal Medicine
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Prelim IM
Combined IM/PM
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8
4
3
Leading
Causes of
Death
Death Rate
for Infectious
Diseases
Ten Great Public Health Achievements United States 1900 - 1999
MMWR 4/2/99/48(12);241-243.
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Vaccination
Motor-vehicle safety
Safer workplaces
Control of infectious
diseases
Decline in deaths from
coronary heart disease
and stroke
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Safer and healthier food
Healthier mothers and
babies
Family planning
Fluoridation of
drinking water
Recognition of tobacco
use as a health hazard
Our Job is not Finished yet
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Public health faces new challenges
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New infections (such as W. Nile)
Chronic disease (Obesity and Diabetes)
Cancers
Bioterrorism
Behaviors (smoking, eating)
Health access
Actual Causes of Death
Environmental Conditions Favoring
the Spread of Infectious Disease
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Globalization of the food supply
Development projects that alter the habitat
of disease carrying insects and animals
Increased human contact with the wilderness
habitat that may harbor unknown infectious
agents
Increased use of antimicrobial agents and
pesticides hastening resistance
Demographic Conditions
Favoring the Spread of
Infectious Disease
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Population growth and movement due to man
made and natural disasters
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Global travel
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Human behaviors such as intravenous drug use
and risky sexual behaviors
Prevention
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Primary Prevention - preventing the occurrence of
disease and injury, for example by immunizations.
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Secondary Prevention - early detection and
intervention, by reversing, halting or retarding the
progression of a condition.
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Tertiary Prevention - minimizing the the effects of
disease and disability by surveillance and
maintenance to prevent complications.
What is Preventive Medicine?
Preventive medicine physicians work
with large population groups as well as
with individual patients to promote
health and understand the risks of
disease, injury, disability and death.
Preventive Medicine
Competencies
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Epidemiology
Biostatistics
Environmental and occupational medicine
Planning, administration, evaluation of health services
Social and behavioral aspects of health and disease
Practice of prevention in clinical medicine
Research Methods & Clinical Trial
Grant Writing
Overview of Combined Program
Year 1:
11 months
Clinical Rotations
Geriatrics, Ambulatory Medicine
Year 2:
2 months
4 months
Clinical
MPH coursework
Rotations
(Fall semester)
Year 3:
2 months
3 months
Public Health Clinical Rotations
Rotations
Integrated Rotations
Year 4:
6 months
Clinical Rotations
Integrated Rotations
5 months
Clinical Rotations
2 months
Clinical
Rotations
4 months
MPH coursework
(Spring semester)
5 months
Clinical Rotations
Adolescent Medicine
Preventive Medicine Activities:
1. Preventive Medicine Lectures:
First Friday of each month
2. Preventive Medicine journal Clubs:
2nd
Friday of each month
3. Preventive Medicine Seminars/Peer
Teaching:
3rd Friday of each month
4. Research Conferences:
» 4rth Friday of each month
5.
Preventive Medicine/ Public Health Rotations
Preventive Medicine/ Public
Health Rotations
Major areas:
 Public Health Department Rotations
 Research electives
 Occupational Medicine electives
 Health Management & Administration
 Clinical Preventive Medicine
Public Health/Community Health
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The Connecticut State Department Of Public Health
– oBehavioral Health Risk Factor Surveillance Survey (BRFSS)
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The Department of Public Health of the Lower Naugatuck
Valley
» West Nile Virus Surveillance
» Out break Investigation
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The Department of Public Health, City Of Stamford
» Patterns and Characteristics of Tick bites
» Risk factor for Melanoma in Lifeguards
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The Department of Public Health, New Haven
Local Public Health Agencies
» Valley United Way
» Women Health Center
Research Opportunities
Griffin Hospital
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Women Health Center
Department Of Preventive Medicine
Department of Internal Medicine
Geriatric Assessment Center
Griffin Center for Health & Human Rights
Yale-Griffin Prevention Research Center
Rapid Diagnostic Breast Cancer Center
Research Rotations
Other institutions
Yale School of Epidemiology
 State Dept. of Public Health
 Center of Outcome Research and
Evaluation
 City Health Departments
 CT Injury Prevention Center
 Yale Occupational Medicine Program
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Occupational Medicine
Yale Occupational Medicine Program
 Sikorsky Aircraft
 Griffin Occupational Medicine program
(new)
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Health Management
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Connecticut State General Assembly
Resident rotated through Connecticut State Capitol and
Legislative Office with the Chair of Public Health Committee.
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Opportunity to work on Hospital Committees and
task force
Clinical Pathways
Griffin Hospital Quality Management dept.
Griffin Hospital Continuing care dept.
Legislative Electives at State Capital
Managed care & Insurance company experience
International Health/ Human Rights
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Griffin Center for Health and Human Rights
East Timor Project
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Latent TB and living conditions in East Timor
Colorado Adolescent Detention Centers
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Prevalence of psychiatric morbidity in Adolescent detention
Centers
 Others: Uganda, Brazil, Russia are possible.
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Project Amazonas- Peruvian Amazon
 Health Risk Behaviors in Peruvian Amazon
 Physicians for Human Rights
 Yale office of International Health
» Zimbabwe Project
Skill Sets of Combined Program
Graduates
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Internal medicine training
Preventive Medicine Training
MPH degree
Familiarity with Evidence-Based Medicine
Understand public health, epidemiological
principles
Able to read scientific literature
Ability to pursue Academic carriers
Ability to pursue research and grants
Benefits of combined training
Better job opportunities
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Internal medicine
– Primary care
– Hospitalist
– Sub-specialty training
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Public health
– Federal government
» CDC
» NIH
– WHO
– International health work
» NGOs
– Managed care/health insurance
– Hospital or group practice management (such as hospitalist groups)
– Academic faculty
AccomplishmentsNational Level
Prevention 98
» Best research poster award
Prevention 00
» Best Poster award
» 4 posters presented
Preventive Medicine 2001
» 3 posters presented
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Preventive Medicine 2002
» 5 posters accepted for presentation
Accomplishments- State level
American College of Physician-CT
» 1999
Winner, Oral presentation
 Winner 2nd prize, poster presentation
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» 2000
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Winner Oral Presentation
» 2001
Winner 2nd prize oral presentation
 Winner 1st prize, research poster
 Winner, 3rd prize, research poster
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Accomplishments- State level
American College of Physician-CT
» 10/2002
 Winner
1st prize oral presentation
 Winner 1st prize, research poster
 Winner, 1st prize, Clinical poster
Thank you.
Preventive Medicine Curriculum
Distributed.