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Back to Basics, 2013 POPULATION HEALTH

Back to Basics, 2013 POPULATION HEALTH. Nick Birkett Epidemiology & Community Medicine. THE PLAN. Structure. Lectures with discussion & some trial MCQs. Built around the MCC Objectives for Qualifying Examination Emphasis is on core ‘ need to know ’ rather than on depth and justification

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Back to Basics, 2013 POPULATION HEALTH

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  1. Back to Basics, 2013POPULATION HEALTH Nick Birkett Epidemiology & Community Medicine

  2. THE PLAN

  3. Structure • Lectures with discussion & some trial MCQs. • Built around the MCC Objectives for Qualifying Examination • Emphasis is on core ‘need to know’ rather than on depth and justification • Focus is on topics not well covered in theToronto Notes

  4. MCC QE, Part I • Revised objectives arose from many discussions over Public (or Population) Health competencies for physicians (much of what UOttawa covers in SIM) • MCC content now named Population Health, Ethics, Legal & Organizational topics (PHELO). • This has absorbed some earlier CLEO and C2LEO topics (Culture, communication, legal, ethics, organization)

  5. MCC QE, Part I • Aim is to merge population health & some CLEO objectives into main pool of questions, showing clinical relevance of prevention, etc., rather than keeping separate. • Many C2LEO topics are included in Part II of the exam. • MCC now mapping all its objectives onto CanMeds roles. Population health content links to roles such as scholar, advocate, manager: these may be the themes underlying some questions.

  6. MCC MCQ format • Questions generally include a clinical scenario • Topics should be clinically relevant to a CanMeds role • One correct answer & 4 plausible distractors • No “except” questions. No “all of the above” • Sometimes: correct = the better answer • Management: often “What is your best next step?” • Avoid “factoids” (‘which is the second most important cause of death in Canada?’) • Key features – each question tests one concept

  7. LMCC New Objectives (1) Population Health • Concepts of Health and Its Determinants (78-1) • Assessing and Measuring Health Status at the Population Level (78-2) • Interventions at the Population Level (78-3) • Administration of Effective Health Programs at the Population Level (78-4) • Outbreak Management (78-5) • Environment (78-6) • Health of Special Populations (78-7)

  8. LMCC New Objectives (2) C2LEO (URL to LMCC objective page) • Considerations for • Cultural-Communication, Legal, Ethical and Organizational Aspects of the Practice of Medicine

  9. LMCC New Objectives (3) • We won’t be able to cover every objective in detail. • Sessions will be based around objectives, with links identified as appropriate. • Start with some overviews.

  10. LMCC New Objectives (4) 78.1: CONCEPTS OF HEALTH AND ITS DETERMINANTS (March 20) • Define and discuss the concepts of health, wellness, illness, disease and sickness. • Describe the determinants of health and how they affect the health of a population and the individuals it comprises. • Lifecourse/natural history • Illness behaviour • Culture and spirituality

  11. LMCC New Objectives (5) 78.1: CONCEPTS OF HEALTH AND ITS DETERMINANTS • Determinants of health include: • Income/social status • Social support networks • Education/literacy • Employment/working conditions • Social environments • Physical environments • Personal health practices/coping skills • Healthy child development • Biology/genetic endowment • Health services • Gender • Culture

  12. LMCC New Objectives (6) 78.2: ASSESSING AND MEASURING HEALTH STATUS AT THE POPULATION LEVEL (March 18, March 25) • Describe the health status of a defined population. • Measure and record the factors that affect the health status of a population with respect to the principles of causation • Principles of Epidemiology, critical appraisal, causation, etc..

  13. LMCC New Objectives (7) 78.3: INTERVENTIONS AT THE POPULATION LEVEL (March 20) • Understand three levels of prevention • Concepts of Health Promotion, etc.. • Role of physicians at the community level. • Impact of public policy

  14. LMCC New Objectives (8) 78.4: ADMINISTRATION OF EFFECTIVE HEALTH PROGRAMS AT THE POPULATION LEVEL (March 20) • Structure of the Canadian Health Care System • Concepts of economic evaluation • Quality of care assessment

  15. LMCC New Objectives (9) 78.5: OUTBREAK MANAGEMENT (March 25) • Know defining characteristics of an outbreak • Demonstrate essential skills in outbreak control

  16. LMCC New Objectives (10) 78.6: ENVIRONMENT (March 28) • Recognize implications of environmental health at the individual and community levels • Know methods of information gathering • Work collaboratively with other groups • Recommend to patients and groups how they can minimize risk and maximize overall function

  17. LMCC New Objectives (11) 78.7: HEALTH OF SPECIAL POPULATIONS (March 28) • Specific target population include: • First Nations, Inuit, Métis Peoples • Global health and immigration • Persons with disabilities • Homeless persons • Challenges at the extremes of the age continuum

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