introduction to preventive medicine & public health training
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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
VISA– Sponsor both H and J visa– Do not pay for attorney fees
Board Pass rate– Internal Medicine 100%– Preventive Medicine 100%
Out of Match offers– We go through NRMP match
How many positions?– Internal Medicine 2– TY 8– Prelim IM 4– Combined IM/PM 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.
Vaccination Motor-vehicle safety Safer workplaces Control of infectious
diseases Decline in deaths from
coronary heart disease and stroke
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
Public health faces new challenges– 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
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
Population growth and movement due to man made and natural disasters
Global travel
Human behaviors such as intravenous drug use and risky sexual behaviors
Prevention
Primary Prevention - preventing the occurrence of disease and injury, for example by immunizations.
Secondary Prevention - early detection and intervention, by reversing, halting or retarding the progression of a condition.
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
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
Year 1: 11 months Clinical Rotations Geriatrics, Ambulatory Medicine Year 2: 2 months Clinical Rotations
4 months MPH coursework (Fall semester)
5 months Clinical Rotations
Year 3: 2 months Public Health Rotations
3 months Clinical Rotations Integrated Rotations
2 months Clinical Rotations
4 months MPH coursework (Spring semester)
Year 4: 6 months Clinical Rotations Integrated Rotations
5 months Clinical Rotations Adolescent Medicine
Overview of Combined Program
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
The Connecticut State Department Of Public Health– o Behavioral Health Risk Factor Surveillance Survey (BRFSS)
The Department of Public Health of the Lower Naugatuck Valley » West Nile Virus Surveillance
» Out break Investigation
The Department of Public Health, City Of Stamford » Patterns and Characteristics of Tick bites
» Risk factor for Melanoma in Lifeguards
The Department of Public Health, New Haven Local Public Health Agencies
» Valley United Way
» Women Health Center
Research Opportunities Griffin Hospital
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 RotationsOther 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
Occupational Medicine
Yale Occupational Medicine Program Sikorsky Aircraft Griffin Occupational Medicine program
(new)
Health Management
Connecticut State General Assembly Resident rotated through Connecticut State Capitol and
Legislative Office with the Chair of Public Health Committee. 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 RightsGriffin Center for Health and Human Rights
East Timor Project Latent TB and living conditions in East Timor
Colorado Adolescent Detention Centers Prevalence of psychiatric morbidity in Adolescent detention Centers
Others: Uganda, Brazil, Russia are possible.
Project Amazonas- Peruvian AmazonHealth Risk Behaviors in Peruvian Amazon
Physicians for Human Rights
Yale office of International Health» Zimbabwe Project
Skill Sets of Combined Program Graduates
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 trainingBetter job opportunities Internal medicine
– Primary care– Hospitalist– Sub-specialty training
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
Accomplishments- National Level
Prevention 98» Best research poster award
Prevention 00» Best Poster award » 4 posters presented
Preventive Medicine 2001» 3 posters presented
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
» 2000 Winner Oral Presentation
» 2001 Winner 2nd prize oral presentation Winner 1st prize, research poster Winner, 3rd prize, research poster
Accomplishments- State level
American College of Physician-CT» 10/2002
Winner 1st prize oral presentationWinner 1st prize, research posterWinner, 1st prize, Clinical poster
Thank you.
Preventive Medicine Curriculum
Distributed.