Integration of Public Health Medicine in General Practice PHASE III/IV TUTORS DEVELOPMENT DAY...
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![Page 1: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/1.jpg)
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]
![Page 2: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/2.jpg)
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
![Page 3: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/3.jpg)
Evidence based medicine
• Based on clinical epidemiology • ‘Old wine, new bottle’• Involves numbers ! (measure or count)• Diagnosis & Prognosis• Therapy & Harm
![Page 4: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/4.jpg)
the Sackett Cube‘How to get the most from CME’
![Page 5: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/5.jpg)
Phase IV – Professional Practice Block
![Page 6: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/6.jpg)
Phase III
• Student selected module (SSM3) – clinical effectiveness (RCT’s & systematic reviews)– GP under-represented (only 1 out of 35 groups)
![Page 7: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/7.jpg)
Most likely diagnosis?
A. Multiple SclerosisB. Bell’s PalsyC. Lyme DiseaseD. Acoustic NeuromaE. Stroke
![Page 8: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/8.jpg)
Most likely diagnosis?
A. Multiple SclerosisB. Bell’s PalsyC. Lyme DiseaseD. Acoustic NeuromaE. Stroke
![Page 9: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/9.jpg)
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
![Page 10: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/10.jpg)
![Page 11: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/11.jpg)
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
![Page 12: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/12.jpg)
Discussion Topics
• Practice population – urban/rural; young/old• Evaluation in practice – audit & screening• Evidence based practice – guidelines
![Page 13: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/13.jpg)
![Page 14: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/14.jpg)
GP Groups Integration of Public Health Medicine in General Practice
• General Practice• Digital rectal examination• Health Promotion• Modern Medicine
![Page 15: 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.](https://reader034.fdocuments.in/reader034/viewer/2022051516/56649d9c5503460f94a846ce/html5/thumbnails/15.jpg)
Feedback from Groups Integration of Public Health Medicine in General Practice
• General Practice• Digital rectal examination• Health Promotion• Modern Medicine