Download - Dr Mike Crilly Senior Lecturer in Clinical Epidemiology MD MPH MRCGP MFPHM m [email protected]
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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]
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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
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Evidence based medicine
• Based on clinical epidemiology • ‘Old wine, new bottle’• Involves numbers ! (measure or count)• Diagnosis & Prognosis• Therapy & Harm
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the Sackett Cube‘How to get the most from CME’
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Phase IV – Professional Practice Block
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Phase III
• Student selected module (SSM3) – clinical effectiveness (RCT’s & systematic reviews)– GP under-represented (only 1 out of 35 groups)
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Most likely diagnosis?
A. Multiple SclerosisB. Bell’s PalsyC. Lyme DiseaseD. Acoustic NeuromaE. Stroke
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Most likely diagnosis?
A. Multiple SclerosisB. Bell’s PalsyC. Lyme DiseaseD. Acoustic NeuromaE. Stroke
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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
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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
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Discussion Topics
• Practice population – urban/rural; young/old• Evaluation in practice – audit & screening• Evidence based practice – guidelines
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GP Groups Integration of Public Health Medicine in General Practice
• General Practice• Digital rectal examination• Health Promotion• Modern Medicine
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Feedback from Groups Integration of Public Health Medicine in General Practice
• General Practice• Digital rectal examination• Health Promotion• Modern Medicine