Enhancing Prevention and Population Health Education An Online Curriculum for Health Professional Students Presentation for Family Medicine Education Consortium October 22, 2011 – Danvers, MA Mary Applegate, MD MPH, UAlbany School of Public Health

Special thanks to . . . Anna Zendell & Cheryl Reeves – UAlbany School of Public Health Kristina Simeonsson & Lloyd Novick – Brody School of Medicine

Key Collaborators Brody School of Medicine, East Carolina Univ University at Albany School of Public Health Duke University A working group of three academic institutions developed the course materials ECU previous experience with prevention education / RMPHEC SUNY Albany has exceptional capability and experience in distance ed Duke is a leader in translating research to practice and community engagement; conducted regional trainings throughout the nation for other health professionals interested in community engagement and translational research

Overview of Project GOAL OBJECTIVES To enhance and integrate prevention and population health in curricula for health profession education OBJECTIVES Develop seven web-based modules focused on clinical prevention and population health Post the modules at the Preventive Education Resource Center (APTR website) Increase awareness of the modules through a variety of dissemination strategies APTR Initiative to Enhance Prevention and Population Health Education   APTR seeks to identify a consortium of medical schools, graduate medical education programs, and schools for the health professions to develop clinical prevention and population health education modules that will be available online for integration into existing curricula and advance the acquisition of a set of skills by medical and health professional students. The consortium will be guided and supported by an advisory committee composed of health professional educators and representatives of the Centers for Disease Control and Prevention (CDC), National Institutes of Health (NIH), and medical specialty societies.

Challenges of Integration Disconnect between medicine and population health Time constraints of overloaded curricula Attention constraints of overloaded learners

Module Content Ready to use materials that can be integrated into existing curricula Learning objectives PowerPoint shows +/- voice-over recording Supplemental resources Teaching cases Small group activities Video clips Key references

Clinical Prevention and Population Health Curriculum Framework Developed in response to HP 2010 Objective: Increase proportion of health profession schools whose curriculum includes health promotion and disease prevention Healthy People Curriculum Task Force included stakeholders from seven health professions Group of

Modules Determinants of Health Fundamentals of Epidemiology Taking a Preventive History Screening Health Systems Research to Practice Outbreak Investigation and Disease Control

Advisory Committee Experts from various institutions AAMC, ACPM, APTR, CDC, HRSA . . . and health professions Medicine Dentistry Nursing Pharmacy Physician Assistants

Preview of Materials

Modules Fundamentals of Epidemiology Screening Determinants of Health Taking a Preventive History Screening Health Systems Research to Practice Outbreak Investigation and Disease Control

Module 2 – Epidemiology

Module 2 – Learning Objectives Describe distribution of disease in population Calculate measures of disease occurrence and severity Compare epidemiologic study designs Calculate measures of association Interpret measures of association, confidence intervals, and p-values Evaluate medical and public health literature

Module 2 – PPT slide sets Measures of Morbidity and Mortality Experimental Studies Observational Studies Issues of Interpretation in Epidemiologic Studies

Module 2 – Camtasia presentation Measures of Morbidity and Mortality Experimental Studies Observational Studies Issues of Interpretation in Epidemiologic Studies

Module 2 – Teaching case Do vaccines cause autism? What have you heard about vaccines and autism? What types of studies would you recommend to look at an association?

Smith, AH. The Epidemiologic Research Sequence. 1984

Module 2 – Teaching case In the course of the case, students design their own study calculate measures of association interpret data from studies

Module 4 - Screening

Module 4 – Learning Objectives Define screening and identify appropriate conditions for screening Evaluate screening tests in terms of their validity, results and generalizability Evaluate the effectiveness of a screening program and discuss the common biases Discuss ethical considerations in screening

Module 4 – Contents Definitions – levels of prevention; screening vs. diagnosis When screening is appropriate Evaluation screening tests – reliability/validity; sensitivity/specificity/predictive value USPSTF Ethics of screening

Module 4 – Supplemental items Teaching case: Colon Cancer Screening Video clips from PMR Seminar discussion about prostate cancer screening Link to YouTube video about Oprah’s whole-body scan + discussion points: http://www.youtube.com/watch?v=6hlMlbmcSHg

Where are the modules? http://www.aptrweb.org/pophealthmodules All modules will be available Spring 2012 for free on APTR website: http://www.aptrweb.org/pophealthmodules

Association for Prevention Teaching & Research

Association for Prevention Teaching & Research PERC – Prevention Education Resource Center An APTR initiative, PERC is a repository of educational materials that facilitates interdisciplinary collaboration by connecting educators and resources.

Thank you!! http://www.aptrweb.org/pophealthmodules