PUBLIC HEALTH MEDICINE AS A CAREER An Introduction by the Public Health Physicians of Canada Residents Council Presented by: (Insert Name Here) (Month, DD, YYYY) (Insert Contact Info Here)

PUBLIC HEALTH MEDICINE AS A CAREER Placeholder Brief opening video showing public health physicians and residents discussing their careers and why it is exciting

PUBLIC HEALTH MEDICINE AS A CAREER Outline What are Health, Public Health, & Health Care? What do Physicians in Public Health do? What is Public Health & Preventive Medicine Residency? This presentation will cover four topics: What is health, public health, and health care. How are they related, and how are they different? What do physicians do in public health What is the Public Health & Preventive Medicine specialty And how can you explore a career in public health.

WHAT IS HEALTH? WHAT IS PUBLIC HEALTH? WHAT IS HEALTH CARE?

PUBLIC HEALTH MEDICINE AS A CAREER Health is determined by many factors Medical care Preventive care Good treatment Lifestyle Socioeconomics Social attitudes (e.g. stigma) Government policies } Not Health Care Some of these aren’t health care

PUBLIC HEALTH MEDICINE AS A CAREER Health Is a Partnership Good Health Lifestyle Socioeconomics Social attitudes (e.g. stigma) Government policies Access to medical care Preventive care Good treatment Good health is ultimately a partnership between public health and health care. Preventing illness is often the best way to give people healthier lives. But not everything is preventable; we need health care for when prevention doesn’t work. HEALTH CARE PUBLIC HEALTH

PUBLIC HEALTH MEDICINE AS A CAREER Courtesy of the Canadian Public Health Association

A MEDICAL CAREER IN PUBLIC HEALTH How to Get Involved in Public Health as a Physician

PUBLIC HEALTH MEDICINE AS A CAREER Clinician who includes prevention in work Public Health in Medicine Clinician who focuses on preventive health Public Health Physician There are three different ways for medical professionals to be involved in public health

PUBLIC HEALTH MEDICINE AS A CAREER Public Health Physician Medical consultant to a Public Health Department Infectious disease (e.g. prophylaxis of contacts) Environmental hazards (e.g. what is the risk to health?) Chronic disease (e.g. program planning) Advocacy (e.g. media, to government) Emergency management (e.g. ensuring health and safety) Research & teaching Leading health organizations Occupational Health And of course, you can become a public health specialist Occupational health is a fellowship that can be entered from family medicine, internal medicine, or public health and preventive medicine

PUBLIC HEALTH MEDICINE AS A CAREER Public Health & Preventive Medicine Specialist Public Sector Public Health Private Sector Academia Non-Governmental Organization Preventive Medicine Clinician Local Public Health Provincial/ Federal/ International Public Health Organization Pharmaceutical Companies Teaching Public Health to Medical Students Research Occupational Health Consulting PHPM Program Director Administration/ Leadership Sexual Health Medical Officer of Health (or Associate) Administrator/ Manager/ Leader Full-time Research Leadership of Community Health Centres Travel Medicine Clinic Medical Director The array of what you can do as a public health physician is huge Content Expert Community-focused clinical practice CAREERS IN PUBLIC HEALTH Many people work a combination of these too! Other Possibilities

PUBLIC HEALTH MEDICINE AS A CAREER Lifestyle Issues Work intensity Part time, flexible Multiple careers combined (e.g. clinical practice & local public health) Most specialists have a 40–50 hour work week Call Home call 1 in 2 to 1 in 5 depending on number of colleagues Call is very light—rare for urgent issues needing after hours response Public health is a flexible career option, with relatively light call.

PUBLIC HEALTH MEDICINE AS A CAREER Lifestyle Issues Income Public sector: $200–300,000 (no overhead) Researcher: $150–225,000 (no overhead) Clinician: $250–$350,000 (overhead) Public sector and academic jobs come with benefits packages

PUBLIC HEALTH & PREVENTIVE MEDICINE TRAINING Introduction to the Residency Program

PUBLIC HEALTH MEDICINE AS A CAREER Training Components Basic Clinical Training 5 Years These are the three major components to PH&PM training in Canada. Different schools will organize/sequence them in different ways. Five years. 2014 RCPSC training requirements are: 1 year of basic clinical training 4 years of additional training, divided as per below: Minimum 2 semesters of relevant academic work Minimum 18 months of PH&PM field placements Up to 12 months of “other” field placements (e.g. clinical pharmacology) Up to 18 months of relevant research Up to 12 months of CFPC/RCPSC clinical training, relevant to PH&PM Source: http://www.royalcollege.ca/cs/groups/public/documents/document/y2vk/mda w/~edisp/tztest3rcpsced000639.pdf Academic Work in PH&PM PH&PM Field Placements

PUBLIC HEALTH MEDICINE AS A CAREER Multiple Training Pathways These are some of the sequential pathways First is what University of Calgary does. Segmented clinical, academic, and field rotation components Longitudinal PH exposure would be limited to academic half-days Second is University of Toronto. Another approach is to devote the first two years to Family Medicine, including the half-days. Indistinguishable from being in a regular FM residency for those two years. Not much exposure to PHPM until at least year 3 (and no field rotations until even later, likely). Note that some programs vary this up by having the Academic in PGY-1, then clinical across years 2-3. Additionally, most programs now offer some sort of Intro rotation in first year (e.g. in place of an elective block). Third is UBC There are just examples. There are many options possible!

PUBLIC HEALTH MEDICINE AS A CAREER Multiple Training Pathways This is what an integrated pathway looks like e.g. McMaster Integrated pathway Early exposure to PHPM half-days in PGY-1 clinical time Additional FM requirements completed across PGY-2/3 Academic time begins in PGY-2, extends to 3/4. During this time, mix of half-days. Earlier exposure to PH field rotations, prior to the completion of clinical or academic portions.

PUBLIC HEALTH MEDICINE AS A CAREER Key Points about Training Three major training requirements Clinical Training Academic Work PH&PM Field Placements Mix of requirements can be tailored to career interest Different routes to completion With/without Family Medicine Sequential vs. Integrated pathways Some programs may suit you better than others!

PUBLIC HEALTH MEDICINE AS A CAREER Placeholder Residency Programs can add information about their program if they wish

PUBLIC HEALTH MEDICINE AS A CAREER Video Placeholder Video of specialist discussing their work life

QUESTIONS? Let us know your questions! Speaker is encouraged to put their email address into this slide. To reach Public Health Physicians of Canada Residents Council: phpcresidents@gmail.com

PUBLIC HEALTH MEDICINE AS A CAREER Contributors Jasmine Hasselback PGY-3 University of Saskatchewan M. Mustafa Hirji (Editor) PGY-5 McMaster University Thomas Piggott PGY-1 McMaster University Matthew Tennenbaum PGY-2 McMaster University Rim Zayed PGY-4 University of Ottawa We acknowledge generous funding support provided by the Public Health Agency of Canada, and project management provided by the Association of Faculties of Medicine of Canada. Thanks to all those who made this possible! This work is licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License