1. Primary Care & Population Health Scholars Program Anthony J. Viera, MD, MPH UNC School of Medicine Gillings School of Global Public Health

2. What is “population health”?

3. Improving people’s health One person at a time For all those we care for *and* Going beyond our clinic walls Our community Our state Our nation …

4. Causes of death in U.S., 2000 Leading causes 1.Heart disease 2.Cancer 3.Stroke 4.COPD 5.Unintentional injuries 6.Diabetes 7.Pneumonia & influenza 8.Alzheimer’s disease 9.Kidney disease 10.Septicemia Source: Mokdad et al, JAMA 2004

5. Number of U.S. Deaths from Behavioral Causes, 2000 Schroeder S. N Engl J Med 2007;357:1221-1228

6. Causes of death in U.S., 2000 “Leading” causes 1.Heart disease 2.Cancer 3.Stroke 4.COPD 5.Unintentional injuries 6.Diabetes 7.Pneumonia & influenza 8.Alzheimer’s disease 9.Kidney disease 10.Septicemia Actual causes 1.Tobacco 2.Poor diet & physical inactivity 3.Alcohol consumption 4.Microbial agents 5.Toxic agents 6.Motor vehicle 7.Firearms 8.Sexual behavior 9.Illicit drug use Source: Mokdad et al, JAMA 2004

7. Schroeder S. N Engl J Med 2007;357:1221-1228 Determinants of health (incidence) Determinants of health and their contribution to premature death

8. Population health in medical education Multiple national organizations have called for this: CDC, AAM, IOM “populations” vs “Populations”

9. Copyright ©2010 American Public Health Association Frieden, T. R. Am J Public Health 2010;100:590-595 The health impact pyramid

10. PCPH Scholars Current 1 st -year student planning a career in primary care (general medicine, general pediatrics, family medicine)

11. PCPH Scholars Program A premier track of our medical school Evening cross-cutting seminars (small group, discussion-based) Writing project to be published Clinical work in high-performing practices Mentors and opportunities to mentor Travel funds for meetings MPH year

12. Working on… Office space / cubicle in MacNider

13. Evening seminars (examples) The Affordable Care Act – Intro and Updates Health Disparities Health Communication and Health Literacy Healthcare Quality: Defining and Measuring It? Why Are Health Care Costs so High, and What is the Physician’s Role? ACO’s, PCMHs, and other Alphabet Soup Leadership in Medicine

14. Publications and projects Help Desk Answer for Evidence Based Practice Clinical Inquiry Other summer projects – as long as end- product (poster or publication) With opportunity for funding / stipend

15. PCPH Scholars Current 1 st -year student planning a career in primary care (general medicine, general pediatrics, family medicine) Can still do Asheville (or similar) program

16. MD-MPH Program Specifically designed for medical students & physicians 12 month program After 3 rd - year (after Application Phase as part of Individualization) Work closely with faculty from SOM and SPH Degree awarded in most cases in August

17. Why earn an MPH? Health care transformation needs physicians with added skills and perspective Added skills / value-added – maximizing potential to contribute to the health of the public – training to participate in clinical research, evaluate programs, conduct policy analyses, critically appraise the health literature – grounding for leadership in health care and health policy

18. Curriculum: Health Care & Prevention Health policy Health behavior / prevention science Epidemiology & biostatistics Critical appraisal of the health literature Environmental health Electives Practicum Master’s paper

19. www.hcandp.unc.edu http://www.youtube.com/watch?v=FCALDcgx XQk&feature=plcp http://www.youtube.com/watch?v=FCALDcgx XQk&feature=plcp

20. Tuition not covered, but… Tuition is low (~$11,500 in-state) Scholars have “early acceptance” Early application maximizes chances for scholarships

21. Join us! First evening seminar end of January: Understanding the Affordable Care Act -Facilitated and hosted by- Sue Tolleson-Rinehart, PhD pcphscholars@unc.edu

22. Applying is easy… Up to two-page personal statement explaining your intended career path and why incorporating population health is important. Send as an attachment with a cover email to: pcphscholars@unc.edu Interviews will be arranged with two members of our selection committee DEADLINE: January 10, 2014