1. 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

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

3. 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

4. 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.

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

6. 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

7. 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

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

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

10. Preview of Materials

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

12. Module 2 – Epidemiology

13. 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

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

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

16. 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?

17. Smith, AH. The Epidemiologic Research Sequence. 1984

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

19. Module 4 - Screening

20. 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

21. 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

22. 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:

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

24. Association for Prevention Teaching & Research

25. 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.

26. Thank you!!