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 MFPHMmike.crilly@abdn.ac.uk

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

Evidence based medicine

• Based on clinical epidemiology • ‘Old wine, new bottle’• Involves numbers ! (measure or count)• Diagnosis & Prognosis• Therapy & Harm

the Sackett Cube‘How to get the most from CME’

Phase IV – Professional Practice Block

Phase III

• Student selected module (SSM3) – clinical effectiveness (RCT’s & systematic reviews)– GP under-represented (only 1 out of 35 groups)

Most likely diagnosis?

A. Multiple SclerosisB. Bell’s PalsyC. Lyme DiseaseD. Acoustic NeuromaE. Stroke

Most likely diagnosis?

A. Multiple SclerosisB. Bell’s PalsyC. Lyme DiseaseD. Acoustic NeuromaE. Stroke

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

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

Discussion Topics

• Practice population – urban/rural; young/old• Evaluation in practice – audit & screening• Evidence based practice – guidelines

GP Groups Integration of Public Health Medicine in General Practice

• General Practice• Digital rectal examination• Health Promotion• Modern Medicine

Feedback from Groups Integration of Public Health Medicine in General Practice

• General Practice• Digital rectal examination• Health Promotion• Modern Medicine