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Dr Mike Crilly Senior Lecturer in Clinical Epidemiology MD MPH MRCGP MFPHM m ike.crilly@abdn.ac.uk

Integration of Public Health Medicine in General Practice PHASE III/IV TUTORS DEVELOPMENT DAY Thursday 17 th May 2012. Dr Mike Crilly Senior Lecturer in Clinical Epidemiology MD MPH MRCGP MFPHM m ike.crilly@abdn.ac.uk. Public Health Medicine.

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Dr Mike Crilly Senior Lecturer in Clinical Epidemiology MD MPH MRCGP MFPHM m ike.crilly@abdn.ac.uk

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  1. Integration of Public Health Medicine in General PracticePHASE III/IV TUTORS DEVELOPMENT DAYThursday 17th May 2012 Dr Mike Crilly Senior Lecturer in Clinical Epidemiology MD MPH MRCGP MFPHM mike.crilly@abdn.ac.uk

  2. 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

  3. Evidence based medicine • Based on clinicalepidemiology • ‘Old wine, new bottle’ • Involves numbers ! (measure or count) • Diagnosis & Prognosis • Therapy & Harm

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

  5. Phase IV – Professional Practice Block

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

  7. Most likely diagnosis? • Multiple Sclerosis • Bell’s Palsy • Lyme Disease • Acoustic Neuroma • Stroke

  8. Most likely diagnosis? • Multiple Sclerosis • Bell’s Palsy • Lyme Disease • Acoustic Neuroma • Stroke

  9. 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

  10. 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

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

  12. GP Groups Integration of Public Health Medicine in General Practice • General Practice • Digital rectal examination • Health Promotion • Modern Medicine

  13. Feedback from Groups Integration of Public Health Medicine in General Practice • General Practice • Digital rectal examination • Health Promotion • Modern Medicine

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