Public Health and Community Medicine Course Specifications

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90 Public Health and Community Medicine

Public Health and Community Medicine Course Specifications

University: Minia Faculty: Medicine

Department: Public Health and Community Medicine Last date of Approval: 3/11/2016

1. Course Information

• Academic Year/level:

4^th year

• Course Title:

Community Medicine • Code: CM 414

• Number of teaching hours:

- Lectures: Total of 128 hours; 4 hours/week - Practical: Total of 64 hours; 2 hours/week - Field training: 12 (2 weeks of training)

2.

Overall Aims of the course

1 Influence the students to adopt a healthy lifestyle and sound behaviors to become role models for the individuals, families, and the communities they will serve in the future.

2 Prepare a community-oriented physician capable of anticipating and responding to community health needs within the primary health care (PHC) setting according to the policies, regulations, and guidelines of the MOHP.

3 Develop a graduate who will apply the knowledge and skills learned, and is able to take leadership in motivating the community served.

3.

Intended learning outcomes of course (ILOs):

Upon completion of the course, the student should be able to:

A- Knowledge and

Understanding

When the student finishes the course, he will be able to achieve the following objectives:

A.1.1. the determinants of health, principles of disease prevention and early detection of common community health problems.

A.1.2. Epidemiological principles of

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demography and biological variability A.1.3. Principles of disease surveillance and

screening

A.1.4. Control of communicable diseases and health promotion

A.1.5. Population-based approaches to health care services and their role in improving medical practice

A.1.6. Indications, Advantages & disadvantages of various management strategies.

A.1.7. identify the ecological factors

(epidemiologic triad) and determinants (risk factors) that affect health

A.1.8. discuss methods of hospital acquired infections and waste management as an important sequence of infection control.

A.1.9. Describe, discuss Incidence, etiology, risk factors, natural history, pathogenesis, clinical features, differential diagnosis, interpretation and complications of common and life-threatening illnesses affecting the body and each of its major organ systems, presenting throughout the age spectrum.

A.2. Identify and describe Nature of disability, its impact on community and principles of management (including rehabilitation, institutional and community care).

A.3. List Basics of biostatistics:

A.3.1. Identify demography and population aspects change over time and know tools and measurements of health to compare between populations.

A.3.2. Define, calculate and interpret the demographic indices like birth rate, death rate, fertility rates.

A.3.3. Define the sources and methods of data collection, summarize data, and construct tables and graphs.

A.3.4. Descripe uses of epidemiologic methods including the types of study designs. Explain the usefulness of screening tests and describe the public health surveillance system and its use in the community.

A.4. Discuss Principles of prevention and management of locally endemic diseases (stressing on infective hepatitis,

schistosomiasis and tuberculosis).

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A.5. List risk factors relevant to selected non- communicable diseases; define screening tests pertinent to them.

A.6. List the health education messages pertinent to a healthy lifestyle.

A.7. Identify principles & various methods of health education with their advantages and limitations.

A.8. List barriers to effective communication and methods to overcome them.

A.9. Describe the principles of health care management and the management cycle of planning, implementation and evaluation and know the role of primary health care physician as a team leader capable of managing the health programs and services effectively.

A.10. Describe the health care systems in Egypt and become oriented with it , know the different organizations and interaction between them and identify the different levels of health care in Egypt.

A.11. Define the concept of Primary health care and how it relates to basic health services, the concept of family practice and how it relates to PHC in Egypt.

A.12. Describe the complementary role of maternal and child health and family planning within the context of reproductive health approach (RH), know maternal and child health problems, list the components of RH and its services in Egypt and describe the MCH program.

A.13. Identify health problems and health needs of adolescent age group and explain the components of their health program.

A.14. describe the factors affecting mental health, explain preventive measures and describe mental health program.

A.15. Identify health and health-related problems in rural areas and how

to combat them.

A.16. Define the importance of school health program and identify specific health problems for school children.

A.17. Define health needs and health problems of the elderly and explain the health care programs directed to them.

A.18. Name the concept of occupational health as an essential preventive discipline,

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identify potential hazards and stresses in different types of jobs, know measures for prevention and control of occupational hazards and describe the occupational health program.

A.19. Identify the nature, health effects and sources of environmental risks and define health related activities relevant to

prevention and control of these risks A.20. identify the role of nutrition in health and

disease and understand the principles of adequate nutrition, dietary patterns and methods of assessment of nutritional status among individuals, families and

communities.

B- Intellectual Skills

B.1. Estimate Data and do problem solving including:

B.1.1. Set-up appropriate use of data and statistical methods for problem identification, prioritization and resolution, and for program planning, implementation, and evaluation.

B.1.2. Evaluate the integrity and comparability of data and identify gaps in data sources.

B.2- Produse an effective leader of health team at primary care level, in planning, supervising & monitoring the services of health professionals in health team.

B.3-Outline public health surveillance and screening to address specific public health problems and issues

B.4-Design systemic thinking in disease analysis and causal relationship as well in planning of health programs.

B.5. Justify factors that place individuals at risk for disease or injury, to determine strategies for appropriate response.

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B.6. Demonstrate relevant and current data from literature, using information technologies and library resources, in order to help solve a clinical problem based on evidence (Evidence- Based Medicine).

B.7. Demonstrate insight into research and scientific method through:

B.7.1. Formulating research questions that are pertinent to medicine.

B.7.2.Recognition of the importance of precision in collecting, analyzing and interpreting medical data.

B.8. Reason deductively in solving clinical problems:

B.8.1. Solve problems.

B.8.2.Interpret and evaluates information objectively, recognizing its limitations

C- Professional and Practical Skills

C.1-Stand actively as member of a multidisciplinary group in health promotion, disease prevention and national health care programs applying MOHP standards and protocols for different settings and age groups.

C.2- Adapt actively in epidemiological studies to identify and prioritize health problems of the community. Collect data, analyze, interpret, and apply relevant statistical tests, to make a report.

C3. Stand actively in health care service for special groups like mothers, infants, under five children, school children, adolescents and elderly of rural and urban areas.

C4. Stand actively in investigation of outbreaks/epidemics of various diseases and other public health emergencies.

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C5. Design a diet plan using dietary guides and food exchange lists, describe diets for normal individuals throughout the life cycle, especially the vulnerable groups and prescribe diet plans for selected disease conditions (therapeutic diets)

C.6- OPerate appropriate infection control practices

C.7-Practice with different groups of the workforce to provide them with a safe and healthy work environment.

Also to plan services for the promotion of their health.

C.8- Monitoring and assessment of housing and living conditions, including sanitary facilities (according to protocol)

C.9-. Monitoring of faculty catering and other faculty environmental issues.

C.10.Monitoring of quality of drinking water (according to protocol).

D- General and transferable Skills

D.1. Tolarate appropriate counseling, health education and communication strategies in different health care settings using behavioral change models.

D.2.Adapt to use computers and information technologies.

D.3. Adjust as leadership and adjust as a team manager in motivating the community served.

D.4. communicate effectively, and professionally with persons or patients from diverse cultural, socioeconomic, educational, and professional backgrounds, and with persons of all ages and lifestyle preferences.

D.5. Behave ethically in making research.

D.6. Respect the different cultural beliefs of the community

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and behaves ethically with teachers, colleagues as well as other personnel in the field.

D.7. Serve information clearly in written, electronic and oral forms.

D.8. Communicate ideas and arguments effectively.

D.9. Effectively manages time and resources and Arrange priorities.

D.10. Co operate effectively within a team.

D.11. Use numerical data (Use simple statistical methods).

D.12. Use Evidence Based Medicine in management decisions.

D.13. Tolerate problems related to patients, work management, and among colleagues.

D.14. Co operate with a changing work environment.

D.15. Adjust safety and infection control measures during practice.

D.16. Classify their work and that of others use constructive feedback.

4- Course content

TOPICS Knowledge & Intellectual Professional General

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Understanding Skills Skills Transferable kills

General Introduction A1

Measurements of Health: Demography, Vital Statistics, and Disease Burden

A1.1- A.1.9 B1, B6 C2.5

Epidemiological and Quantitative Domain Epidemiological Methods

A3.4

B1,B6 C2.5

Medical Statistics A.3.1-A.3.3 B1,B6 C2.5, C6 D2,D5,D7,D11,D

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General Epidemiology of Communicable Diseases A4 B3,B4 C2.2, C8

Non-Communicable Diseases A5 B4,B5 C.2.2

Communication and Health Behavior A6-A8 C3, C4 D1,D3,D4

Mental Health A14

Nutrition in Health and Disease A20 B4 C1.1,C9

Management and Administration Health Care Management and Administration

A9 B2,B8 D3,D9,D13

Health Systems and Health Services in Egypt A10

Primary Health Care Programs Primary Health Care, Basic Health Services, and Family Practice

A11 B2 C5,C7

Rural Health A15 C7

Reproductive Health, including Maternal and Child Health and Family Planning

A12 B4 C7

School, Adolescent and Faculty Health A13, A16 C7

Health of the Elderly A17 C7

Health of People with Special Needs, including People with Disabilities

A2 B4

Environmental and Occupational Health Environmental Health

A18

C10-C13

Occupational Health A19 C13 D14, D16

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Practical application

1- Field visits B1-B4, B7 C1.1,C.2.1,C.2.4

, C7,C10

D1,D4

2- Survey application, reports and checklists B1-B4, B7 C1,C2,C3,C8 D3,D5,D6

5.Teaching and Learning Methods

- 5.1. Four Hours of lectures / week throughout the academic yea (32Weeks/y), lectures are traditional, using the recent learning facilities as data show, beside white board.

5.2. Practical training and demonstration:

-Two hours of practical training and demonstration / week throughout the academic year. This includes:

1 – Practical sessions for practical application of the lectures, in the fo r m o

f problem solving, scenarios, role playing, video tapes, how to

investig ate a

n outbreak if happens?, the health care system in Egypt

an d

th e importance of the primary health care for the

public, how to choose a population sample for a survey, research methodology and study designs, how to assess the nutritional status for subjects and statistical methods.

CLASSROOM TEACHING

Frequently used teaching methods include:

1 Interactive presentations (lectures with discussion)

2 Brainstorming 3 Discussions 4 Case studies

5 Clinical simulations 6 Demonstrations 7 Role plays 2- Visit includes:

- Primary Health Care center in EL-Minia city to identify the health care system and primary health care activities..

- Fever , Chest and Leprosy hospitals as an example of 2^nd level of health

care, surveillance system, isolation precautions and infection control..

- Factory for cotton industry, for identification

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of occupational health care program.

-Water and sewage plants: to be aware about the procedures taken for water and sewage sanitation 5.3. Field training (12 hours):

Objective : to prepare the student for community participation and diagnosis of common health problems in the rural areas of El-Minia city, to identify the health care system and primary health care activities in the rural health unit and to conduct health educational messages

6.Teaching and Learning Methods to students with limited Capacity

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7.Student Assessment A. Student Assessment

Methods 7.1

-

.1 Practical exam to assess the student’s ability to identify different

topics of the course.

7.2 Mid-term exam to assess the student’s progress during the course.

7.3 End of year written exam to assess the student’s comprehension and understanding of the class work.

7.4 Oral exam to assess student’s intellectual and communication abilities regarding basic knowledge and understanding of the course topics.

B. Assessment Schedule • Assessment 1: Practical Exam At end of clinical course

• Assessment 2: Mid-term written exam week 16

• Assessment 3: End of year exam (written, practical

&oral exams) week 32

C. Weighting of Assessment • Mid- term written Exam 20% (60 marks)

• Final- term written exam 50% (150 marks)

• Practical exam 10% (30 marks)

• Oral exam 20% (60 marks)

Total 100% (300 marks)

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100 Public Health and Community

Medicine 7. List of References

A. Course Notes/handouts 1- Course notes and handouts by staff members of the department.

2- Practical and Clinical Pharmacology Notes by staff members of the department.

3- Spotlights on Pharmacology edited by F. Osman, A.-E. Elkoussi, A. A. Gomaa and H.I. El-Bitar.

4- Hawary Khayyal Zarif "Handbook of

Pharmacology" edited by M.T. Khayyal and Z. Isaak.

5- Principles of Pharmacology and Therapeutics.

edited by A. Bastawy and A. El-Melegy.

6-Lippincott's Illustrated Reviews "Pharmacology", series editors R.A. Harvey and P.C. Champe, edited by M.J. Mycek, R.A. Harvey and P.C. Champe, 2^nd ed. Lippincott-Raven (Publ.)

B. Essential Books - MAXCY - ROSENAU PUBLIC HEALTH

AND PREVENTIVE MEDICINE TWELFITH EDITION, JOHN M. LAST, (EDITOR)

APPLETON- CENTURY-CROFTS/NORWALK, CONNECTICUT USA

.

C. Recommended Books D. Periodicals, websites

Teaching and Learning Methods K&U A1 ToA20

ILS B1toB8

P&PS C10

G&T S D1 to D16

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101 Public Health and Community

Medicine

Lecture ✓ ✓

Practical ✓ ✓ ✓

Field training ✓ ✓ ✓ ✓

Assessment method K&U A1 ToA16

IL B1toB8

P&P P&P C10

G&T D1 to D16

Written exam ✓ ✓

Practical ✓ ✓

Oral ✓ ✓ ✓ ✓

Course coordinator : Dr. Ebtesam Esmail Hassan

Head of the department: Professor Dr. Refaat Raof Sadek