245171 Strategies to Integrate Population Health and Health Policy into Medical Education

Monday, October 31, 2011: 1:30 PM

Jan K. Carney, MD MPH , Department of Medicine, University of Vermont College of Medicine, Burlington, VT
Thomas V. Delaney, PhD , Dept. of Pediatrics, UVM College of Medicine, Burlington, VT
Kyle Concannon , University of Vermont, Burlington, VT
Purpose: Improving public health in health reform will require more education for future physicians in population health. We developed and tested a 50-question survey assessing public health knowledge and attitudes. Methods: Data were collected electronically for three cohorts: entering medical school (Class of 2013; N=86), beginning of second year (Class of 2012; N=81), and clinical clerkship (Class of 2011; N=69). Item scales were created reflecting 4 domains of public health knowledge: Evidence Base of Practice (EBP), Clinical Preventive Services and Health Promotion (CPSHP), Health Systems and Health Policy (HP) and Community Aspects of Practice (CAP). ANOVA in SPSS v18 and X2 tests were used (alpha =.05). Results: Cohorts differed in the mean number of items correct in the EBOP domain (2013 = 4.8, 2012 = 5.49 and 2011 = 6.65; p < .01) but not on the CPSHP, HP or CAP domains. Across all domains, cohorts differed on mean number of correctly answered items: 2013 = 14.2, 2012 = 14.9 and 2011 = 16.3. Cohorts differed in their agreement about technology as the most effective public health approach to address growing numbers of individuals with chronic conditions; agree + strongly agreed = 42% for the 2013 cohort, 44% for 2012 and 23% for 2011, respectively (X2=8.41, p=.02). Conclusion: Findings highlight needs for additional education in specific public health domains (including prevention of chronic conditions) throughout medical curricula, and further suggest integration strategies. These methods could be applied elsewhere, to improve education of future physicians in public health during health reform.

Learning Areas:
Administer health education strategies, interventions and programs
Clinical medicine applied in public health
Other professions or practice related to public health
Public health or related education
Public health or related public policy
Public health or related research

Learning Objectives:
1. Describe the changing role of physicians and medical students related to public health in health reform. 2. Define specific methods to assess public health knowledge and attitudes 3. Formulate educational strategies to improve public health education in future physicians in a changing environment

Keywords: Health Care Reform, Public Health Curricula

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Design, implementation, data collection, analysis, interpretation, writing, and presentation of findings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.