Community medicine curriculum in Sudan Medical Specialization Board


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Community medicine curriculum in Sudan Medical Specialization Board

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Community medicine curriculum in Sudan Medical Specialization Board

  1. 1. THE SPECIALITY OF COMMUNITY MEDICINE 1. Community Medicine Definition Community Medicine is concerned with the application of medical, social and behavioral sciences for studying, analyzing and diagnosing the health status of the population in a given community, and the elaboration of appropriate measures and interventions for the solution of the identified problems with the ultimate goal of (promotion and protection of community's health) health promotion and disease prevention in that community. 2. Tasks of the Community Medicine Specialist 2.1. Diagnosing and characterizing of the health status of the population. 2.2. Identifying the biological, socio-economic, behavioral and environmental factors influencing the health-disease process in individuals, social groups and community. 2.3. Assessment of the health needs of the population: different age groups, social groups, and occupational groups. 2.4. Planning, organizing and managing health care programmes for health promotion, disease prevention, health recovery and rehabilitation. 2.5. Planning, organizing and managing health care institutions: centers, polyclinic, and hospitals. 2.6. Training and management of health manpower. 2.7. Establishing an adequate link with community leaders and local authorities for securing inter-sectoral collaboration and community participation in different health programme and activities. 2.8. Evaluation of health care services and programmes and identifying relevant interventions for promoting their efficiency. 2.9. Design and conduct health system research and epidemic and epidemiological studies. 3. Objectives of the Training Programme At the end of training programme, the trainee should be able to: 3.1. Knowledge: 3.1.1. Identify the sources of information at the local, national, regional and international level. 3.1.2. Describe the natural history, distribution, and determinants of health problems. 3.1.3. List and describe the different modes of transmission of communicable disease. 3.1.4. Indicate the opportunities for preventing, controlling and management of disease/health problems in individuals, population groups, and community. 3.1.5. Describe the demographic, socio-economic, cultural, behavioral and environmental characteristics of the community where (s) he is working. 3.1.6. Be familiarized with the health system, organization and health institutions in the community. 3.1.7. Be familiarized with the medico-legal legislation and its
  2. 2. impact on the health organization and the health of the community. 3.1.8. Characterize the health policies and strategies at the local, national, regional and global levels. 3.2 Skills: 3.2.1. Choose, apply and interpret appropriate descriptive and analytical statistical methods and techniques. 3.2.2. Analyze the social, cultural and economic factors prevalent in the community and their impact on the of health status of the population. 3.2.3. Evaluation health risks and hazards in the natural and social environment and indicate appropriate methods for their prevention control. 3.2.4. Evaluate the accessibility and utilization of health services. 3.2.5. Plan, organize, and manage healthcare programmes. 3.2.6. Plan, organize, and manage healthcare institutions and health resources. 3.2.7. Assess the effectiveness and efficiency of health services and health programme, and indicate the appropriate interventions for their promotion. 3.2.8. Design and conduct scientific research, particularly applied research focused on the main health problems in the community that (s) he serves. 3.2.9. Establish adequate communication with the health team members, health authorities and community. 3.2.10. Mobilize individuals, groups and community for active participation in health programmes. 3.2.11. Plan, organize and conduct a training programme for health professionals. Attitudes: 3.3.1 Demonstrate true commitment to health promotion and disease prevention. 3.3.2 Appreciate the role of community Medicine Specialist as an agent change. 3.3.3 Emphasize the importance of teamwork and demonstrate willingness to offer advice and assistance to the members of the health team. 3.3.4 Advocate the integral approach to health problems analysis and management. 3.3.5 Critically interpret medical and health literature. 3.3.6 Accept the possible emergence of conflict of intersects between various agencies and react properly according to the particular situation. 3.3.7 Critically evaluate one's own work, and demonstrate determination to overcome shortcomings and self-limitations. 3.3.8 Recognize the need for continuing education. 4. Period of Training The training specialty of Community Medicine covers a minimum period of four years. 5. Organization of the Training Programme: Specialist training in Community Medicine is organized in two parts:
  3. 3. 5.1. Part I: Academic programme This part extends for one calendar year. It includes an academic course of a minimum of 30 credit hours that cover the sciences of epidemiology, health statistics, behavioral and social sciences, environmental health, occupational health, and planning management of health services. 5.2.1. Specification of the Academic Programme Discipline Credit hours 1. Epidemiology a. Principles of epidemiology b. Epidemiology of communicable diseases c. Epidemiology of non-communicable diseases d. Primary health care programmes 2 2 2 2 2. Health Statistics and research methodology a. Principles of demography 1 b. Biostatistics 2 c. Health information system 1 d. Research methodology e. Computer applications in health research 2 1 3. Health Administration a. Organization theory and management 1 b. Health planning c. Management of health services and health care institutions d. Management of Human Resources 1 e. Health economics 1 1 1 4. Social and behavioral dimensions of Health a. Social and psychological determinants 1 of health b. Health promotion: concepts, policies 1 and practices c. Health education 1 d. Education methodology e. Ethical issues in health policy and public health. 5. Environment and Health a. Environmental factors as determinants health b. Promoting healthy environment 1 c. Occupational health 2 1 2 1
  4. 4. 6. Evidence-based Medicine a. What evidence-based health care? 1 b. Searching strategy 1 c. Critical appraisal 2 d. Evidence-based health care practice 1 Total 35 5.2 Part II: field Training and Research This part extends for two calendar years. It covers advanced residency rotations in four major areas (programmes) of community Medicine that are individually organized for each trainee. The selection of the training programmes should take into account the trainee's experience and interests, as well as the available opportunities for training and supervision. The training areas (programmes) include: a. Health information. b. Epidemiology and surveillance. c. Planning and management of health manpower. d. Administration of health services and healthcare institutions. e. Environmental health. f. Maternal and child health. g. School health. h. Nutrition. i. Control of endemic diseases. j. Chronic diseases k. Occupational health. l. Mental health. m. Care of elderly. n. Rehabilitation. o. International health. 5.2.1. The trainee should spend specified period in each selected programme (see log Book) and carry out the following tasks: i. Provision of services: 1. Participate in the daily activities of the programme, including the provision services, health education and counseling. ii. Education and training: 1. Participation in the education and training of the health team members. 2. Participation of relevant teaching/learning materials. 3. Use of appropriate visual aides in the presentation of lectures and seminars in topics related to the program. iii. Planning, organizing, and managing: 1. Description and analysis of the demographic,
  5. 5. socioeconomic, cultural and environmental characteristics of the target population served by the programme, using appropriate statistical indicators. a. Critical appraisal of the different components of the programme: structural organization, current plan of activities, managerial procedures, availability and efficiency of utilization of recourses. 2. Identification of administrative and/or organizational obstacles as well as the relevant interventions to resolve them. 3. Active participation in different committees of the programme and related activities. iv. Research 1. Critical literature review of the historical and theoretical background of the training programme, and its current tends. 2. Describe the demographic, social and cultural characteristics of the target population served by the programme. 3. Critical appraisal of two published papers related to the training programme. 4. Prepare a research proposal on a relevant health problem. 5. Participate in different scientific activities: workshops, seminars and conferences related to the training program. 5.2.2. At the end of each rotation the trainee should submit a scientific report according to the established specification. 5.2.3. During this period the trainee should carry out a planned scientific research and submit a dissertation. Recommended References:1. Maxcy-Rosenau-Last. Public Health and Preventive Medicine John M. Last and Robert B. Wallace (Eds) 14th Edition Appelton and Kange, 1997 2. Foundations of Epidemiology David E. Lilienfeled. Paul D. Stolley 3rd Edition Oxford University Press, 1994 3. Epidemiology Biostatistics and Preventive Medicine James F. Jekel, John G. Elmore & David L Katz W. B. Saunders Company, 1996 4. Clinical Epidemiology and Biostatistics Rebecca G. Knapp & M. Clinton Miller III Williams & Wikins Batimore, 1992 5. Society and Health Graham Moon & Rosemary Gillespie Routledge, London, 1996 6. Macroeconomic Environment and Health WHO, Geneva, 1993 7. Education for Health: A manual on health education in primary health care
  6. 6. WHO, Geneva, 1998 8. on being in Charge: A guide to management in primary health care WHO, Geneva, 1992 9. Health Promotion: Models and values 2nd Edition R.S. Dowine, Carol Tnnahill Oxford University Press Periodicals 1. Eastern Mediterranean Health Journal WHO � EMRO WWW.WHO.SC.EG/EMHJ.HTM 2. Bulletin of the World Health Organization: The International Journal pf Public Health WHO � Geneva 3. International Journal of Epidemiology 4. International Journal of Health Services Baymood Publishing company, inc 5. Journal of Medical Ethics www.jme.bmjjournals,com 6. Journal of Epidemiology and community Health www.jme.bmjjournals,com 6. Evaluation:  Students will be subject for two examinations in addition to continuous assessment.  The students have to carry out 80% or above of the assigned activities to be eligible for part 1 or 2 examination.  Part 1 examination consists of MCQs, problem solving and short notes.  Part 2 examination consists of MCQs, problem solving, short notes and OSCE in addition to thesis evaluation.