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  1. 1. Healthy People Curriculum Task Force Prevention Summit October 24, 2005 Clinical Prevention and Population Health Curriculum Framework Richard Riegelman MD, MPH, PhD
  2. 4. Mission To fulfill Healthy People 2010 Objective 1.7- “Increase the proportion of schools of medicine, schools of nursing and health professional training schools whose basic curriculum for health care providers includes the core competencies in health promotion and disease prevention”
  3. 5. The Conveners of the Task Force The Healthy People Curriculum Task Force was established in 2002 as a joint project of the Association of Academic Health Centers (AHC) and the Association of Teachers of Preventive Medicine (ATPM)
  4. 6. The Seven Participating Organizations- <ul><li>Association of American Medical Colleges </li></ul><ul><li>American Association of Colleges of Osteopathic Medicine </li></ul><ul><li>National Organization of Nurse Practitioner Faculties </li></ul><ul><li>American Association of Colleges of Nursing </li></ul><ul><li>American Association of Colleges of Pharmacy </li></ul><ul><li>Association of Physician Assistant Programs </li></ul><ul><li>American Dental Education Association </li></ul>
  5. 7. Resource and Affiliated Groups <ul><li>Association of Schools of Public Health </li></ul><ul><li>Community-Campus Partnerships for Health </li></ul><ul><li>Student Health Alliance </li></ul>
  6. 8. Curriculum Framework <ul><li>A generic Curriculum Framework that will serve as basis for: </li></ul><ul><li>Intra & interprofesion communication </li></ul><ul><li>Curriculum design </li></ul><ul><li>Curriculum monitor & accreditation review </li></ul><ul><li>Monitoring of baseline and follow-up data for Healthy People 2010. </li></ul>
  7. 9. Development of Curriculum Framework <ul><li>Preliminary Framework- approved by Task Force –July 2003 </li></ul><ul><li>Review by Participating Organizations and Web-based public and professional comment period July 2003-December 2003 </li></ul><ul><li>Revision of Framework January 2004 </li></ul><ul><li>Approval of Initial Framework including detailed report March 2004 </li></ul><ul><li>Planned revision of Framework beginning 2008 </li></ul>
  8. 10. Curriculum Framework <ul><li>Define Core Components </li></ul><ul><li>Begin by defining Core Components of the Curriculum Framework that are compatible with the curriculum expectations of all participating clinical health professions. </li></ul>
  9. 11. Curriculum Framework- Core Components <ul><li>Evidence Base for Practice </li></ul><ul><li>Clinical Preventive Services- Health Promotion </li></ul><ul><li>Health Services and Health Policy </li></ul><ul><li>Community Aspects of Practice </li></ul>
  10. 12. Curriculum Framework- Specific Content Each of the 19 Content Structure items are accompanied by examples of the specific content areas that could fulfill the intent of each item Full report available at
  11. 13. Curriculum Framework- Curriculum Naming <ul><li>Clinical Prevention and Population Health </li></ul><ul><li>This name has been agreed upon by the Task Force and should be used to identify this curriculum it is designed to indicate: </li></ul><ul><li>Individual clinically oriented prevention often incorporated in the term Health Promotion-Disease Prevention or Clinical Prevention </li></ul><ul><li>Population oriented prevention increasingly incorporated in the term population health. </li></ul>
  12. 14. Curriculum Framework- Naming <ul><li>Clinical Prevention and </li></ul><ul><li>Population Health </li></ul><ul><li>It is designed to focus attention on both individual and population based preventive </li></ul><ul><li>This term will be used by all participating professions to identify this area of curriculum. </li></ul>
  13. 15. Clinical Prevention and Population Health Curriculum Framework <ul><li>Evidence Base for Practice </li></ul><ul><ul><li>Epidemiology and Biostatistics </li></ul></ul><ul><ul><li>Evaluating Health Research Literature </li></ul></ul><ul><ul><li>Healthcare Quality Improvement </li></ul></ul><ul><ul><li>Surveillance Strategies </li></ul></ul><ul><ul><li>Determinants of Disease </li></ul></ul>
  14. 16. Clinical Prevention and Population Health Curriculum Framework <ul><li>Clinical Preventive Services and </li></ul><ul><li>Health Promotion </li></ul><ul><li>Screening </li></ul><ul><li>Counseling </li></ul><ul><li>Immunization </li></ul><ul><li>Preventive Medication </li></ul>
  15. 17. <ul><li>Health Systems and Health Policy </li></ul><ul><li>Healthcare and Public Health Systems </li></ul><ul><li>Health Services Financing </li></ul><ul><li>Health Workforce </li></ul><ul><li>Health Policy Development </li></ul>Clinical Prevention and Population Health Curriculum Framework
  16. 18. Clinical Prevention and Population Health Curriculum Framework <ul><li>Community Aspects of Practice </li></ul><ul><li>Environmental Health </li></ul><ul><li>Occupational Health </li></ul><ul><li>Health Communications & Needs Assessment </li></ul><ul><li>Global Health </li></ul><ul><li>Cultural Diversity </li></ul><ul><li>Community Health & Public Health Preparedness </li></ul>
  17. 19. Dissemination of Curriculum Framework <ul><li>Publication in December AJPM with 3 commentaries including Surgeon General with widespread distribution of reprints available at </li></ul><ul><li>Publications in discipline specific journals submitted or being written and presentation at professional meetings </li></ul><ul><li>Academic Health Centers- Congress of Health Professions Education June 6-7, 2005– dedicated to Task Force’s work- Proceeding to be distributed to Deans and available on-line </li></ul>
  18. 20. Data Collection Process Baseline and follow-up data is required for Healthy People 2010 Objective 1.7 requires baseline data which has been collected from four health professional organizations including AAMC AAMC now will collect data on all 19 domains on a yearly basis All 7 health professional organizations will collect selected data items to provide comparable data prior to 2010
  19. 21. Healthy People Curriculum Task Force Macy Foundation Grant <ul><li>Macy Foundation Grant-Goals </li></ul><ul><li>Three year grant beginning February 2005 </li></ul><ul><li>Development of Prevention Education Resource Center (PERC) </li></ul><ul><li>Encourage undergraduate public health curriculum- “Public Health 101” </li></ul><ul><li>Development of interprofessional education emphasis </li></ul>
  20. 22. Prevention Education Resource Center (PERC) <ul><li>Web based resource center </li></ul><ul><li>Designed around Clinical Prevention and Population Health Curriculum Framework </li></ul><ul><li>Built upon “flagship” prevention efforts such as The Community Guide and the USPSTF recommendations </li></ul>
  21. 23. Undergraduate Public Health “Public Health 101” <ul><li>Effort to implement IOM recommendation that “all undergraduates should have access to education in public health” </li></ul><ul><li>Consensus Conference planned for November 2006 Convened by AHC </li></ul><ul><li>Will examine Public Health 101’s role in undergraduate education and as suggested or recommended prior to application to medical school and other graduate clinical education </li></ul>
  22. 24. Interprofessional Education <ul><li>“ Outreach Conference” February 2, 2006 to encourage modification and adoption of curriculum framework by additional health professions </li></ul><ul><li>Interprofessional Education Conference planned for 2007 to encourage innovations in interprofessional education in clinical prevention and population health </li></ul>