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Careers In Preventive Medicine

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Title: Careers In Preventive Medicine


1
Careers In Preventive Medicine
  • Physicians With Populations
  • As Their Patients

2
HEADLINES OF THE DAYWhat do these headlines
have in common?
  • FDA Picks Drug To Fight Bioterrorism
  • New York Reports Another Case Of West Nile Virus
  • Astronaut Says Hes Still Wobbly After Months Of
    Weightlessness

3
They all are shaped by leadersin Preventive
Medicine
4
Preventive Medicine Protects Americans Throughout
the Day
5
Preventive Medicine
  • A medical specialty since 1948, offering
    board-certification in the specialty areas of
  • General Preventive Medicine and Public Health
  • Occupational Medicine
  • Aerospace Medicine

6
What Is Preventive Medicine? Preventive Medicine
Is the Specialty for Physicians
  • Committed to disease and injury prevention and
    health promotion
  • With a strong record of leadership and
    accomplishment in public health
  • Driven to improve preventive and primary care
    services to underserved and high-risk populations
  • Interested in protecting people from
    environmental health hazards
  • Dedicated to improving the health of employees
  • Concerned about aerospace health and medicine

7
Aims of the Specialty of Preventive Medicine
  • Promote and preserve health and longevity in
    individuals and populations
  • Use epidemiology to find high-risk groups in
    populations
  • Prevent and limit disease and injury
  • Enhance quality in healthcare systems
  • Facilitate early diagnosis with screening and
    education
  • Improve the quality of life

8
Skills of the Preventive Medicine Physician
  • Biostatistics
  • Epidemiology
  • Environmental and Occupational Health
  • Planning, Administration, and Evaluation of
    Health Services
  • Practice of Prevention in Clinical Medicine
  • Health Policy and Management

9
Number of Physicians Board-Certified in
Preventive Medicine
10
Role of Preventive Medicine in Todays Society
11
Preventive Medicine Is Helping People Live Longer
La Rue is an active 84-year old
Her mother died at 64
Her grandmother died at 45
12
(No Transcript)
13
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14
Preventive Medicine Will Shape Healthcare in the
21st Century
15
Americans Increasingly Rely on Preventive
Medicine Specialists
16
(No Transcript)
17
Two major goals of Healthy People 2010
  • Increase quality and years of healthy life
  • Eliminate health disparities

18
Leading Health Indicators
Ten Major Public Health Issues
  • Physical activity
  • Overweight and obesity
  • Tobacco use
  • Substance abuse
  • Responsible sexual behavior
  • Mental health
  • Injury and violence
  • Environmental quality
  • Immunization
  • Access to health care

19
Healthy People 2010
Actual Causes of Death
Data from 1990
20
People in Preventive Medicine
  • Public health admin/ management
  • Policy
  • Informatics
  • Environmental Medicine
  • Business/industry
  • Research/academia
  • Aerospace Medicine
  • Occupational Medicine
  • Clinical Preventive Medicine
  • International Medicine

21
Antronette K. Yancey, MD, MPH, FACPMDirector of
Chronic Disease Prevention Health PromotionLos
Angeles County Department of Health Services
  • Education
  • MD Duke Univ. School of Medicine, Durham, NC,
    1982
  • MPH University of California, Los Angeles, 1991
  • Post Graduate Training
  • Residency Psychiatry (Internal Medicine), Duke
    University Medical Center, 1982-84
  • Residency Preventive Medicine/MPH, UCLA, 1990-91
  • Chief Resident in Preventive Medicine, 1991
  • Career Highlights
  • Board of Directors (1993-2000) and Chair,
    Minority Affairs Committee (1993-96), National
    Marrow Donor Program - created more diverse and
    inclusive registry of potential bone marrow
    donors
  • Director of Public Health, City of Richmond, VA -
    designed and implemented ROCK! Richmond, healthy
    eating and active living campaign, 1996-98

22
Preventive Medicine holds the hope for a
healthier future for all Americans. A. Yancey
  • Current Job Activities Developed and oversees
    division with a 15 million budget, staff of
    75-85, and 60-70 contracts with community-based
    organizations. Assesses chronic disease and
    injury prevalence of countys 9.7 million people.
    Designs approaches for reducing risk and
    enhancing resilience. Implements intervention
    strategies in collaboration with government,
    community-based and professional organizations,
    businesses, and community leaders. Currently
    launching Fuel Up/Lift Off! L.A. (FULOLA), a
    community-level fitness and wellness program
    social marketing campaign.

23
Stephanie Zaza, MD, MPHChief, Community Guide
BranchCenters for Disease Control and Prevention
(CDC)
  • Education
  • MD Northeastern Ohio College of Medicine, 1990
  • MPH Johns Hopkins Univ. Baltimore, MD 1995
  • Post Graduate Training
  • Residency Gen. Preventive Medicine and Public
    Health, CDC, Atlanta, Georgia, 1993-95
  • Epidemic Intelligence Service CDC, 1991-93
  • Internship, General Surgery Swedish Hospital
    Medical Center, Seattle, Washington, 1990-91
  • Career Highlights
  • Primary care policy fellowship, Health Resources
    and Services Admin., 2000
  • Named director of the CDC Community Guide
    project, 1999
  • American College of Preventive Medicine, Rising
    Star Award, March 1999

24
We are truly changing the way public health and
prevention will be done in this country.S. Zaza
  • Current Job Activities Provides leadership in
    developing, disseminating, implementing and
    evaluating the Guide to Community Preventive
    Services Systematic Reviews and Evidence-Based
    Recommendations. Leads not only the development
    of high quality systematic literature reviews
    about what are effective interventions in public
    health, but also works with numerous partners
    within and outside of the federal government to
    integrate effective services into public health
    practice.

25
Helga E. Rippen, MD, MPH, PhDDirector of Medical
InformaticsPfizer Health Solutions Inc
  • Education
  • MD University of Florida (with honors), 1993
  • MPH The Johns Hopkins University, 1995
  • PhD Biomedical Engineering, Duke University,
    1986
  • Post Graduate Training
  • Residency Preventive Medicine Residency, The
    Johns Hopkins University, 1986
  • Transitional Internship Georgetown University,
    1984
  • Career Highlights
  • Establishing the Health Information Technology
    Institute, Mitretek Systems, 1993-1996
  • Developing criteria to assess the quality of
    health information on the Internet and
    Information Quality Tool, 1999
  • Co-chairing the development of an international
    Code of Ethics for health information on the
    Internet, 2000

26
I believe that information technologies will be
a critical tool in improving the health of our
nation and that Preventive Medicine should lead
the way in their development and assessment. H.
Rippen
  • Current Job Activities Leading the development
    of Pfizer Health Solutions Inc (PHS) products.
    Helping to formulate an informatics strategy for
    PHS that best supports the needs of the health
    care sector. Developing an innovative,
    Internet-based, disease management program that
    provides tools for outcomes analysis. Impacting
    the field of health/medical informatics through
    participation in non-profit Boards,
    presentations, and lectures. Chairs or
    co-chairs the Internet Healthcare Coalition
    IEEE-USA Medical Technology Policy Committee and
    Preventive Medicine 2001 Informatics track.
    ACPMs alternate delegate to the AMA Young
    Physicians Section.

27
Philip J. Landrigan, MD, MSc, DIHChairman,
Department of Community and Preventive
MedicineMount Sinai School of Medicine
  • Education
  • MD Harvard Medical School, 1967
  • MSc Occupational Medicine, University of London,
    1977
  • Diploma of Industrial Health (England), 1977
  • Post Graduate Training
  • Residency Childrens Hospital Medical Center,
    Boston, 1968-70
  • London School of Hygiene and Tropical Medicine,
    1976-77
  • Career Highlights
  • Directing Mount Sinais Center for Childrens
    Health and the Environment, 1998-present
  • Chairing the Committee on the Scientific Issues
    Surrounding the Regulation of Pesticides in Diets
    of Infants and Children, National Academy of
    Sciences, 1988-92
  • Service in the Global Smallpox Eradication
    Campaign in northern Nigeria

28
Toxic chemicals in the environment are now
recognized to cause some fraction of
neurological, developmental, and behavioral
disorders in children. The implications for
prevention are enormous. P. Landrigan
  • Current Job Activities Ethel H. Wise Professor
    and Chair of the Department of Community and
    Preventive Medicine and Director of Environmental
    and Occupational Medicine at the Mount Sinai
    School of Medicine in New York City. Holds a
    Professorship in Pediatrics at Mount Sinai, and
    is a member of the Institute of Medicine of the
    National Academy of Sciences. Editor-in-Chief of
    the American Journal of Industrial Medicine.
    Directs the Center for Childrens Health and the
    Environment and the Mt. Sinai-Irving J. Selikoff
    Center for Occupational and Environmental
    Medicine, one of 10 federally-funding pediatric
    environmental health specialty units in the U.S.

29
Mirza I. Rahman, MD, MPHDirector, Medical
ServicesUS Human Health, Merck Co., Inc., West
Point, PA
  • Education
  • MPH Columbia School of Public Health, NY, 1994
  • MD Stony Brook School of Medicine, NY, 1990
  • Residency Training
  • Public Health General Preventive Medicine,
    Stony Brook School of Medicine, NY, 1993-95
  • Family Practice, Stony Brook School of Medicine,
    NY, 1990-93
  • Career Highlights
  • Establishing the Health Information Technology
    Institute, Mitretek Systems, 1993-1996
  • Developing criteria to assess the quality of
    health information on the Internet and
    Information Quality Tool, 1999
  • Co-chairing the development of an international
    Code of Ethics for health information on the
    Internet, 2000

30
Bridging the gap that often characterizes the
relationship between Industry and the Preventive
Medicine community is important, so that together
we can move forward in the cause of promoting
health and preventing disease. M. Rahman
  • Current Job Activities
  • Develops and edits the Disease Modules section
    of Merck Medicus, a new Internet initiative by
    Merck Co., Inc.
  • Serves as the Merck US Medical Scientific
    Affairs liaison to the Manufacturing Division.
  • Is involved in the review of promotional
    materials for a number of the companys products
    as a member of the Medical-Legal Board.
  • Teaches a course on Post-Marketing Safety
    Surveillance in the Quality Assurance /
    Regulatory Affairs Graduate Program at the Temple
    University School of Pharmacy.

31
Dominic Chow, MD, MPHCo-Investigator, Hawaii
AIDS Clinical Research ProgramUniversity of
Hawaii, Honolulu, HI
  • Education
  • MD SUNY Health Science Center at Brooklyn, 1993
  • MPH Johns Hopkins School of Hygiene and Public
    Health, 1998
  • Post Graduate Training
  • General Preventive Medicine Residency, Johns
    Hopkins School of Hygiene and Public Health,
    1997-98
  • Resident and Chief Resident, Medicine/Pediatrics
    Residency, Yale, 1993-97
  • Career Highlights
  • Conducting outcomes research in clinical trials
    with the implication of impacting health policy
    and management
  • Teaching residents and medical students about
    prevention and how prevention can be put into
    daily practice

32
My training in Preventive Medicine has enabled
me to investigate how the results from our
clinical trial will affect standard medical
practice. Outcomes research on clinical trials
have implications on health policy and
management. D. Chow
  • Current Job Activities As Deputy Director of the
    Combined Internal Medicine and Pediatrics
    residency program, teaches residents how to put
    prevention into daily practice. The cradle to
    grave model of internal medicine/pediatrics
    training allows for extensive opportunities to
    promote health during the course of patients
    lives. As a Co-Investigator at the Hawaii AIDS
    Clinical Research Program, is involved with
    health outcomes research within the national AIDS
    Clinical Trials Group, specifically investigating
    the resource use and cost-effectiveness of HIV-1
    resistance testing during antiretroviral failure,
    comparing sequencing versus phenotyping
    resistance testing.

33
Colonel Paul S. Stoner, Jr., MD, MPHChief,
Flight Medicine ClinicLyndon B. Johnson Space
Center
  • Education
  • MD Temple University School of Medicine, 1982
  • MPH The Harvard School of Public Health, 1994
  • Post Graduate Training
  • Residency Aerospace and Occupational Medicine,
    Brooks Air Force Base, Texas, 1984
  • Career Highlights
  • Participating in both Operations Desert Shield
    and Desert Storm as an operational flight surgeon
    assigned to an Air Transportable Hospital in
    Riyadh, Saudi Arabia, 1991
  • Serving as the Medical Group commander as part of
    an Air Expeditionary Force deployment to the
    Southwest Asian country of Qatar.
  • Working as the Chief of the Flight Medicine
    Clinic at the Johnson Space Center, 1998-present

34
Devising health programs for the improved health
of populations will be the most prudent means to
advance the health and well being of our
society. P. Stoner, Jr.
  • Current Job Activities Colonel (Dr.) Paul S.
    Stoner, Jr. is the United States Air Force
    aerospace medicine liaison officer at the Johnson
    Space Center in Houston, Texas. He works to
    bolster the interface and interaction between the
    Air Force and the National Aeronautics and Space
    Administration. As the Chief of the Flight
    Medicine Clinic, he supervises and participates
    in the routine medical care provided to US
    astronauts and their families. He is also
    responsible for the selection and annual physical
    examinations of the astronauts. Colonel Stoner
    is designated as a chief flight surgeon in the US
    Air Force with more than 1,000 flying hours in
    over 25 different operational aircraft.
  • . .

35
Janet Fujikawa, DO, MSMedical Director,
Occupational Health Services,Lockhead Martin
Mission Systems, Gaithersburg, MD
  • Education
  • DO Kirksville College of Osteopathic Medicine,
    Kirksville MO, 1983
  • MS Epidemiology Preventive Medicine,
    University of Maryland, 1990
  • Post Graduate Training
  • Occupational Medicine Fellowship, Johns Hopkins
    Hospital, 1991-93
  • Resident, Preventive Medicine Residency Program,
    University of Maryland, 1988-90
  • Intern, Family Practice, Naval Hospital, Camp
    Pendleton, Oceanside CA, 1983-84
  • Career Highlights
  • Developing wellness programs, such as Health
    Fairs and Wellness Libraries
  • Commander, Medical Corps, United States Naval
    Reserves

36
With people living and working longer and an
increased interest in the prevention of injury
and illness, there will be a need for trained and
caring professionals in the different areas of
Preventive Medicine. J. Fujikawa
  • Current Job Activities Supports approximately
    10,000 Lockheed Martin employees and supervises
    four clinics in four different states with nurses
    and consultants. Is involved with Workers
    Compensation, medical leave case management,
    applicant drug screens, international business
    travel issues, wellness programs (monthly health
    promotions, Health Fairs, flu shots), Automated
    External Defibrillators (AED), ergonomics,
    Americans with Disabilities Act (ADA) and Family
    and Medical Leave Act (FMLA), and new program
    development and implementation.

37
Tamara Lewis, MD, MPA, MPHMedical Director,
Community Health and PreventionIntermountain
Health Care, Salt Lake City UT
  • Education
  • MD University of Utah School of Medicine, 1989
  • MPA Brigham Young University Marriott School of
    Management, Provo, UT, 1991
  • MPH Medical College of Wisconsin, 1998
  • Post Graduate Training
  • Internal Medicine Internship, LDS Hospital,
    1989-90
  • Career Highlights
  • Attaining full smoking cessation counseling and
    pharmacotherapy coverage for all IHC enrollees
  • Developing a teen tobacco quit line (1-800
    number)
  • Establishing health status goals as IHC corporate
    goals
  • Securing expanded funding for Utah State
    Immunization Information System

38
In order to combat the diseases of wealthy
nations (heart disease, cancer, and injuries), we
need to focus on the heart of poor health choices
and habits and develop the skills for effective
behavior change and the tools for effective
individual and population communication. T. Lewis
  • Current Job Activities Develops corporate health
    status goals, prevention guidelines, health needs
    appraisals, health promotion strategies,
    prevention programs, computerized medical
    records, Care Process Models, and
    cost-effectiveness analyses integrates
    prevention into clinical practice design and
    partners with Health Plans Quality Improvement
    (HEDIS), Healthy Communities, and community
    coalitions also serves as Medical Director for
    IHC Healthy Balance, Intermountain Health Cares
    employee wellness program.

39
Carlos Aristeguieta, MD, MPHSenior Program
AssociateManagement Sciences for Health,
Arlington, VA
  • Education
  • MD Universidad Autónoma de Centro América, San
    José, Costa Rica, 1992
  • MPH Johns Hopkins School of Hygiene and Public
    Health, 1996
  • Postgraduate Training
  • General Preventive Medicine/Public Health Johns
    Hopkins School of Hygiene and Public Health,
    1995-97
  • Family Medicine University of Miami, Jackson
    Memorial Hospital, 1992-95
  • Career Highlights
  • Trained health workers in Latin America in the
    design of interventions to promote the rational
    use of antimicrobials and reduce the risk of
    antimicrobial resistance.
  • Worked toward measles eradication with the Pan
    American Health Organization and the Ministries
    of Health and other counterparts in Haiti and the
    Dominican Republic.

40
Physicians trained in Preventive Medicine will
become key players in fostering the health of
populations around the world, advocating and
assuring policies and actions that lead to the
best possible outcomes. The opportunities are
enormous. C. Aristeguieta
  • Current Job Activities Develops research
    initiatives in evidence-based, rational use of
    antibiotics in Latin America and the Caribbean.
    Promotes rational drug use in the Region, with
    emphasis on antibiotics. Developed a workshop on
    the rational use of antibiotics for the Region
    based on the course by the International Network
    on the Rational Use of Drugs (INRUD).

41
Starting Your Career in Preventive Medicine
42
Paths for Entering the Specialty ofPreventive
Medicine
  • Full residency program directly following medical
    school and a transitional year
  • Academic and practicum components of residency
    program after completing clinical training in
    another medical specialty
  • Combined training with another medical specialty

43
Training in Preventive Medicine
Medical School (4 years)
Preventive Medicine Residency Training (3
years) Clinical postgraduate training
Masters in Public Health or equivalent
Residency Practicum
Specialty Board Exam
44
Where Can You Find Preventive Medicine Training
Programs?
  • 76 ACGME-accredited programs in U.S.
  • Schools of medicine/university medical centers
    (63)
  • Schools of public health (14)
  • Military/federal (5)
  • State or local health departments (8)
  • Hospitals/health care organization (8)
  • Train approximately 350 residents yearly

45
Distribution of Residents In Preventive Medicine
Programs
Public Health (13)
General Preventive (37)
Aerospace (9)
Occupational (41)
46
Funding Sources for Preventive Medicine Training
Programs
  • Federal
  • HRSA
  • VA
  • NIOSH
  • CDC
  • HCFA
  • NIH
  • DoD
  • NASA
  • State/Other
  • Health agencies
  • Schools of public health
  • University medical centers
  • Foundations
  • National health organizations
  • Private industry

47
Preventive Medicine Core Knowledge Content Areas
  • Health services administration
  • Biostatistics
  • Epidemiology
  • Clinical Preventive Medicine
  • Behavioral aspects of health
  • Environmental health

48
Seeking Out Preventive Medicine Experiences in
Medical School
  • Join the ACPM-MSS!
  • The Medical Student Section (MSS) of ACPM aims to
    raise the awareness of and interest in Preventive
    Medicine among medical students.
  • Network of communication
  • AJPM e-journal subscription
  • Mentoring Program
  • PMIGs
  • ACPM Annual Meetings
  • http//www.acpm.org/medstudents.htm

49
Seeking Out Preventive Medicine Experiences in
Medical School
  • Contact local Preventive Medicine resources, such
    as
  • Departments of community/preventive medicine
  • Schools of public health
  • Health departments
  • Arrange Preventive Medicine elective rotations
  • Relevant courses or rotations
  • Community-based organizations
  • Independent research

50
Types of Projects Available to Medical Students
51
For more information, contact
  • The American College of
  • Preventive Medicine
  • Leadership in the Science, Policy, and Practice
    of Preventive Medicine
  • www.acpm.org
  • 202-466-2044

52
Other Resources
  • American Board of Preventive Medicine
    www.abpm.org
  • Association of Teachers of Preventive Medicine
    www.atpm.org
  • American College of Occupational and
    Environmental Medicine www.acoem.org
  • Aerospace Medical Association www.asma.org
  • Associations of Schools of Public Health
    www.asph.org
  • American Medical Student Association www.amsa.org
  • American Medical Association (Fellowship and
    Residency Interactive Electronic Database
    www.ama-assn.org/cgi-bin/freida/freida.cgi

53
Other Resources (cont.)
  • Health Resources and Services Administration /
    Bureau of Health Professions www.bhpr.hrsa.gov
  • Association of Preventive Medicine Residents
    www.acpm.org/apmr.htm
  • American Public Health Association www.apha.org
  • Accreditation Council on Graduate Medical
    Education www.acgme.org
  • The Office of Disease Prevention and Health
    Promotion www.odphp.org
  • Healthy People 2010 www.healthypeople.org

54
Sources of Information
  • American College of Preventive Medicine
  • Healthy People 2010 http//www.health.gov/healthyp
    eople/
  • American Journal of Preventive Medicine. 2000.
    Vol. 18 (1).
  • Accreditation Council for Graduate Medical
    Education (ACGME).
  • CDCs Ten Great Public Health Achievements -
    United States 1900 - 1999 www.cdc.gov/epo/mmwr/pre
    view/mmwrhtml/00056796.htm

55
Acknowledgements
  • Office of Disease Prevention and Health Promotion
    / US Department of Health and Human Services
  • ArtToday, www.arttoday.com
  • A special thanks to those ACPM volunteer members
    who helped to prepare this information,
    especially Ani Hyslop, Lorraine Yeung, Sindy
    Paul, Dorothy Lane, and Erica Frank.
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