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Population Health SEMESTER 1

Population Health SEMESTER 1

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Population Health SEMESTER 1. List of all the lectures. ETHICS and PROFESSIONAL PRACTICE. Medical Overservicing & Inappropriate Practice week 5. Lecture also known as professionalism… Need to know: PSR process - PowerPoint PPT Presentation

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Page 1: Population Health   SEMESTER 1

Population Health SEMESTER 1

Page 2: Population Health   SEMESTER 1

List of all the lecturesEthics and

Professional Practice (EPP)

Public Health (PH)

Social Sciences (SS)

Evidence-Based Practice (EBP)

Medical Overservicing & Inappropriate Practice week 5

Global Public Health week 7

Psychosocial Issues Related to Ageing week 3

Internal validity 1 week 3

The Challenge of Euthanasia week 6

How Much of Cardiovascular Disease Could Be Prevented? Week 9

Payments and Subsidies, Cost of Health Care, Medicare and PBS -1 week 5

Internal validity 2 week 7

Consent to Medical Treatment: Ethics and Law week 9

Public and Clinical Responses to Smoking week 13

Care and Community Resources week 13

Communicating risk week 9

Informed Decision Making and Negligence week 9

*SYMPOSIUM*

Migrant and Refugee Health week 7

•Migrant and Refugee Health Inro.•Caring for Refugees • Medical Interpreting•Working With People of Refugee Background

Variable types and distributions week 10

Lessons from the History of Medicine: Cardiovascular Disease week 11

Estimates and standard errors week 11

Counter Transference and Stereotyping week 12

Precision of study effects I and II week 16

Refusal of Treatment, Treatment without Consent week 12

Managing uncertainty Week 16

Self-Induced Disease week 14

Page 3: Population Health   SEMESTER 1

ETHICS and PROFESSIONAL

PRACTICE

Page 4: Population Health   SEMESTER 1

Medical Overservicing & Inappropriate Practice week 5

Lecture also known as professionalism…

Need to know: PSR process Common types of

abuse of the PBS (e.g. inappropriate use of MBS attendance items)

What constitutes medical overservicing

Page 5: Population Health   SEMESTER 1

The Challenge of Euthanasia week 6

Need to know: Definition of euthanasia (slide 13) Differences between voluntary euthanasia vs active

voluntary euthanasia vs physician assisted suicide vs passive euthanasia vs non-voluntary euthanasia vs involuntary euthanasia

Definition of terminal sedation and what it entails Arguments for and against voluntary euthanasia Legal stance on euthanasia (s296, s285, s284)

Page 6: Population Health   SEMESTER 1

Consent to Medical Treatment: Ethics and Law week 9

Need to know: Consent not equal to agreement Failure to obtain consent = interference without

authorisation Elements of consent Tresspass and negligence

Page 7: Population Health   SEMESTER 1

Informed Decision Making and Negligence week 9

Need to know: Law of negligence How to establish

causation NHMRC

guidelines Duty to warn Duty to treat

Time Diagnosis +

Treatment

Disclosure

Bolam Bolam

Rogers v Whittaker

Court (medical opinion)

Court (material

risk)

Civil Liability Acts

Bolam (modfied)

Proactive duty

Reactive duty

(~ = RvW)

Page 8: Population Health   SEMESTER 1

Lessons from the History of Medicine: Cardiovascular Disease

week 11

Personally, I found this lecture interesting but not very helpful in terms of studying for exams.

It basically talked about how different people such as Galileo helped shaped medicine as it is today

Moral of lecture = be open minded to people’s opinions because they may be proven right one day in the future!

Page 9: Population Health   SEMESTER 1

Counter Transference and Stereotyping week 12

Need to know: Definitions of stereotyping and countertransferance

(slide 6) Concepts of therapeutic alliance, transference and

counterferance (slide 10) Comparision between transference and

counterferance (Tables on slide 13 and slide 15) Balint group

Page 10: Population Health   SEMESTER 1

Refusal of Treatment, Treatment without Consent week 12

Need to know: Symmetry between consent and refusal (adults) Asymmetry between consent and refusal (children) In Australia, we presume competence and it is up to

the doctor to show that the patient is not competent Competence = a capacity in terms of one’s own

beliefs/values Rationality = reasons/ grounds / content of beliefs

and values Requirements of dispositional autonomy Sustentative and procedural rationality

Page 11: Population Health   SEMESTER 1

Self-Induced Disease week 14

Need to know Individual model versus structural model Patient charters: rights and responsibilities Government factors Concept of a morally responsible free AGENT

Freedom conceptually implies responsibility We demand considerable freedom Therefore we must accept considerable responsibility

Medicationalisation diminishes responsibility, fault, blame and exacerbates victimhood

Page 12: Population Health   SEMESTER 1

Public Health

Page 13: Population Health   SEMESTER 1

Global Public Health week 7

Need to know: Vectors transmitting diseases MDGs Definition of ecosystem health (slide 22) Zoonoses

Page 14: Population Health   SEMESTER 1

How Much of Cardiovascular Disease Could Be Prevented? Week 9

The slides for this lecture aren’t availableHowever: the learning objectives were:

Epidemiology Risk factors for cardiovascular disease High risk versus population approach

The lecture also discussed how to calculate RR and also PAF

Page 15: Population Health   SEMESTER 1

Public and Clinical Responses to Smoking week 13

Need to know: Addictive nature of nicotine Why is patient’s smoking status important to

ascertain? (slide 16 and 17) 5As (ask, advise, assess, assist and arrange follow-up) Smoking cessation

Behaviour/counselling NRT Zyban Champix

Harm reduction: pros and cons (slide 33) Population screening

Page 16: Population Health   SEMESTER 1

*SYMPOSIUM* Migrant Health

Need to know: ~FLUFF~ MAIN CONCEPTS

Be sensitive to cultural, language, social and religious barriers to health

Need to be conscientious in ensuring that migrants/refugees have equal access to services

Be aware of some migrant specific diseases

Page 17: Population Health   SEMESTER 1

SOCIAL SCIENCE

Page 18: Population Health   SEMESTER 1

Psychosocial Issues Related to Ageing week 3

Need to know: Concepts of ageing (slide 9) Birth cohorts, cohort effect, period effect (slide 11) Psychological and social factors which affect ageing

Personality, Mental health Stress and coping Social support

GAD Anxiety Depression Social support Stress and coping

Page 19: Population Health   SEMESTER 1

Payments and Subsidies, Cost of Health Care, Medicare and PBS -1 week 5

Need to know: Broad structure and systems of the payment, subsidy

and free provision within the Australian health system Define and explain:

Direct and indirect health care Cost-effectiveness Cost-efficiency Cost utility

Page 20: Population Health   SEMESTER 1

Care and Community Resources week 13

Need to know: Biomedical model vs social model (slide 28)

*Side note* - personally, all I think we need to know is on slide 2 – everything else within the lecture merely expands on it in a very round about way.

Page 21: Population Health   SEMESTER 1

EBM

Page 22: Population Health   SEMESTER 1

Internal validity 1 week 3

Need to know: Association vs causation Internal validity – ways on minimising systematic

error (slide 6) Systematic vs random error Bias – selection (diagnostic, survival, admission, non-

response) Loss to follow-up Non-differential misclassification Information bias (recall, interviewer) Measurement error Blinding

Page 23: Population Health   SEMESTER 1

Internal validity 2 week 7

Need to know: Confounding Stratification Ways to control confounding Terms that refer to the confounder: restriction, match,

similar cohorts (and also what they mean) Analysis Multivariate analysis Bradford Hill’s criteria Interaction

Page 24: Population Health   SEMESTER 1

Communicating risk week 9

Need to know: Principles for communicating risk effectively Benefits of good communication Informed decision making

Page 25: Population Health   SEMESTER 1

Variable types and distributions week 10

Need to know: Pooling of information Uncertainty Modelling Standard deviation

Page 26: Population Health   SEMESTER 1

Estimates and standard errors week 11

Need to know: Normal model Standard error Confidence interval P-values

Page 27: Population Health   SEMESTER 1

Precision of study effects I and II week 16

Need to know: P-value (what is it?) Clinical significance versus statistical significance Type 1 and type 2 error Power and sample size Confidence intervals

Page 28: Population Health   SEMESTER 1

Managing Uncertainty Week 16

Need to know: Types of uncertainty in

medical practice Dealing with

uncertainty Murtagh’s five step

diagnosis Red flag and alarm

symptoms and signs Probabilistic reasoning Spot diagnosis Pattern recognition Test of treatment SAFETY NETTING