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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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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
ETHICS and PROFESSIONAL
PRACTICE
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
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)
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
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)
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!
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
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
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
Public Health
Global Public Health week 7
Need to know: Vectors transmitting diseases MDGs Definition of ecosystem health (slide 22) Zoonoses
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
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
*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
SOCIAL SCIENCE
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
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
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.
EBM
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
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
Communicating risk week 9
Need to know: Principles for communicating risk effectively Benefits of good communication Informed decision making
Variable types and distributions week 10
Need to know: Pooling of information Uncertainty Modelling Standard deviation
Estimates and standard errors week 11
Need to know: Normal model Standard error Confidence interval P-values
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
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