R1 Health Maintenance Review: 2018-2019

Learning Objectives:

Learn the basic recommendations from the USPTF regarding common screening tests/practices in the outpatient setting
Gain an understanding of the principles of screening and critically evaluate the usefulness of a particular screening test.
Review the literature on a particular common outpatient health topic.
Provide an opportunity for a resident participation in educational conference
Interns are responsible for presenting topics during the Ambulatory week didactic sessions focusing on health maintenance screening or common outpatient topic
Each intern will present approximately 1-2 topics throughout the year and choose or be assigned by the ambulatory Chief resident from a list of available topics.
These topics will typically be presented on Thursday AM didactics
Each presentation will be created on power point, and should last 15-20 minutes.
Faculty will evaluate the presentation and document feedback in new innovations.

Apply each of WHO screening principles to your topic
- WHO Guidelines were published in 1968 but are still applicable today:
- The condition should be an important health problem.
- There should be a treatment for the condition.
- Facilities for diagnosis and treatment should be available.
- There should be a latent stage of the disease.
- There should be a test or examination for the condition.
- The test should be acceptable to the population.
- The natural history of the disease should be adequately understood.
- There should be an agreed policy on who to treat.
- The total cost of finding a case should be economically balanced in relation to medical expenditure as a whole.
- Case-finding should be a continuous process, not just a “once and for all” project.
Give a Background – why is this important?
Describe intervention(s), evidence, guidelines
Note controversies/gray areas
Present data on how we are doing – city, state, US – and systems approaches to improvement
In your conclusion give us your opinion- would you practice this screening test on your patients and why?

Annals of Internal Medicine: In the clinic series
USPTF website
JAMA’s User guide: How to Use Guidelines and Recommendations About screening. JAMA 1999 281 (21) 2029-2034
WHO principals and practice of screening for diseases. (WHO website)