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.

In your presentation you are expected to:

  • 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?

Helpful resources:

  • 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)

Schedule:

Name Date Topic
Ashwin Karanam 8/1/2018 Breast Cancer Screening
Linda Vien 8/10/2018 Breast Cancer Screening
Leah Grandi 8/15/2018 Breast Cancer Screening
Samantha Pettigrew 8/22/2017 Breast Cancer Screening
Alex Selby 8/29/2018 Breast Cancer Screening
Jourdan Frankovich 9/12/2018 AAA Screening
Matt Bocchese 9/21/2018 AAA Screening
Zanib Hassan 9/28/2018 AAA Screening
Nicole Desai 10/5/2018 AAA Screening
Sheila Bagchi 11/16/2018 Colon Cancer Screening
Emily Friedman 11/30/2018 Colon Cancer Screening
Sarah Goff 12/7/2018 Colon Cancer Screening
Stephanie Jeong 12/14/2018 Colon Cancer Screening
Ian Gleaner 1/4/2019 Colon Cancer Screening
Farhana Chowdhury 3/15/2019 Osteoporosis Screening
Matt Kelly 3/22/2019 Osteoporosis Screening
Jin Kim 3/29/2019 Osteoporosis Screening
Paul Leone 4/5/2019 Osteoporosis Screening
Alex Chau 4/12/2019 Osteoporosis Screening
Peter Nakagami 4/19/2019 Cervical Cancer Screening
Stephen Dachert 4/26/2019 Cervical Cancer Screening
AVAILABLE – Pod E 5/3/2019 Cervical Cancer Screening
AVAILABLE – Pod A 5/10/2019 Cervical Cancer Screening
Hussain Azizi 5/17/2019 Cervical Cancer Screening
AVAILABLE – Pod C 5/24/2019 AAA Screening