R1 Health Maintenance Review: 2017-2018

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
Andrew Wickerham 7/28/2017 AAA Screening
Ali Noory 8/4/2017 AAA Screening
Ben Rosenfeld 8/11/2017 AAA Screening
Deval Desai 8/18/2017 AAA Screening
Syed Zaidi 8/25/2017 AAA Screening
Mica Winchester 10/5/2017 Cervical Cancer
Nathaniel Robertson 10/12/2017 Osteoporsis
Eno Essien 10/12/2017 Cervical Cancer
David Allen Lindsay 10/19/2017 Cervical Cancer
Faizan Zahid 10/19/2017 Osteoporsis
Michael Tzeng 10/26/2017 Osteoporsis
Benjamin Miron 10/26/2017 Cervical Cancer
Robert Vender 11/2/2017 Cervical Cancer
Rithka Ramakrishna 12/14/2017 Breast Cancer
Daniel Kazmierski 12/15/2017 Prostate Cancer
Amanda Albrecht 12/21/2017 Breast Cancer
Tal Zivan 12/21/2017 Prostate Cancer
Jaewok Shin 1/11/2018 Immunizations
Anika Chatterjee 1/11/2018 Breast Cancer
Anthony Lacava 1/12/2018 Prostate Cancer
Jordan Senchak 1/18/2018 Breast Cancer
Benjamin Collins 1/19/2018 Prostate Cancer
Zachary Daitch 1/25/2018 Breast Cancer
Anil Rengan 1/26/2018 Prostate Cancer
Dianna Gaballa 3/8/2018 Lung Cancer
Marian Baskharoun 3/9/2018 Colon Cancer
Torey Roesch 3/15/2018 Lung Cancer
Emily Walzer 3/16/2018 Colon Cancer
Ashia BiBi 3/22/2018 Lung Cancer
Ho-Man Yeung 3/23/2018 Colon Cancer
Kristin Deuber 3/29/2018 Lung Cancer
Joe Sambataro 3/30/2018 Colon Cancer
Matt Delfiner 4/5/2018 Lung Cancer
Aruj Choudry 4/6/2018 Colon Cancer