R1 Health Maintenance Review: 2019-2020

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.

Who? When? Where?

  • Interns are responsible for presenting topics during the Ambulatory week didactic sessions
  • These topics will typically be presented during Thursday AM didactic
  • Each presentation will be created on PowerPoint, and should last 15-20 minutes.
  • Faculty will evaluate the presentation and document feedback in NI


  • Apply each of WHO screening principles to your topic
    • The condition should be an important health problem
    • There should be a treatment for the condition
    • 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
  • 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)