Consulta de Guías Docentes



Academic Year/course: 2017/18

304 - Degree in Medicine

26721 - Preventive Medicine and Public Health


Syllabus Information

Academic Year:
2017/18
Subject:
26721 - Preventive Medicine and Public Health
Faculty / School:
104 - Facultad de Medicina
Degree:
304 - Degree in Medicine
ECTS:
6.0
Year:
4
Semester:
First semester
Subject Type:
Compulsory
Module:
---

5.1. Methodological overview

The learning process that has been designed for this subject is based on:

-       Attendance and participation to theory and working sessions.

-       Development of scheduled autonomous work.

-       Autonomous  study of papers and documents.

-       Attendance and participation to theory and working sessions.

-       Development of scheduled autonomous work.

-       Autonomous  study of papers and documents.

5.2. Learning tasks

Our program includes:

  • Lectures.
  • In-class activities.
  • Autonomous work on line (documentation provided by Department):
  • Review and analysis of papers.
  • Case study.
  • Video analysis.
  • Short quiz for self-learning.

5.3. Syllabus

The course will address the following topics:

 

Introduction and scope of Public health and Preventive Medicine

  • Public Health and Preventive Medicine: strategies for action.

 

Epidemiology

  • The analysis of the population. Demography. Health information systems.
  • Concept and applications of epidemiology.
  • Causality in epidemiology.
  • Measuring the level of health (I):  Health indicators.
  • Measuring the level of health (II): Accuracy and validity. Error and bias.
  • Measuring the level of health (III): Comparability and adjustment. Measurement of mortality and morbidity.
  • Strategies in epidemiological research. Studies design.
  • Descriptive epidemiology: person, place and time. Prevalence and longitudinal studies.
  • Experimental and analytical epidemiological studies.  Clinical trials.
  • Observational epidemiological studies: case-control and cohort studies.
  • Clinical Epidemiology I: Evaluation of diagnostic tests. Strategies for early diagnosis.
  • Clinical Epidemiology II: Prognosis and survival.

Clinical and Health Care management

  • Health system.  Patterns of health systems. Determinants of health policy.  International health organizations. Non-governmental organizations focused  on health care.
  • The Spanish health system: resources, organization and regulation. Levels of health care: Primary health care. Specialized care. Hospital structure and functioning.
  • Clinical reasoning and determinants of clinical decision making. Clinical practice variations. Sources of evidence. Systematic reviews. The Cochrane Collaboration
  • Critical appraisal of scientific literature on treatment, prognosis, causation and diagnostic tests.
  • Planning and programming in health services. Clinical guidelines, protocols and clinical pathways
  • Evaluation of health services.  Rational of evaluation. Health technology assessment.  Health Care Technology and Evaluation in Health Care.
  • Health Economics. Economic evaluation studies.
  • Quality and safety in health care. Incidents and adverse events of health care. Quaternary prevention

Strategies of prevention and promotion and protection of health

  • Health protection. Pollution and environmental risks: measuring and health effects.
  • Health Promotion. Lifestyle and health. Health and work: Risks of work. Nutrition and Public Health. Nutritional risk factors. Tobacco and alcohol as public health problems. Health education. Medical counseling. Occupational health.
  • Epidemiology and prevention strategies for chronic diseases and accidents.
  • Current problems in epidemiology and prevention of communicable diseases. Epidemiological surveillance. Vaccinations
  • Communicable diseases as population phenomenon. Emerging and reemerging diseases. Epidemiology and prevention of diseases requiring quarantine and special regulations.
  • Epidemiology and prevention of health care-associated infections.

 

Program practices, case studies and seminars

  • Demographic indicators. Study of mortality. Rate adjustment.
  • Epidemiology 1: Incidence and prevalence. Descriptive studies
  • Epidemiology 2: Clinical trials.
  • Epidemiology 3: Study design. Case-control studies and cohort.
  • Epidemiology 4: Validity of diagnostic tests.
  • Epidemiology 5. Outbreaks studies.
  • Clinical and health management 1: Indicators of health services. Sources for the study of health services.
  • Clinical and health management: Quality assessment and improvement of patient safety.
  • Prevention of infections associated with health care. Hand washing.
  • Strategies for action in public health and preventive medicine. Promotion and protection of health.
  • Critical appraisal and evaluation of evidence.
  • Public Health and Society: Forum discussion on three issues: Ethical Foundations of clinical research, Epidemics and Humanitarian Medicine

5.4. Course planning and calendar

For further details concerning the timetable, classroom and further information regarding this course please refer to the Facultad de Medicina website

https://medicina.unizar.es/  and  https://mmpysp.unizar.es/

5.5. Bibliography and recommended resources

Textbooks:

  • Alhbom A. et al. Fundamentos de Epidemiología. Madrid: Siglo XXI; 2007.
  • Aranaz JM et al. Gestión Sanitaria. Calidad y Seguridad de los Pacientes. Madrid: Díaz de Santos; 2008.
  • Argimon JM, Jiménez J. Métodos de Investigación Clínica y Epidemiológica 4ª ed. Barcelona: Elsevier; 2013.
  • Beaglehole R et al. Epidemiología básica 2ª ed. Washington DC: Organización Panamericana de la Salud; 2003.
  • Detels R, Gulliford M, Karim QA, Tan CC. ed. Oxford Textbook de Global 6ª ed Salud Pública 3 vol. Oxford: Oxford University Press; 2015.
  • Invitado C, W Ricciardi, Kawachi I, Lang I. Manual de Oxford de la Práctica de Salud Pública. Oxford: Oxford Univerity Press; 2013.
  • Hernández I et al. Manual de Epidemiología y Salud Pública, 2ª ed. Madrid: Interamericana; 2011.
  • Fletcher RH, Fletcher SW, Wagner EH. Epidemiología Clínica. Aspectos esenciales.4ª Ed Barcelona: Masson - Williams & Wilkins; 2008.
  • Hulley S. et al. Diseño de investigaciones 3ª ed. Barcelona: Wolters Kluver: Lippincott Williams & Wilkins; 2008.
  • Martínez MA et al. Conceptos de Salud Pública y Estrategias Preventivas. Un párrafo manual de ciencias de la salud. Barcelona: Elsevier; 2013
  • Piédrola G et al. Medicina Preventiva y Salud Pública, 12ª ed. Barcelona: Elsevier; 2015

Web pages:

Institutions:

 

Scientific societies:

Evidence based medicine and public health: