PUBLIC HEALTH AND PREVENTIVE MEDICINE RESIDENCY PROGRAM

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www.spph.ubc.ca PUBLIC HEALTH AND PREVENTIVE MEDICINE RESIDENCY PROGRAM School of Population and Public Health

WHAT IS PUBLIC HEALTH AND PREVENTIVE MEDICINE? A branch of medicine concerned with the health of populations Health promotion, disease prevention, and health protection through interdisciplinary and inter-sectoral partnerships Using population health knowledge and skills to maintain and improve health of the community Implementation and evaluation of health programs to address community health issues Development of healthy public policy

CAREER PATHS IN PUBLIC HEALTH AND PREVENTIVE MEDICINE 1. Practice of public health at local, regional, national, or international levels 2. Planning and administration of health services in institutions or in government 3. Community-oriented clinical practice with emphasis on health promotion and disease prevention 4. Assessment and control of occupational and environmental health problems 5. Teaching and research

REWARDS OF PUBLIC HEALTH AND PREVENTIVE MEDICINE Positively impact populations by working upstream to prevent disease, promote and protect health Dynamic and topical: always something new! Work/life balance

DISEASE PREVENTION RISK ASSESSMENT OUTBREAKS PUBLIC HEALTH EPIDEMICS SURVEILLANC E HEALTH PROMOTION RESEARCH

Example - REGIONAL Dr. Patricia Daly Chief Medical Health Officer Vancouver Coastal Health As Chief Medical Health Officer, Dr. Daly manages different public health issues by advising health professionals and the public.

Example - REGIONAL Dr. Trevor Corneil Medical Director, Urban Primary Care Vancouver Coastal Health As physician at Three Bridges Community Health Centre, Dr. Corneil is involved in primary care of vulnerable populations. He is also involved in research through UBC s Department of Family Practice.

Example - PROVINCIAL Dr. Perry Kendall Provincial Health Officer Office of the Provincial Health Officer, Ministry of Health As Provincial Health Officer, Dr. Kendall provides independent advice and reports on health issues to the provincial government and all British Columbians.

Example - PROVINCIAL Dr. Bonnie Henry Director, Public Health Emergency Management BC Centre for Disease Control As Director of Public Health Emergency Management, Dr. Henry is responsible for dealing with public health emergencies. ie. in 2003 she was one of the leads in the response to the SARS outbreak in Toronto.

Example - NATIONAL Dr. Marcus Lem Director, Health Protection First Nations and Inuit Health, Health Canada As Director of Health Protection, Dr. Lem oversees projects related to health protection of First Nations people in British Columbia.

Example - INTERNATIONAL Dr. Annalee Yassi Canada Research Chair, UBC SPPH Global Health and Capacity Building Dr. Yassi conducts local and international health research to empower workforces and communities regarding their health determinants.

Example - INTERNATIONAL/ PROVINCIAL/ REGIONAL Dr. David Moore Research Scientist, BC Centre for Excellence in HIV/AIDS Director, Public Health and Preventive Medicine Residency Program, SPPH, UBC Clinical Associate, Immunodeficiency Clinic, St. Paul s Hospital Involved in HIV research in BC and Uganda, HIV primary care, and academic administration.

TRAINING AS A COMMUNITY MEDICINE RESIDENT Entry as an R1 from medical school P G Y Month July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June 1 Introductory MHSc or MPH training Rotation 2 Family Practice Elective 3 Family Practice 4 Occupational Health 5 First Nations Inuit Health Elective Environmental Health BC Centre for Disease Control Rural Health Authority Urban Health Authority Elective **Residents not wishing to be certified in Family Practice may complete only one year of basic clinical training

TRAINING AS A COMMUNITY MEDICINE RESIDENT Entry as an R3 for Family Medicine graduates P G Y Month July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June 3 Health Authority (HA) or First Nations Inuit Health (FNIH) MHSc or MPH training 4 Occupational Environmental Rural Health Health Health Authority 5 Urban Health Authority BC Centre for Disease Control HA or FNIH / Major Paper Elective Elective

TRAINING SITES CORE TRAINING SITES ELECTIVE TRAINING SITES Health Authorities: Vancouver Coastal Health Fraser Health Authority Interior Health Authority Northern Health Authority Vancouver Island Health Authority BC Centre for Disease Control First Nations and Inuit Health, Health Canada WorkSafe BC Office of the Provincial Health Officer in Victoria BC Cancer Agency BC Centre for Excellence in HIV/AIDS Institute of Health Promotion Research Injury Prevention Research Centre Public Health Agency of Canada Canadian International Development Agency School of Population and Public Health, UBC

ELECTIVES Electives for Medical Students are available with UBC Public Health and Preventive Medicine, many at the core and elective sites, such as: BC Centre for Disease Control BC Centre for Excellence in HIV/AIDS Health Authorities - Vancouver Coastal, Fraser, Interior, Vancouver Island First Nations and Inuit Health

WHAT DO RESIDENTS LEARN? Methods of Population Health Assessment Epidemiology and Biostatistics Approaches to dealing with social/ behavioural/ economic determinants of population health Developing healthy public policies Communicable Disease Prevention and Control Approaches to prevention of Chronic Disease and Injury Environmental and Occupational Health Program planning, implementation and evaluation Health care management and administration

WHAT DO RESIDENTS DO? Work with Public Health specialists Monitor health of populations Routine data collection systems Specialized research studies Monitor systems already in place to protect public health and act to address gaps in protection Outbreaks of communicable diseases Planning for emergencies Investigate potential disease clusters

WHAT ELSE DO RESIDENTS DO? Assist in development of new programs Health promotion activities Participate in advocacy activities Health Officer s Council Public Health Association of BC Union of BC Municipalities Work on public policy proposals Office of the Provincial Health Officer

Residents on tour of the Capilano Watershed

Residents at their annual retreat

Residents during media training

Resident s Research Day 2010

CONCLUSIONS Public Health & Preventive Medicine training offers many opportunities for interesting careers Can be involved in individual patient care, as well as important policy discussions, which affect entire populations For more info about our program see www.spph.ubc.ca under Academic Programs/ Residency.