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Preventive Medicine and Public Health

Code: 102948 ECTS Credits: 6
2024/2025
Degree Type Year
2502442 Medicine OB 5

Contact

Name:
Irma Casas Garcia
Email:
irma.casas@uab.cat

Teachers

Maria Teresa Puig Reixach
Susana Isabel Otero Romero
Gema Navarro Rubio

Teaching groups languages

You can view this information at the end of this document.


Prerequisites

It is essential to have sufficient knowledge of Biostatistics (first course), and especially Clinical Epidemiology (third course). It also requires mastery of the terminology and concepts of general pathology.

 


Objectives and Contextualisation

The subject Preventive Medicine and Public Health is part of the fifth year program of the Medical Degree, which corresponds to the last training period before moving on to the clinical practice course.

The subject consists of its own parts, such as the foundations and contents of Public Health, the actions and programs of Health Promotion, the organization and functioning of the Health System, the objectives and instruments of health management and evaluation, and the deployment . of international health, among others

On the other hand, it consists of a set of topics that have to be taught in an interrelated manner with the medical pathology subjects, such as preventive actions in communicable diseases and chronic diseases. Regarding these points, within the teaching of Preventive Medicine, an epidemiological vision of the corresponding health problem is presented first, and then, the specialized components of prevention. In these topics, Preventive Medicine represents an additional preventive training, which complements the basic training included in the teaching on the treatment of diseases.

In modern society, the maintenance and promotion of individual health requires both the operation of general public health and health care programs, and the daily work of health professionals in the deployment of preventive and health promotion actions. health. The notable longevity of the population, which is associated with a high burden of chronic diseases, and the persistence of communicable diseases, requires continued activity of preventive actions, immunizations, screening, health education and preventive advice, so that they constitute a prominent part . of the doctor's professional action, for which he must be properly prepared.

The objective of the subject is for the student to know the field and activities of Public Health and to be able to apply Preventive Medicine in medical actions. All of this implies the acquisition of knowledge, attitudes and skills about Preventive Medicine and Public Health. It includes learning both an individual and collective vision of health promotion and risk prevention, as well as disease prevention and health promotion strategies and techniques.

General learning objectives

After successfully completing the subject, we hope that the student will be able to:

Analyze health problems from a community and integrative perspective, and understand the "health-disease continuum" as a result of social, environmental, clinical, health and biological processes, and not as the simple interaction in a single individual of biological forces isolated from the human, political, economic and sociocultural context. Understand the foundations of epidemiological reasoning and apply the main methods and techniques of epidemiology to both clinical medicine problems and community health problems. Know the basics necessary to make a health diagnosis and health plan for the community where you work. Identify the conditions, factors and risk processes associated with the most frequent diseases in our country and the prevention measures (primary, secondary, tertiary and quaternary), the efficacy, effectiveness and efficiency of which have been substantially scientifically demonstrated. Integrate into your clinical practice the preventive care and health promotion guidelines most appropriate for each group of people. Judge the scientific validity, relevance (biological, clinical, health, environmental or social) and statistical precision of research papers and articles. Organize and evaluate your professional activity and that of your team, with the aim of improving the health status of the community where you work and your professional satisfaction

 


Competences

  • Accept one's role in actions to prevent or protect against diseases, injuries or accidents and to maintain and promote health, on both personal and community-wide levels.
  • Be able to work in an international context.
  • Demonstrate basic knowledge of the Spanish health system, legislation on health and economic issues.
  • Demonstrate knowledge of the national and international health organisations and the factors and circumstances affecting other healthcare systems.
  • Demonstrate understanding of the factors that determine equality in access to health, their safety and quality.
  • Formulate hypotheses and compile and critically assess information for problem-solving, using the scientific method.
  • Obtain and use epidemiological data and assess trends and risks for decision-making on health.
  • Recognize the determinants of population health, both genetic and dependent on gender, lifestyle, and demographic, environmental, social, economic, psychological and cultural factors.
  • Use information and communication technologies in professional practice.

Learning Outcomes

  1. Address health problems through collective interventions for the promotion, protection and prevention, and restoration of health and assess their impact.
  2. Analyse the national and international systems of epidemiological surveillance.
  3. Be able to work in an international context.
  4. Critically interpret medical literature.
  5. Differentiate between the factors associated with inequalities and, in particular, with gender issues in public health research and practice.
  6. Evaluate the healthcare quality system and patient-safety strategies.
  7. Formulate hypotheses and compile and critically assess information for problem-solving, using the scientific method.
  8. Identify principles of environmental health, workplace health and food health.
  9. Identify the international health organisations at Spanish, European and regional level.
  10. Identify the main activities of health promotion and disease prevention.
  11. Identify the principles of health demography.
  12. Implement the procedures of clinical and epidemiological document search and management.
  13. Interpret health indicators.
  14. Interpret the processes of planning, scheduling and assessment in health programmes.
  15. Manage the principles of medicine based on (the best) evidence.
  16. Use information and communication technologies in professional practice.
  17. Value the principles and apply the methods of preventive medicine and public health.

Content

Preventive Medicine and Public Health: principles. Influence of environmental factors on health: health protection. Influence of personal and social factors on health: health promotion. Health problems and specific actions for communicable and chronic diseases. Sanitary system. Management and evaluation of health interventions. International health.

Distributive blocks

1. Introduction to Preventive Medicine and Public Health.
2. Health protection: environmental health
3. Health problems and specific preventive actions in communicable diseases.
4. Health problems and specific preventive actions in chronic diseases.
5. Health promotion.
6. Health system. Health management and evaluation.
7. International health

THEORICAL CLASS

1. Preventive Medicine and Public Health. Levels and strategies of Preventive Medicine. Determinants of health

2. Environmental factors and health (I)

3. Environmental factors and health (II)

4. Nosocomial infection. Health waste management

5. Epidemiology and prevention of communicable diseases (I)

6. Epidemiology and prevention of communicable diseases (II)

7. Epidemiology and prevention of water-borne diseases.

8. Epidemiology and prevention of viral hepatitis.

9. Epidemiology and prevention of diseases transmitted through the respiratory route

10. Epidemiology and prevention of sexually transmitted diseases and AIDS

11. Epidemiology and prevention of vector-borne diseases. Prevention of traveler's diseases.

12. Vaccination programs

13. Epidemiology of chronic diseases

14.- Prevention and control of chronic diseases

15. Cancer epidemiology and prevention

16. Epidemiology and prevention of cardiovascular diseases

17. Epidemiology and prevention of other chronic diseases.

18. Health education and health promotion. Preventive advice

19. Obesity. Nutrition and health. Exercise and health

20. Tobacco and health. drug addictions

21.- Alcohol and health. Drug addictions

22. Maternal - child health. Women's health

23. Aging and health

24. Occupational health

25. Mental health

25. Quality of care and patient safety

26. Health system. Primary care and hospital care. Health management. Health economics

27. Health inequalities. Global health. Disease burden in countries


CLINICAL CASE SEMINARS (SCC)

1. Health indicators in Catalonia. Health goals. Health planning

2. Health education.

3. Health promotion.

4.Secondary prevention. Population programs for early cancer detection.

5. Epidemiological surveillance. Control of an epidemic outbreak

6. Preventive vaccinations. Vaccinations of health personnel. Traveler vaccinations

7.- Epidemiology and prevention of communicable diseases

8. Prevention of chronic diseases

9. Preparation of an evidence-based project.

10. Quality of care

11. Introduction to research: design of a research protocol. Critical reading of a scientific article


CLINICAL CASE SEMINARS (SCC) - 28h

CLINICAL PRACTICE (PCA): 10h

PRACTICE SIMULATION - 2h


Activities and Methodology

Title Hours ECTS Learning Outcomes
Type: Directed      
ADVANCED CLINICAL SIMULATION PRACTICE (IN HUMANS (PSCA) 2 0.08 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17
CLINICAL CASE SEMINARS (SCC) 28 1.12 3, 5, 7, 16
CLINICAL PRACTICES ASSISTANT (PCAh) 10 0.4 1, 2, 3, 5, 6, 7, 8, 9, 10, 13, 14, 16, 17
THEORY (TE) 27 1.08 1, 8, 9, 10, 13, 14, 16
Type: Autonomous      
THEORY LECTURE 75.5 3.02 1, 2, 3, 5, 6, 7, 8, 9, 10, 13, 14, 16, 17

This Guide describes the contents, methodology and general rules of the subject, in accordance with the current curriculum. The final organization of the subject with respect to the number and size of groups, distribution in the calendar and dates of exams, specific criteria for evaluation and review of exams, will be specified in each of the Hospital Teaching Units (UDH), which will make it explicit through its web pages and the first day of class of each subject, through the professors responsible for the subject at the UDH.

For this course, the professors appointed by the Departments as responsible for the subject at the Faculty and the UDH level are:

Responsible department (s): Department of Pediatrics, Obstetrics and Gynecology and Preventive Medicine

Irma Casas Garcia

Responsables UDHSP

Responsables UDHVH

Responsables UDGTiP

Responsables UDHPT

Teresa Puig

tpuig@santpau.cat

 

Susana Otero

 susana.otero@vallhebron.cat

 

Irma Casas

irma.casas@uab.cat

 

Gemma Navarro

gema.navarro@uab.cat

 


 
 

In the current exceptional circumstances, at the discretion of the teachers and also depending on the resources available and the public health situation, some of the theoretical classes, practicals and seminars organized by the Teaching Units may be taught either in person or virtually.


 

 

 

Annotation: Within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.


Assessment

Continous Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
Attendance and participation in class and seminars / Defense oral works/Clinical practices 30% 3.5 0.14 3, 4, 7, 11, 12, 15, 16, 17
Objective test of multiple choice 70% 4 0.16 1, 2, 4, 5, 6, 8, 9, 10, 12, 13, 14, 15

1. Attendance and participation in classes and seminars / Defense oral works/Clinical practices will represent 30% of the final grade. The team of teachers from each Teaching Unit will determine the percentage of each part included in this evaluation.
										
											
										
											2. Written objective tests. There will be two partial exams that can release part of the subject. The team of teachers from each Teaching Unit will establish the questions and subjects covered. The percentage of each test will also be determined by each Teaching Unit, and the total sum of both tests will represent 70% of the final grade. They will be test-type with 5 possible answers and one correct one. Each correct question is worth 1 point and wrong answers are worth 0.20 points.
										
											
										
											3. Final make-up test: Students who have not passed the subject may take a final make-up test. The examination methodology may be different from the one used in the previous evaluations. Students who have failed one of the objective written tests, those who have not taken the previous evaluations and those who wish to improve their grade can take this test; in this last case the mark of the recovery exam will be the one that will prevail.
										
											
										
											4. Exam review system. The revision of the exams will be carried out individually with the student, upon request within the deadlines to be communicated.
										
											
										
											5. Expression of the result of the evaluations: Numerical note with a decimal point, from 0 to 10. Qualitative rating: suspension, approved, remarkable, excellent, MH.
										
											
										
											Students who do not take both the theoretical and practical evaluation tests will be considered "Not Evaluable", exhausting their rights to enroll in the subject
										
											
										
											This subject does not include the single evaluation system.

Bibliography

Bibliography

Specific bibliography

  • Hernández-Aguado I., Lumbreras Lacarra B. Manual de Epidemiología y Salud Pública para Grados en Ciencias de la Salud. 3ª ed. Madrid: Editorial Médica Panamericana, 2018.

  • Piédrola Gil G. Medicina preventiva y salud pública. Fernández-Crehuet J, Gestal JJ, Delgado M, Bolúmar F, Herruzo R, Serra L, Rodríguez F. (edit), 12ª ed. Barcelona: Elsevier España, 2015

  • Sierra A, Sáenz MC, Fernández-Crehuet J, et al., eds. Medicina Preventiva y Salud Pública. 12ª edición Barcelona: Elsevier Masson, 2015

 

Reference bibliography

  • Detels R, Beaglehole T, Lansang MA, Gulliford M, eds. Oxford Textbook of Public Health. 6ª edición. 3 vols.  Oxford: Oxford University Press, 2015

  • Gray M. Evidence-Based Health Care and Public Health: How to Make Decisions About Health Servcies and Public Health. 3rd. ed. Toronto: Elsevier Limited, 2009.

  • Novick LF, Morrow CB, Mays GP. Public Health Administration: Principles for Population-based Management (2nd ed). Jones and Bartlett Publishers Inc, 2007.

  • Pencheon D, Guest C, Melzer D, Muir Gray JA, eds. 3ª ed. Oxford Handbook of Public Health Practice.Oxford: Oxford University Press, 2013.

  • Porta M, Last JM (eds.). A Dictionary of Public Health. Second Edition. New York: Oxford University Press, 2018.

  • Boulton ML, Wallace RB. eds. Maxcy-Rosenau-LastPublic Health & Preventive Medicine, 16e. McGraw Hill; 2022

Internet Resources

 


Software

Is not necessary


Language list

Information on the teaching languages can be checked on the CONTENTS section of the guide.