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Healthy PeopleCurriculum Task Force

Prevention Summit October 24, 2005

Clinical Prevention and Population Health

Curriculum Framework

Richard Riegelman MD, MPH, PhD

Mission

To fulfill Healthy People 2010 Objective 1.7- “Increase the proportion of schools of medicine, schools of nursing and health professional training schools whose basic curriculum for health care providers includes the core competencies in health promotion and disease prevention”

The Conveners of the Task Force

The Healthy People Curriculum Task Force was established in 2002 as a joint project of the Association of Academic Health Centers (AHC) and the Association of Teachers of Preventive Medicine (ATPM)

The Seven Participating Organizations-

Association of American Medical CollegesAmerican Association of Colleges of Osteopathic MedicineNational Organization of Nurse Practitioner Faculties American Association of Colleges of NursingAmerican Association of Colleges of PharmacyAssociation of Physician Assistant ProgramsAmerican Dental Education Association

Resource and Affiliated Groups

Association of Schools of Public HealthCommunity-Campus Partnerships for HealthStudent Health Alliance


A generic Curriculum Framework that will serve as basis for:

Intra & interprofesion communication Curriculum design Curriculum monitor & accreditation review Monitoring of baseline and follow-up data for Healthy People 2010.

Development of Curriculum Framework

1. Preliminary Framework- approved by Task Force –July 2003

2. Review by Participating Organizations and Web-based public and professional comment period July 2003-December 2003

3. Revision of Framework January 20044. Approval of Initial Framework including

detailed report March 2004Planned revision of Framework beginning 2008


Define Core ComponentsBegin by defining Core Components of the Curriculum Framework that are compatible with the curriculum expectations of all participating clinical health professions.

Curriculum Framework- Core Components

Evidence Base for Practice Clinical Preventive Services- Health Promotion Health Services and Health Policy Community Aspects of Practice

Curriculum Framework-

Specific Content

Each of the 19 Content Structure items are accompanied by examples of the specific content areas that could fulfill the intent of each itemFull report available at www.ATPM.org

Curriculum Framework- Curriculum Naming


This name has been agreed upon by the Task Force and should be used to identify this curriculum it is designed to indicate:

Individual clinically oriented prevention often incorporated in the term Health Promotion-Disease Prevention or Clinical Prevention

Population oriented prevention increasingly incorporated in the term population health.

Curriculum Framework- Naming


It is designed to focus attention on both individual and population based preventive

This term will be used by all participating professions to identify this area of curriculum.



Evidence Base for Practice

Epidemiology and Biostatistics Evaluating Health Research

Literature Healthcare Quality Improvement Surveillance Strategies Determinants of Disease



Clinical Preventive Services and Health Promotion

ScreeningCounseling ImmunizationPreventive Medication

Health Systems and Health Policy

Healthcare and Public Health Systems

Health Services FinancingHealth WorkforceHealth Policy Development





Community Aspects of Practice

Environmental HealthOccupational HealthHealth Communications & Needs AssessmentGlobal HealthCultural DiversityCommunity Health & Public Health

Preparedness

Dissemination of Curriculum Framework

Publication in December AJPM with 3 commentaries including Surgeon General with widespread distribution of reprints available at www.atpm.orgPublications in discipline specific journals submitted or being written and presentation at professional meetings Academic Health Centers- Congress of Health Professions Education June 6-7, 2005– dedicated to Task Force’s work- Proceeding to be distributed to Deans and available on-line

Data Collection ProcessBaseline and follow-up data is required for Healthy

People 2010Objective 1.7 requires baseline data which has been collected from four health professional organizations including AAMC

AAMC now will collect data on all 19 domains on a yearly basis

All 7 health professional organizations will collect selected data items to provide comparable data prior to 2010

Healthy People Curriculum Task Force Macy Foundation Grant

Macy Foundation Grant-GoalsThree year grant beginning February 2005

Development of Prevention Education Resource Center (PERC)

Encourage undergraduate public health curriculum- “Public Health 101”

Development of interprofessional education emphasis

Prevention Education Resource Center(PERC)

Web based resource center Designed around Clinical Prevention

and Population Health Curriculum Framework

Built upon “flagship” prevention efforts such as The Community Guide and the USPSTF recommendations

Undergraduate Public Health“Public Health 101”

Effort to implement IOM recommendation that “all undergraduates should have access to education in public health”

Consensus Conference planned for November 2006 Convened by AHC

Will examine Public Health 101’s role in undergraduate education and as suggested or recommended prior to application to medical school and other graduate clinical education

Interprofessional Education

“Outreach Conference” February 2, 2006 to encourage modification and adoption of curriculum framework by additional health professions

Interprofessional Education Conference planned for 2007 to encourage innovations in interprofessional education in clinical prevention and population health

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