PMID- 15234923
OWN - NLM
STAT- MEDLINE
DCOM- 20040730
LR  - 20190813
IS  - 1040-2446 (Print)
IS  - 1040-2446 (Linking)
VI  - 79
IP  - 7
DP  - 2004 Jul
TI  - Disease prevention and health promotion in medical education: reflections from an 
      academic health center.
PG  - 690-7
AB  - PURPOSE: It is unclear whether academic health centers are successfully 
      addressing societal needs and expectations by preparing students with knowledge 
      and skills in disease prevention and health promotion. The authors assessed 
      whether students were exposed to key content in these areas and whether they felt 
      this exposure was adequate. METHOD: All components of the first three years of 
      the Case Western Reserve University (Case) curriculum were examined in 2001 to 
      create a curricular map, using competencies in disease prevention and health 
      promotion identified by the Association of Teachers of Preventive Medicine (ATPM) 
      as a template to assess the scope of instruction. Case students' United States 
      Medical Licensing Examination (USMLE) Step 2 subscores in preventive medicine and 
      health maintenance from 1994 to 2000 and graduating seniors' assessment of the 
      adequacy of their training were compared to national data from the Association of 
      American Medical Colleges' 2000 Graduation Questionnaire (GQ). RESULTS: Most 
      content areas identified by ATPM were present in the Case curriculum and were 
      offered frequently in a variety of educational venues over the first three years. 
      USMLE scores increased nationally and at Case from 1994 to 2000 and Case 
      students' perception of training adequacy in preventive medicine and health 
      promotion was comparable to national ratings from the 2000 GQ. CONCLUSIONS: Broad 
      and frequent exposure to disease prevention and health promotion core 
      competencies has value, but may not sufficiently prepare students to deliver 
      health-promoting services confidently. Creative curricula highlighting 
      prevention's relevance throughout clinical practice and incorporating formal 
      opportunities to apply knowledge and build experience may result in greater 
      success.
FAU - Litaker, David
AU  - Litaker D
AD  - Department of Medicine, Louis Stokes Cleveland Department of Veterans Affairs 
      Medical Center, Case Western Reserve University, OH 44106-6033, USA. 
      dxl25@case.edu
FAU - Cebul, Randall D
AU  - Cebul RD
FAU - Masters, Sophia
AU  - Masters S
FAU - Nosek, Thomas
AU  - Nosek T
FAU - Haynie, Robert
AU  - Haynie R
FAU - Smith, C Kent
AU  - Smith CK
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - Acad Med
JT  - Academic medicine : journal of the Association of American Medical Colleges
JID - 8904605
SB  - IM
MH  - Academic Medical Centers
MH  - Curriculum/standards
MH  - Education, Medical/*standards
MH  - Educational Measurement
MH  - Faculty, Medical
MH  - *Health Promotion
MH  - Ohio
MH  - Preventive Medicine/*education
EDAT- 2004/07/06 05:00
MHDA- 2004/07/31 05:00
CRDT- 2004/07/06 05:00
PHST- 2004/07/06 05:00 [pubmed]
PHST- 2004/07/31 05:00 [medline]
PHST- 2004/07/06 05:00 [entrez]
AID - 10.1097/00001888-200407000-00017 [doi]
PST - ppublish
SO  - Acad Med. 2004 Jul;79(7):690-7. doi: 10.1097/00001888-200407000-00017.