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Population Health SEMESTER 1

Population Health SEMESTER 1. List of all the lectures. ETHICS and PROFESSIONAL PRACTICE. Medical Overservicing & Inappropriate Practice week 5. Lecture also known as professionalism… Need to know: PSR process

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Population Health SEMESTER 1

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  1. Population Health SEMESTER 1

  2. List of all the lectures

  3. ETHICS and PROFESSIONAL PRACTICE

  4. Medical Overservicing & Inappropriate Practiceweek 5 • Lecture also known as professionalism… • Need to know: • PSR process • Common types of abuse of the PBS (e.g. inappropriate use of MBS attendance items) • What constitutes medical overservicing

  5. The Challenge of Euthanasiaweek 6 • Need to know: • Definition of euthanasia (slide 13) • Differences between voluntary euthanasia vs active voluntary euthanasia vs physician assisted suicide vs passive euthanasia vs non-voluntary euthanasia vs involuntary euthanasia • Definition of terminal sedation and what it entails • Arguments for and against voluntary euthanasia • Legal stance on euthanasia (s296, s285, s284)

  6. Consent to Medical Treatment: Ethics and Lawweek 9 • Need to know: • Consent not equal to agreement • Failure to obtain consent = interference without authorisation • Elements of consent • Tresspass and negligence

  7. Informed Decision Making and Negligence week 9 • Need to know: • Law of negligence • How to establish causation • NHMRC guidelines • Duty to warn • Duty to treat

  8. Lessons from the History of Medicine: Cardiovascular Diseaseweek 11 • Personally, I found this lecture interesting but not very helpful in terms of studying for exams. • It basically talked about how different people such as Galileo helped shaped medicine as it is today • Moral of lecture = be open minded to people’s opinions because they may be proven right one day in the future!

  9. Counter Transference and Stereotyping week 12 • Need to know: • Definitions of stereotyping and countertransferance (slide 6) • Concepts of therapeutic alliance, transference and counterferance (slide 10) • Comparision between transference and counterferance (Tables on slide 13 and slide 15) • Balint group

  10. Refusal of Treatment, Treatment without Consent week 12 • Need to know: • Symmetry between consent and refusal (adults) • Asymmetry between consent and refusal (children) • In Australia, we presume competence and it is up to the doctor to show that the patient is not competent • Competence = a capacity in terms of one’s own beliefs/values • Rationality = reasons/ grounds / content of beliefs and values • Requirements of dispositional autonomy • Sustentative and procedural rationality

  11. Self-Induced Diseaseweek 14 • Need to know • Individual model versus structural model • Patient charters: rights and responsibilities • Government factors • Concept of a morally responsible free AGENT • Freedom conceptually implies responsibility • We demand considerable freedom • Therefore we must accept considerable responsibility • Medicationalisation diminishes responsibility, fault, blame and exacerbates victimhood

  12. Public Health

  13. Global Public Health week 7 • Need to know: • Vectors transmitting diseases • MDGs • Definition of ecosystem health (slide 22) • Zoonoses

  14. How Much of Cardiovascular Disease Could Be Prevented? Week 9 • The slides for this lecture aren’t available • However: the learning objectives were: • Epidemiology • Risk factors for cardiovascular disease • High risk versus population approach • The lecture also discussed how to calculate RR and also PAF

  15. Public and Clinical Responses to Smoking week 13 • Need to know: • Addictive nature of nicotine • Why is patient’s smoking status important to ascertain? (slide 16 and 17) • 5As (ask, advise, assess, assist and arrange follow-up) • Smoking cessation • Behaviour/counselling • NRT • Zyban • Champix • Harm reduction: pros and cons (slide 33) • Population screening

  16. *SYMPOSIUM* Migrant Health • Need to know: • ~FLUFF~ • MAIN CONCEPTS • Be sensitive to cultural, language, social and religious barriers to health • Need to be conscientious in ensuring that migrants/refugees have equal access to services • Be aware of some migrant specific diseases

  17. SOCIAL SCIENCE

  18. Psychosocial Issues Related to Ageing week 3 • Need to know: • Concepts of ageing (slide 9) • Birth cohorts, cohort effect, period effect (slide 11) • Psychological and social factors which affect ageing • Personality, • Mental health • Stress and coping • Social support • GAD • Anxiety • Depression • Social support • Stress and coping

  19. Payments and Subsidies, Cost of Health Care, Medicare and PBS -1 week 5 • Need to know: • Broad structure and systems of the payment, subsidy and free provision within the Australian health system • Define and explain: • Direct and indirect health care • Cost-effectiveness • Cost-efficiency • Cost utility

  20. Care and Community Resources week 13 • Need to know: • Biomedical model vs social model (slide 28) *Side note* - personally, all I think we need to know is on slide 2 – everything else within the lecture merely expands on it in a very round about way.

  21. EBM

  22. Internal validity 1 week 3 • Need to know: • Association vs causation • Internal validity – ways on minimising systematic error (slide 6) • Systematic vs random error • Bias – selection (diagnostic, survival, admission, non-response) • Loss to follow-up • Non-differential misclassification • Information bias (recall, interviewer) • Measurement error • Blinding

  23. Internal validity 2 week 7 • Need to know: • Confounding • Stratification • Ways to control confounding • Terms that refer to the confounder: restriction, match, similar cohorts (and also what they mean) • Analysis • Multivariate analysis • Bradford Hill’s criteria • Interaction

  24. Communicating risk week 9 • Need to know: • Principles for communicating risk effectively • Benefits of good communication • Informed decision making

  25. Variable types and distributions week 10 • Need to know: • Pooling of information • Uncertainty • Modelling • Standard deviation

  26. Estimates and standard errors week 11 • Need to know: • Normal model • Standard error • Confidence interval • P-values

  27. Precision of study effects I and II week 16 • Need to know: • P-value (what is it?) • Clinical significance versus statistical significance • Type 1 and type 2 error • Power and sample size • Confidence intervals

  28. Managing Uncertainty Week 16 • Need to know: • Types of uncertainty in medical practice • Dealing with uncertainty • Murtagh’s five step diagnosis • Red flag and alarm symptoms and signs • Probabilistic reasoning • Spot diagnosis • Pattern recognition • Test of treatment • SAFETY NETTING

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