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OtherFamily Medicine and the Health Care System

Public Health and Family Medicine: An Opportunity

Doug Campos-Outcalt
The Journal of the American Board of Family Practice May 2004, 17 (3) 207-211; DOI: https://doi.org/10.3122/jabfm.17.3.207
Doug Campos-Outcalt
MD, MPA
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    Table 1.

    Essential Public Health Services

    • Monitor health status to identify community health problems.

    • Diagnose and investigate health problems and health hazards in the community.

    • Enforce laws and regulations that protect health and ensure safety.

    • Inform, educate, and empower people about health issues.

    • Mobilize community partnerships to identify and solve health problems.

    • Link people to needed personal health services and assure the provision of health care when it is otherwise unavailable.

    • Evaluate effectiveness, accessibility, and quality of personal and population-based health services.

    • Assure a competent public health and personal health care workforce.

    • Develop policies and plans that support individual and community health efforts.

    • Research for new insights and innovative solutions to health problems.

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    Table 2.

    Levels of Public Health Expertise for Family Physicians

    I. Basic
     Knowledge
      ◂Functions and powers of local health departments
      ◂How to interact effectively with state and local health departments
      ◂Roles of local, state and federal agencies with public health functions
      ◂Medical care of sexually transmitted diseases, tuberculosis, other diseases important to public health
      ◂Evidence-based prevention recommendations
      ◂Appropriate use of public health resources (contact tracing, directly observed therapy, isolation and quarantine)
      ◂Role in emergencies and disasters
     Skills
      ◂Reporting of reportable diseases and conditions
      ◂Accurate recording of vital statistics
      ◂Implementation of clinical prevention guidelines (screening, immunization, counseling, chemoprophylaxis, travel advice)
      ◂Interpretation of medical literature (basic epidemiology and statistics)
      ◂Recognition of unusual diseases and patterns
      ◂Finding information on environmental concerns
      ◂Referral to community resources
      ◂Counseling to achieve lifestyle change
    II. Intermediate
    All of the basic knowledge and skills plus:
     Knowledge
      ◂More advanced epidemiology and statistics
      ◂What confirmatory labs to order to confirm important infectious diseases
      ◂Basics of environmental exposure risk assessment
      ◂Medical aspects of public health emergencies including bioterrorism
     Skills
      ◂Recognition and treatment of unusual presentations and complications of sexually transmitted diseases and tuberculosis
      ◂Implementing clinical systems for increasing adherence to prevention guidelines
      ◂Designing an observational or interventional study
      ◂Diagnosis and treatment of infections caused by level A bioterrorism agents
    III. Advanced
    All of the basic and intermediate knowledge and skills plus:
     Knowledge
      ◂Public health legal authority and police powers
      ◂Medical aspects of disasters and other public health emergencies
      ◂Emergency medical transport systems
      ◂Medical examiner functions
      ◂Animal and vector control activities
      ◂Water system safety
      ◂Food safety
      ◂Medical information systems
      ◂Community social service and medical resources
     Skills
      ◂Performing environmental risk assessments
      ◂Collection and transport of lab specimens
      ◂Designing medical information systems
      ◂Implementing quality improvement systems
      ◂Using epidemiology and statistics for community health assessment
      ◂Communicating with the public and press
    IV. Leadership
    All of basic, intermediate, and advanced knowledge and skills plus:
     Knowledge
      ◂Public policy formulation
      ◂Personnel systems
      ◂Budgeting and finance
      ◂Procurement procedures
      ◂Grants and contracts
      ◂Planning and evaluation
      ◂Legal responsibilities and limits
     Skills
      ◂Developing a program and department budget
      ◂Developing and defending a policy initiative
      ◂Communicating with elected officials
      ◂Developing collaborative relationships with public and private sector agencies
      ◂Managing personnel, facilities, and budgets
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In this issue

The Journal of the American Board of Family Practice: 17 (3)
The Journal of the American Board of Family Practice
Vol. 17, Issue 3
1 May 2004
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Public Health and Family Medicine: An Opportunity
Doug Campos-Outcalt
The Journal of the American Board of Family Practice May 2004, 17 (3) 207-211; DOI: 10.3122/jabfm.17.3.207

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Public Health and Family Medicine: An Opportunity
Doug Campos-Outcalt
The Journal of the American Board of Family Practice May 2004, 17 (3) 207-211; DOI: 10.3122/jabfm.17.3.207
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