Community Medicine and Public Health

Rotation Goals and Objectives

  1. General Description
    1. The rotation in Public Health is designed to provide residents with the skills and exprtise expected of family physicians with active practices involving interacting with public health offices and officials. Residents will also gain an introductory knowledge of public health.
    2. The two week rotation in Public Health is centered on experiences offered by the Washoe County Health District. You should meet with Community and Clinical Services officials, to discuss the time you will be spending with the Health Department. Assigned readings may also be a part of the learning process.
    3. For contact information, contact the residency coordinator two weeks before your rotation.
    4. Residents are expected to follow their patients in the Family Medicine Center during this rotation.
    5. Level: PGY 2 year
    6. Location: Community Medicine is an office/health department based rotation.
    7. Duration: one two week block
    8. Community Medicine is a full time rotation.
    9. Work hour form submission is required at the completion of this rotation
    10. Evaluation of Rotation
      1. The evaluation of the resident on this rotation will be done by the completion of an evaluation form by the attending physician at the end of the rotation.
      2. The resident will fill out a rotation evaluation for at the end of the rotation.
      3. The knowledge, skills and competencies acquired during this rotation will be evaluated by a Family Medicine attending as the resident provides care to patients in the Family Medicine Center.
      4. The resident's performance on the American Board of Family Medicine In-Training examination will also be used to assess knowledge in this area.
  2. Patient Care and Medical Knowledge skills to be mastered
    1. Learn to assess and understand the important health needs of the community in which they work.
    2. Understand and be able to interact with community health resources that may be utilized in the care of patients and their families, including school health services and public health (including environmental health) services.
    3. Understand and be able to implement disease prevention/health promotion, including appropriate strategies and behaviors Community and Prevention Medicine such as immunizations and healthful lifestyle changes that will protect children, adults, and families from illness or injury
  3. Practice Based Learning and Improvement
    1. This competency is addressed longitudinally throughout the rotation.
      1. Scientific evidence will be reviewed by the resident and supervisors.
      2. The practical implementation of evidence-based medicine will be discussed as the medical decision making and public health decision making is reviewed.
      3. Information technology will be utilized by the resident as he or she is required to research topics for completing the community medicine cases.
  4. Interpersonal and Communication Skills
    1. This competency is addressed lonitudinally throught the rotation by helping the resident improve his or her ability to communicate effectively with public health workers at all levels. Written communication will also be evaluated by review of the case write-ups
  5. Professionalism
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident’s sense of personal responsibility including attendance, promptness, motivation, completion of duties, and appropriate dress will be observed and evaluated.
      2. Ethical and legal practice skills will be taught
      3. Respect for cultural, gender and age, differences will be taught, observed and evaluated.
      4. The resident is expected to treat patients, families public health workers and colleagues with respect, understanding, sympathy and honesty
  6. Systems Based Practice
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will learn to become aware of available resources and the cost effectiveness of testing and therapeutic options from a public health point of view
      2. The resident will gain an increasing understanding of the role of the patient, physician, support staff, public resources and insurer in the health care environment
      3. The resident will become aware of the available resources in our community as well as to the limitations of the resources in our community that our available.

Revised: May 2, 2018 by Richard D. Willilams, MD