Community Medicine Competency Module

    Senior Editor:   Paul Lazar, MD

    Associate Editors: Joseph Thompson, MD, PhD

                                        Kenny Luong, MD

Competencies:

PRE-TEST

POST-TEST

Knowledge (Medical Knowledge)

Subject Area	Primary Resources	Restricted/Secondary Resources
Environmental Health--Describe the epidemiology of lead toxicity. Understand who is at risk, how to screen, and where to refer for follow up.	(Joseph Thompson) OSHA (http://www.osha.gov) ACOEM (http://www.acoem.org)
Violence prevention. Homicide prevention. Know how to assess risk and how to locate resources in your community. Domestic violence. Know how to assess risk and how to locate resources in your community.	(Kenny Luong) http://www.aafp.org/afp/20041101/1723.html http://www.aafp.org/afp/20021201/medicine.html
Communicable disease. Know how to assess risk for STD's, how to properly screen, and how to report. Know how to assess risk of tuberculosis, how to properly screen and how to refer for follow up.	2006 Centers for Disease Control STD Treatment Guidleines http://www.cdc.gov/std/treatment/2006/toc.htm Below is a possibility http://www.cdc.gov/nchstp/tb/webcourses/CoreCurr/index.htm
Know some of the diseases/conditions for which significant health disparities exist among groups. Understand the family physician's role in reducing those disparities.
Understand the priniciples of school health; know where to find information on state laws regarding treatment of minors; know how to find a resource for pregnancy prevention in your community
Be able to access epidemiologic  data for your state and county for diseases and conditions
Know the rationale, risks, indications, and contraindications for ACIP recommended immunizations for adults and children Understand the rationale for and the arguments against mass vaccination of young women for human papilloma virus	http://www.cdc.gov/nip/recs/adult-schedule-11x17.pdf http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5551a7.htm?s_cid=mm5551a7_e http://www.cdc.gov/mmwr/preview/mmwrhtml/rr56e312a1.htm
Know how to access information on the disaster plan for your community and what your role would be in case of a disaster affecting your community.	(Kenny Luong) http://www.redcross.org/images/pdfs/preparedness/A4600.pdf http://www.aafp.org/afp/20070315/841.html http://www.nlm.nih.gov/medlineplus/disasterpreparationandrecovery.html	http://www.aafp.org/afp/990315ap/1577.html
Understand the principles of disability determination. Be able to describe disabilities in functional terms.	(Joseph Thompson)
Know how to access information about toxins in the work place. Know some specific associations between occupational groups and illnesses/conditions (e.g., residency directors and their clerical staff/carpal tunnel syndrome; nurses/back pain; coal miners/silicosis	(Joseph Thompson) OSHA (http://www.osha.gov) ACOEM (http://www.acoem.org)
Know the common illnesses and conditions affecting persons being discharged from correctional facilities Be able to access and apply guidelines on providing health care in correctional facilities	(Kenny Luong) http://www.ncchc.org/resources/clinicalguides.html

Skill Competencies (Patient Care):

Subject Area	Overview Resources	Restricted/Secondary Resources	Evaluation Tools
			Evaluation Form
Know how to apply pharmacotherapy and the 5 A's to tobacco cessation	http://www.aafp.org/online/etc/medialib/aafp_org/documents/clinical/pub_health/askact/tobaccodependppt.Par.0001.File.tmp/treating-tobacco-dependence.pdf http://www.aafp.org/online/etc/medialib/aafp_org/documents/clinical/pub_health/askact/pptpresentationwebcast.Par.0001.File.tmp/AAFPWebcast%206.ppt

Faculty/Resident Teaching Resources:

       FMRDL/NDRL Resources (Link to a separate page)

REPORT DEAD LINKS HERE