Module 3- Taking a Preventive History
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1 Module 3- Taking a Preventive History Suzanne Lazorick Associate Professor, Pediatrics and Public Health Brody School Of Medicine, East Carolina University November 4, 2012
2 Disclosures I have no financial relationships or conflicts of interest to disclose
3 Module 3 is divided into two parts: Module 3A: (voiceover powerpoint, 19 minutes) Incorporating a Prevention History into the Medical Interview (applied, for students learning to interview patients) Module 3B: (voiceover powerpoint, 8 minutes) Evidence-based Prevention: Applying the USPSTF Guidelines (background/informational)
4 Module 3A: Objectives: 1. Discuss importance of prevention in terms of health outcome and economic impact 2. Describe strategies for incorporating prevention into healthcare settings 3. Describe essential elements of a preventive history 4. Take a preventive history and develop a prevention plan 5. Identify age-appropriate screening activities 6. Explain the role of the US Preventive Services Task Force
5 Module 3A- overview, 30 slides Half (15) of slides- Importance of prevention (health and cost) Includes quotes, e.g. Hippocratic oath: I will prevent disease whenever I can, for prevention is preferable to cure. Next set (10 slides)- walks learner through a traditional medical interview and where prevention items naturally fit Introduce the Age-Specific Charts (4 slides) Ends with- case examples, practical tips, resources and summary
6 Module 3A: Incorporating a Prevention History into the Medical Interview- Highlight today of two main components: Introduce the Age-Specific Prevention History Charts Video example of taking a prevention history with a patient
7 Design of the Age-Specific Preventive History Charts Plastic, pocket resource cards for students or clinicians Organized in categories that are clinically relevant for history-taking Age in columns, across top; Prevention topics arranged in rows along left Color-coded for screening (purple), counseling (yellow), and immunization/prophylaxis (blue) prevention activities Shading where appropriate to indicate age subset or lighter color for at risk category Footnotes denote source of each recommendations (source where possible was the USPSTF)
8 Age-Specific Preventive History Charts- Adult Categories: Cancer and chronic diseases Sexually Transmitted Infections (STIs) Lifestyle Immunizations
9 Link to the charts: APTR website, Resources, Population Health Modules Listed under Supplemental Material on site for Module 3:
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13 Age-Specific Preventive History Charts- Child and Adolescent Age columns across top- adjusted scale Categories: Neurodevelopmental screening Chronic conditions/diseases Sexually Transmitted Infections (STIs) Immunizations/Prophylaxis Lifestyle/Environment
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16 Module 3A Video Segment Taking a Preventive History Suggested use with learners: Review video segment Use prevention history cards to see which screenings should be recommended Develop a prevention plan Discuss style options/alternatives for the provider to incorporate prevention items during the history
17 Module 3A Video Segment Taking a Preventive History APTR website, Resources, Population Health Modules, Module 3 Same link, listed under Supplemental Material About 8 minutes to view
18 Module 3B: Evidence-based Prevention: Applying the USPSTF Guidelines Objectives: 1. Explain the role of the US Preventive Services Task Force (USPSTF) in improving health outcomes 2. Become familiar with available resources and support tools for evidence-based prevention: 1. Online tools including widget 2. Applications for mobile devices
19 Module 3B- overview, 20 slides First half introduces the USPSTF, explains how recommendations are developed, the grading criteria, etc, shows current example (obesity in children) Last half- shows the AHRQ electronic resourceepss
20 Module 3B: Evidence-based Prevention: Applying the USPSTF Guidelines Highlight of one component: Electronic tool available to support evidencebased prevention epss
21 Electronic Preventive Services Selector (epss) Available on AHRQ website Enter basic patient information (gender, age, pregnancy, tobacco use, sexual activity) Generates list of recommended prevention services according to USPSTF
22 epss Online Form
23 epss Online Form Filled In
24 Recommendations
25 epss Widget for Website Use
26 iphone/blackberry Input
27 iphone/blackberry Output
28 Summary - Module 3 Review and emphasize importance of prevention in big picture of healthcare and in development of patient (age)-specific skills Introduce concepts behind and resources for evidence-based prevention activities and the USPSTF Provide access to useful clinical tools to identify patient-specific needed services Demonstrate video example of preventive history taking in a clinical encounter
29 Reminder- Please complete the survey to evaluate the Age-Specific Preventive History Charts Brief questionnaire to evaluate the cards as a potential resource for student education and in clinical practice Option to receive a set of cards for your school for pilot use We will collect completed questionnaires THANK YOU!!
30
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