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Measuring orientation to population-based prevention.

Lloyd F Novick1, Donald A Cibula, Sally M Sutphen

  • 1SUNY-Upstate Medical University, Preventive Medicine Program, Department of Medicine, Syracuse, New York 13210, USA. PMP@upstate.edu

American Journal of Preventive Medicine
|May 15, 2003
PubMed
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A new tool effectively assesses physicians' focus on population-based prevention strategies. This helps evaluate preventive medicine education and promotes a broader public health approach.

Area of Science:

  • Public Health
  • Medical Education
  • Preventive Medicine

Background:

  • Evaluating preventive medicine curricula requires assessing orientation to population-based preventive alternatives.
  • Understanding physician focus on different prevention strategies is crucial for public health initiatives.

Purpose of the Study:

  • To develop and validate a scenario-based instrument for assessing physician orientation towards population-based prevention.
  • To evaluate the effectiveness of a specific preventive medicine curriculum in shifting physician focus.

Main Methods:

  • Developed a scenario-based instrument with options in treatment, clinical prevention, and population-based prevention.
  • Physicians allocated 900 points across alternatives for nine hypothetical health situations.

Related Experiment Videos

  • Pilot tested the instrument comparing public health physicians with family medicine physicians.

    • Main Results:

    • Statistically significant differences in population scale scores were observed between public health and family medicine physicians (p<0.01).
    • Medical students participating in the Case-Based Series in Population-Oriented Prevention (C-POP) showed significant increases in population scale and population-treatment differential (p<0.0001 and p<0.0004, respectively).

    Conclusions:

    • A scenario-based tool demonstrates preliminary promise for evaluating changes in population-based prevention orientation.
    • This tool can aid in assessing and improving preventive medicine curricula.