LF:VSSL051c Social Medicine - practice - Course Information

VSSL051c Social Medicine - practice

Extent and Intensity

0/2/0. 1 credit(s). Type of Completion: z (credit).

Teacher(s)

Mgr. Pavlína Kaňová, Ph.D. (lecturer)
MUDr. Lenka Dvořáková (seminar tutor)
Mgr. Kateřina Kojecká, Ph.D. (seminar tutor)
MUDr. Kräuff Rainer Schwanhaeuser Wulff, MBA, Ph.D. et Ph.D., M.A. (seminar tutor)
Mgr. Marie Šubrtová (seminar tutor)
Zdeňka Jochová (assistant)

Guaranteed by

Mgr. Pavlína Kaňová, Ph.D.
Department of Public Health – Theoretical Departments – Faculty of Medicine
Contact Person: Mgr. Pavlína Kaňová, Ph.D.
Supplier department: Department of Public Health – Theoretical Departments – Faculty of Medicine

Timetable of Seminar Groups

VSSL051c/01: Thu 8:00–9:40 C15/333, P. Kaňová
VSSL051c/02: Fri 10:10–11:50 C15/333, P. Kaňová
VSSL051c/03: Fri 8:00–9:40 C15/333, P. Kaňová
VSSL051c/04: Fri 8:00–9:40 C15/333, P. Kaňová
VSSL051c/05: Mon 10:10–11:50 C15/333, P. Kaňová
VSSL051c/06: Mon 10:10–11:50 C15/333, P. Kaňová
VSSL051c/07: Mon 8:00–9:40 C15/333, P. Kaňová
VSSL051c/08: Mon 8:00–9:40 C15/333, P. Kaňová
VSSL051c/09: Tue 10:10–11:50 C15/333, P. Kaňová
VSSL051c/10: Tue 10:10–11:50 C15/333, P. Kaňová
VSSL051c/11: Tue 8:00–9:40 C15/333, P. Kaňová
VSSL051c/12: Tue 8:00–9:40 C15/333, P. Kaňová
VSSL051c/13: Thu 10:10–11:50 C15/333, P. Kaňová
VSSL051c/14: Thu 10:10–11:50 C15/333, P. Kaňová
VSSL051c/15: Wed 8:00–9:40 C15/333, L. Dvořáková
VSSL051c/16: Wed 8:00–9:40 C15/333, L. Dvořáková
VSSL051c/17: Wed 10:10–11:50 C15/333, L. Dvořáková
VSSL051c/18: Wed 10:10–11:50 C15/333, L. Dvořáková
VSSL051c/30: No timetable has been entered into IS. K. Schwanhaeuser Wulff
VSSL051c/31: No timetable has been entered into IS. K. Schwanhaeuser Wulff
VSSL051c/32: No timetable has been entered into IS. K. Schwanhaeuser Wulff
VSSL051c/33: No timetable has been entered into IS. K. Schwanhaeuser Wulff
VSSL051c/34: No timetable has been entered into IS. K. Schwanhaeuser Wulff
VSSL051c/35: No timetable has been entered into IS. K. Schwanhaeuser Wulff

Prerequisites (in Czech)

( VSLT0221s Bas. Med. Terminol. II -s || VSLT011s Bas. Med. Terminology -l ) && VSET021 Medical Ethics I && VSPP3X1 Nursing && ZC041 Handling chemical substances

Course Enrolment Limitations

The course is only offered to the students of the study fields the course is directly associated with.

fields of study / plans the course is directly associated with

• General Medicine (eng.) (programme LF, M-VL)
• General Medicine (programme LF, M-VL)

Course objectives

By the end of this course student should be able to: describe the content, mission, basic theories and methods of social medicine; use epidemiologic methods for assessing the health status of defined population; apply theoretical and methodological knowledge in health situation analysis; assess health risks and propose suitable measures to improve the health of the population; understand the basis of statistical and systemic thinking in medicine, the basis of methods of critical appraisal of population studies results and consequent organizational measures.

Syllabus

• 0. Qualitative methods for health research.
• 1. History of community medicine. Community medicine in Central Europe. Methodological, educational, moral, organizational and integrative role of social medicine.
• 2. Health and disease. Prevalence. Incidence, risk, rate, odds. Issues in calculating measures of disease frequency. Analysis of routinely collected data. Value and limitations of routinely collected data.
• 3. Death registration. Commonly used indices derived from mortality data. Summary statistics and standardisation. Direct standardisation. Health for All database.
• 4. Ratio measures. Estimating measures of effect for more than one level of exposure. Difference measures. Measures of effect versus measure of impact. Measures of population impact, population attributable risk, population attributable risk fraction.
• 5. Ecological study. Cross-sectional study. Cohort study. Case control study. Issues in design and execution. Design strategy: when to use which study.
• 6. Key steps in a randomised controlled trial. Size of the trial. Variants of the randomised controlled trial. Ethical issues. Analysis, interpretation and policy implications.
• 7. Types of variables. Distributions. Measures of central tendency. Measures of variability. Normal and log normal distributions.
• 8. Populations and samples. Confidence intervals. Sampling variability of proportions. Sampling variability of means. Hypothesis testing. Interpretation of p-values.
• 9. Correlation. Linear regression. Chi-squared test for a two-way table. Chi-squared test for trend. Validity of chi-squared tests. Epi-Info statistical package.
• 10. Bias, selection bias, measurement bias. Differential and non-differential misclassification. Confounding. Meta-analysis. Causality in medicine.
• 11. Validity of diagnostic tests, sensitivity, specificity. Repeatability. Predictive values of a test result.
• 12. Study designs for evaluation of screening. Selection bias, lead time bias, length bias, diagnosis bias. Criteria for a successful screening programme. Scope and levels of prevention.
• 13. Need, demand and use. Efficacy, effectiveness, efficiency. QALYs.
• 14. Health care systems. Funding mechanisms. Equity. Health care system in the Czech Republic. The health reform process.
• 15. Health policy for Europe. Health for All programme.

Literature

required literature
• HOLČÍK, Jan, Adolf ŽÁČEK and Ilona KOUPILOVÁ. Sociální lékařství. 3. nezměn. vyd. Brno: Masarykova univerzita, 2006, 137 s. ISBN 9788087192153. info
• GERYLOVOVÁ, Anna and Jan HOLČÍK. Úvod do základů statistiky : text pro semináře. 1. vyd. Brno: Masarykova univerzita, 2011, 50 s. ISBN 9788021056619. info
• *
• REQUIRED LITERATURE
• 1. Bonita R, Beaglehole R, Kjellström: Basic epidemiology. 2nd edition. Geneva - Switzerland: World Health Organization; 2006. pp 1-115, 133-163, 177-186.
• 2. Stone DB, Armstrong WR, Macrina DM, Pankau JW: Introduction to epidemiology. Dubuque, IA - USA: Brown & Benchmark Publishers; 1996. pp 63-115.
• 3. Farmer R, Lawrenson R, Miller D: Epidemiology and public health medicine. 5th edition. Oxford - U.K.: Blackwell Publishing; 2004. pp 51-89.
• 4. Varkey P: Mayo clinic preventive medicine and public health board review. Edited by Prathibha Varkey. New York - United States: Mayo Clinic Scientific Press - Oxford University Press; 2010. pp 3-59.

recommended literature
• HOLČÍK, Jan. Systém péče o zdraví a zdravotní gramotnost :k teoretickým základům cesty ke zdraví. 1. vyd. Brno: Masarykova univerzita, 2010. 293 s. ISBN 9788073921293
• *
• RECOMMENDED LITERATURE
• 1. Petrie A, Sabin C: Medical statistics at a glance. Oxford - U.K.: Blackwell Publishing; 2003.
• 2. Nordess R: Epidemiology and biostatistics secrets. China: Mosby Elsevier; 2006.

Teaching methods

Seminar and class discussion.
Reading and studying ALL REQUIRED LITERATURE.
For those who will have to write research projects and seminar papers during third, fourth and fifth year, it is strongly recommended to enrol the following courses:
 VSIL021 - Information literacy - (3 credits) - e-learning.
 VSKP041 - A course of working with information sources and tools (4 credits).

Assessment methods

Requirements to obtain the credit:
1.  A minimum of 80 % (12 out of 15 weeks) attendance to seminars during the semester. If case of more absences, the student must repeat the subject the following school year.
 •Absences will be tolerated just due to examinations or medical treatment - Student must provide appropriate documentation or medical excuse.
 •In case of unjustified absence a seminar paper of 1,500 words (according to given requirements) will be given on the topic the student has missed. (See plagiarism issues below).
The seminar paper (s) must fulfil the content and citation requirements. Those which are not according to the above mentioned requirements will be returned back for further corrections.
2. Active participation during the seminars / practices / lectures.
3.  Get at least 70 % in the credit test, which is a requisite to sit for examination.
 •Credit test has fixed examination terms / dates.
 •The credit test can be repeated only twice.
 •If a student fails three times the credit test, he / she will have to repeat the whole course the next autumn semester.
 •Students with undelivered / pending seminar papers, will not be allowed to take the credit test.
4.  Written examination → 20 multiple choice question test, with only one answer.
All questions are based on ALL REQUIRED LITERATURE, seminars and lectures.

***This subject is part of the Public Health State Examination***.
See complete requirements and seminar papers at - VLZP11XX Public Health - State Exam.

Plagiarism detection and unethical issues:
Every seminar paper will be checked on university systems for online plagiarism detection.
Cases of suspected plagiarism will be investigated and given to the Disciplinary Committee as a motion to open disciplinary proceedings, according to the Disciplinary Code for Faculty Students.
Unethical issues will lead to seminar paper rejection → not getting the credit → repeating the course next autumn semester.

Students MUST be aware that before acceptance, citations are controlled (compared with the original source). It will not be tolerated any attempts to create or manipulate citations. → Seminar paper rejection → not getting the credit → repeating the course next autumn semester.

Language of instruction

Czech

Further Comments

Study Materials
The course can also be completed outside the examination period.

• Enrolment Statistics (Autumn 2014, recent)
  
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