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Preventive Medicine for Preceptors

As described by the American College of Preventive Medicine, Preventive Medicine Specialists are licensed medical doctors (MD) or doctors of osteopathy (DO), with additional education in health topics including biostatistics, epidemiology, environmental and occupational health, planning and evaluation of health services, management of healthcare organizations, research into causes of disease and injury in population groups, and the practice of prevention in clinical medicine.  They apply knowledge and skills gained from the medical, social, economic, and behavioral sciences.

 Learning Milestones

Preventive Medicine Residents of an ACGME-accredited program are expected to reach certain milestones throughout their two-year residency. A comprehensive description of the milestones and the corresponding levels of achievement per residency year are available here: 

The Preventive Medicine Milestone Project: Public Health and General Preventive Medicine

  • Patient Care
    • Implement appropriate clinical care for individuals with conditions of public health significance using evidence-based practices​
    • Inform and educate populations about health threats and risks
    • ​​​Develop policies and plans to support individual and community health efforts
    • Analyze and evaluate population-based health services
    • Monitor, investigate and respond to community health problems including disease clusters or outbreaks
    • Apply skills in emergency preparedness and response
  • Medical Knowledge
    • Knowledge of physical, behavioral, and environmental health
  • Systems-based Practice
    • Coordinate patient care effectively in various health care delivery settings
    • Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care
    • Work in inter-professional teams to enhance patient safety and improve patient care quality; advocate for quality patient care and optimal patient care systems; participate in identifying system errors and implementing potential systems solutions
  • Professionalism
    • Compassion, integrity, and respect for diverse patient populations
    • Knowledge of and adherence to the ethical principles of medical practice
    • Accountability to patients, society and the profession
  • Interpersonal and Communication Skills
    • Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgrounds
    • Communicate effectively with physicians, other health care professionals and health related agencies; 
    • Work effectively as a member or leader of a health care team or other professional group​
    • Maintain comprehensive, timely and legible medical records, including electronic health records (EHR)​​

 Clinical Rotations & Practicum Projects

During their two years, residents are engaged in three main types of learning – population health rotations, clinic rotations, and MPH coursework if residents do not already have an MPH. The population health rotations include a clinical preventive medicine rotation (usually at the VA), a public health practice rotation (at a local or state health department), a primary practicum rotation, and an elective practicum rotation. They are also required to spend at least 40 days a year in a clinical training setting, which our program achieves by practicing in a clinic one day a week. As part of the residents’ MPH, they must also complete a capstone project, which also contributes to the need for ‘scholarly activities’ as part of an ACGME accredited residency program.

 Residency Work at Sites

In addition to providing direct patient care, residents can also assist with projects such as prevention programs, quality improvement projects, epidemiological studies, etc. Examples of past resident projects include:

Needs Assessment:  
        Czaja C, Gambetta R. "How Can Local Public Health and City Government Work Together to Assess and Address the Health Needs of Immigrants and Refugees?" Oral presentation, National Association of County and City Health Officials, July 19,              2016, Phoenix, AZ.
        Carter S, Stewart S, Risendal B, Baron AE. Decisions about exercise: A comparison of women with breast cancer and controls. Poster Presentation, Preventive Medicine 2017, ACPM Annual Meeting, Portland OR, May 2017
Quality Improvement: 
        Obafemi O, Wendel, K, Anderson T , Scott T, Travanty E, Rietmeijer C. Improving Syphilis Screening among MSM in a Non-Clinical Outreach Setting. Oral presentation at 2017 National Sexual Health Conference, Denver, CO, July 2017
Professional Education: 
        Marzec NS, Nelson C, Waldron PR, Blackburn BG, Hosain S, Greenhow T, Green GM, Lomen-Hoerth C, Golden M, Mead PS. Serious bacterial infections acquired during treatment of patients given a diagnosis of chronic Lyme disease – United States. MMWR 2017;66(23):607-609.
Diagnosis and investigation of public health hazards:
        Burket T, Alden N, Burakoff A, Nelson A, Brown M. Hot Tub Nightmare: Outbreak of Legionnaires' Disease Associated with a Colorado Hotel. Presented at 2017 Public Health in the Rockies, Keystone, CO, October 2017.
Program Development: Developed a program to implement new USPSTF recommendations on lung cancer screening in a safety net system.
Linking Underserved Individuals to Services: Developed a Guide to Services for Children, Teens, Parents and Families for Northeast Colorado.
Environmental Health: Collaborated on surveillance of mosquitos for carriage of West Nile Virus.​​


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