AAPHP News - Volume 2 Issue 9 April 20, 2001

News Items

1. Letter to AAPHP Members from Dorothy S. Lane, MD, MPH, FACPM President, ACPM and David R. Cundiff, MD, MPH, FACPM President, AAPHP about Postgraduate Fellowships for Preventive Medicine Residents. Of particular interest to organizations in a position to establish such a fellowship. - See Item 1

2.( item 2.) Job Announcement: City of Chicago  - DIRECTOR, EPIDEMIOLOGY PROGRAM CITY OF CHICAGO

3. (item 3.) HIPPA Medical Privacy regulations back on track

4. (item 4.) Websites from Kim Buttery

5. (item 5.) Patient safety material from Phill Gioia .

AAPHP News is sent to members whenever we receive several items of potential interest. Send information for this newsletter to the editor at vmdato@pitt.edu  Please forward this newsletter to physicians who may be interested in joining. A membership application form can be found on our web page http://www.aaphp.org

Subject: Postgraduate Fellowships for Preventive Medicine Residents
Dear ACPM or AAPHP Member: The American College of Preventive Medicine (ACPM) Board of Regents, at its November 2000 meeting, created a Job Market Initiative in partnership with the American Association of Public Health Physicians (AAPHP). The goal of this initiative is to increase the number and quality of job offerings that express a requirement or preference for physicians with preventive medicine residency training.

One component of the Job Market Initiative is the establishment of postgraduate fellowships for physicians completing their preventive medicine residency training. These fellowships are intended to serve two purposes:

1. Enhance the quality and range of employment opportunities for preventive medicine residents
2. Demonstrate to host organizations the value of preventive medicine training in addressing a wide range of institutional needs

We envision these fellowships as time limited (e.g., one or two years) positions for physicians trained in preventive medicine, to be paid at either the regular salary for a starting physician or the market fellowship rate for that organization, and addressing one or more of the following areas:

* Community or enrolled-population health and healthcare needs assessment(s)

* Policy development in response to findings of needs-assessment studies and other evidence of perceived need

* Advocacy for policy initiatives, and translation of policy into grant applications and/or budget requests

* Development of partnerships with community groups, healthcare providers, and healthcare insurers in pursuit of community health objectives

* Planning, oversight, and evaluation of health promotion, behavioral change, prevention, and outreach programs

* HEDIS, HCFA, Joint Commission, and other regulatory compliance programming

* Direct provision of selected clinical and community preventive and/or outreach services

* Design and management of surveillance systems for infections, medical errors, and other preventable conditions

* Epidemiologic analysis, outbreak investigation, and management of disease/injury control programs

* Research

* Translation of science into policy

* Teaching of preventive and population-medicine concepts and skills

* Development and implementation of clinical and community preventive and outreach guidelines (screening, counseling, etc.) for physicians, nurses, and other hands-on healthcare staff

* Quality improvement of both preventive and clinical services, including design of studies and interpretation of statistical data

* Infection control

* Patient safety (reducing medical errors)

* Occupational health - assessment, program development, and provision of service

* Environmental health - assessment, program development, and provision of service

* Health risk assessment (Medicare and other) - development of programming and provision of clinical services

* Bioterrorism and emergency preparedness

* Product development

* Relationships with and/or liaison to government agencies and private foundations vis-à-vis new funding streams, policy issues, and regulatory issues

* Other liaison roles

* Disease and demand management

* Utilization review and cost containment

* Conceptual design of health and medical data systems to assure their clinical, epidemiological, regulatory, and managerial relevance

Based on the content of preventive medicine residency programming and preventive medicine Board examinations, we believe physicians with such specialty training are uniquely qualified to develop and implement policies and programs in these areas to meet the specific needs of the organization and population being served. Physicians trained in preventive medicine provide a bridge that links the statistical, administrative, community-building, and environmental tasks of public health with the physician's understanding of biology, pathology, diagnosis, and therapeutics.

ACPM stands ready to assist your organization with the development of job descriptions and to help communicate the availability of these job opportunities to preventive medicine residency directors and residents, nationwide. If you, on behalf of your sponsoring organization, wish to establish such a fellowship, or have such a fellowship that you would like us to publicize nationally, please provide a brief description and the name of the individual to be contacted for further information, and forward it by e-mail to Mike Barry at the ACPM office - mab@acpm.org  Even if your organization is not in a position to create such a fellowship, we welcome your comments and ideas on the ACPM/AAPHP Job Market Initiative and ways to move it forward. Questions, comments and ideas can also be directed to Joel L. Nitzkin, MD, MPH, FACPM-Chair of the joint ACPM/AAPHP Job Market Initiative-at jln@jln-md.com
Sincerely,
Dorothy S. Lane, MD, MPH, FACPM President, ACPM and David R. Cundiff, MD, MPH, FACPM President, AAPHP
(note from editor- signatures removed for improved transmission by email)

DIRECTOR, EPIDEMIOLOGY PROGRAM CITY OF CHICAGO * Phd, MPH, MD Epidemiology and Biostatistics. Urban public health experience of 5-10 years
* staff of 25 people (12 epi's)
* consult & collaborate throughout CDPH on epidemiologic assessment, dataanalysis and program evaluation
* Make public health data accessible and useful to community groups
*Outstanding communicator, verbal and written
* Public speaking ability, capable in press, media and community relations
Contact: Catherine McQuaid, Tel 705 750 0909, catherinemcquaid@home.com

From AMA/Federation News -- April 18, 2001

1. ADMINISTRATION TO IMPLEMENT PRIVACY RULES WITHOUT DELAY
Medical privacy rules issued by former President Bill Clinton will not be delayed, according to an announcement last week by U.S. Health and Human Services Secretary Tommy Thompson. Following the announcement, the AMA urged Thompson to quickly address modifications and safeguards supported by the AMA.
Read more about the AMA's comments: http://www.ama-assn.org/ama/pub/article/1987-4549.html#1

Web Sites Recommended Sites from Kim Buttery
*An excellent resource for anyone who has a need to push immunization. The 'Needle Tips' magazine is available on line, and in PDF format, for you to publish as a local health department offer! http://www.immunize.org/
*Electronic Medical Records & Health Information Center FYI http://www.medrecinst.com/resources/forum/index.shtml
* http://www.hschange.com/index.cgi?topic=topic01
 A good example of Prevention in Practice, specially considering the number of blood borne diseases that are transmitted by Needlestick. * http://www.osha-slc.gov/SLTC/needlestick/index.html  You may want to subscribe to this monthly email and visit the web site.
Another Electronic Health Journal http://www.healthaffairs.org/
*An important article very useful to PHPs as it answers questions about SIDS and immunization - No Correlation! Kim Buttery
http://bmj.com/cgi/content/abstract/322/7290/822?lookupType=volpage&vol=322&fp=882&view=short
*Do you think anything in this report might apply to those of us who practice PH in the US? Kim Buttery.
http://bmj.com/cgi/content/full/322/7290/816  Then Look at item 36 of this section of this report on PH. It is the issue I keep hammering at my students. It really is the basis of all we should be doing! http://www.publications.parliament.uk/pa/cm200001/cmselect/cmhealth/30/3008.htm
*FYI to Bookmark for later. http://www.minority.unc.edu/institute/2001/
*Great Data to introduce people to PH. http://www.cdc.gov/phtn/tenachievements/default.htm 
*This appears to be a good resource to allow PHPs and PH Teachers to answer questions on what is known about the effects of climate on health. May help to sift known from guessed  http://books.nap.edu/catalog/10025.html?onpi_topnews#040201
*Another good resource for PHPS http://www.nap.edu/books/0309071844/html/
*This addendum to the House of Commons Report has a section on Workforce issues. http://www.publications.parliament.uk/pa/cm200001/cmselect/cmhealth/30/30ap20.htm
How the UK approaches "Healthy People" http://www.ohn.gov.uk/
*What we believe may be due to ignorance, or the MD who thinks he/she is "Sitting at the right hand of god"!!
http://bmj.com/cgi/content/full/322/7292/0

From Phill Gioia
Audio conference on error prevention May 10, A 90-minute audioconference discussing reductions in medical errors and long-term patient safety improvements through "lessons learned" from other industries that have successfully improved safety. "Medical Error Reduction...how to achieve dramatic improvements in patient safety" is scheudled to air on Thursday, May 10, 2001, at 1:30 pm (Eastern) PROGRAM HIGHLIGHTS:
Why is it so difficult to reduce medical errors?
Lessons learned from the Nuclear Energy Industry, where avoiding errors is critical.
Applying a systematic, comprehensive, state-of-the-art methodology for educing medical errors in a complex system.
Cultural change, the key to sustaining improved safety.
Live Question & Answer session.
For more information visit the program Web site: http://www.hcmarketplace.com/product.cfm?ID=10025
This includes a nice listserver on patient safety - Instructions for subscription.
Commands for managing your subscription should go to: LISTSERV@LISTSERV.NPSF.ORG.
When sending a list command, put the command in the body (not subject line):
subscribe PATIENTSAFETY-L - to join the list