Scoping Review: Why is Public Health Integrated into Medical Education?
DOI:
https://doi.org/10.26911/theijmed.2024.09.02.05Abstract
Background: Medical students who get community-involved medical education will be better equipped to address the health needs of their communities by integrating public health services into their practice. The importance of public health disciplines for physicians needs to be reinforced in the medical curriculum. Many studies, findings, and discussions report on the importance of this integration. This study aims to identify, decipher, and map the available scientific evidence regarding the importance of public health integration in medical education.
Subjects and Method: This was a scoping review study using PUBMED, ProQuest, SCOPUS, Google Scholar, and other related sources. The keywords used in article searches are as follows: "public health" AND "medical education" OR "support" OR "against" OR "proportion" OR "role". From the database used, 1,775 articles were obtained and those who met the criteria were 45 articles.
Results: The results were presented in three sub-discussions, namely role, perception, and form of integration. 1) Role: doctors are able to facilitate individual health and address public health problems through health promotion, health policy, evidence-based medicine practices, improving the quality of health data and health services; 2) Perception: Both positive and negative perceptions were reported in these integration-related findings; and 3) Form of integration: public health collaboration in medical education is carried out at the academic and professional stages of doctors.
Conclusion: The importance of integrating public health principles into medical education is to encourage the formation of doctors who act as doctors in the curative department as well as public health experts who understand community problems and can address them holistically and comprehensively.
Keywords: perception, role, integration, public health, medical education, scooping review
References
Allan J, Barwick TA, Cashman S, Cawley JF (2004). Clinical prevention and population health: curriculum framework for health professions. Am J Prev Med. DOI: 10.1016/j.-amepre.2004.08.010.
Anderson MB (1999). Contemporary issues in medicine medical informatics and population health: Report II of the medical school objectives project. Academic Medicine. 74(2): 130–141. DOI:10.1097/00001888-199902000-00012.
Barman A (2014). Public health in under-graduate medical education. South East Asia J Public Health. 4(2):1–1. DOI:10.3329/SEAJPH.V4I2.23687
Bell C, Simmons A, Martin E, McKenzie C, McLeod J, McCoombe S (2019). Competent with patients and popula-tions: integrating public health into a medical program. BMC Medical Education. 19(1): 179. DOI:10.1186/-s12909-019-1635-6
Berwick DM, Finkelstein JA (2010). Pre-paring medical students for the continual improvement of health and health care: Abraham Flexner and the new “public interest”. Acad Med, 85(9): S56–S65. DOI:10.1097/acm.-0b013e3181ead779.
Brill JR, Chheda SG, Rusch RB, Seibert CS (2011). A mapping process for identi-fying and enhancing public health education in required medical student clerkships. Am J Prev Med. 41:S304–S305.
Campos-Outcalt, D. (2011). The integration of public health and prevention into all years of a medical school curri-culum. Am J Prev Med, 41, S306–S308. DOI: 10.1016/j.amepre.2011.-06.012.
Chamberlain LJ, Wang NE, Ho ET, Ban-choff AW, Braddock C, Gesundheit N (2008). Integrating collaborative population health projects into a medical student curriculum at Stanford. Academic Medicine. 83(4): 338–344. DOI:10.1097/ACM.0B013-E318166A11B.
Crandall ML (2011). Integrating popula-tion health into a general surgical residency curriculum. Am J Prev Med. 41: S276–S282. DOI:10.1016/j.-amepre.2011.06.026.
Dankner R, Gabbay U, Leibovici L, Sadeh M, Sadetzki S (2018). Implement-ation of a competency-based medical education approach in public health and epidemiology training of medical students. Israel Journal of Health Policy Study. 7(1), 1–8. DOI:10.118-6/S13584-017-0194-8.
Fiebach NH, Rao D, Hamm ME (2011). A curriculum in health systems and public health for internal medicine residents. Am J Prev Med. 41:S264–S269. DOI: 10.1016/j.amepre.2011.-05.025.
Fineberg HV (2011). Public Health and Medicine: Where the Twain Shall Meet. American Journal of Preventive Medicine. 41(4):S149–S151. DOI:10.1016/J.AMEPRE.2011.-07.013.
Finkel ML (2012). Integrating the Public Health Component into The Medical School Curriculum. Public Health Reports. 127(2): 145. DOI:10.1177/-003335491212700201.
Geppert CMA, Arndell, CL, Clithero A (2011). Reuniting public health and medicine: the University of New Mexico School of Medicine Public Health Certificate. Am J Prev Med. 41:S214–S219. DOI: 10.1016/j.ame-pre.2011.06.001.
Gillam S, Maudsley G (2008). Public health education for medical students: Rising to the professional challenge. Journal of Public Health. 32(1):125–131. DOI:10.1093/pub-med/fdp108.
Godfrey S, Nickerson K, Amiel J, Lebwohl B (2019). Development of an online public health curriculum for medical students: the public health commute. BMC Medical Education. 19(1):298. DOI:10.1186/s12909-019-1734-4.
Haq C, Stearns M, Brill J, Crouse B, Foert-sch J, Knox K, Stearns J, Skochelak S, Golden R N (2013). Training in urban medicine and public health. Acad Med. 88(3): 352–363. DOI:10.1097/acm.0b013e31828-11a75.
Harvey BJ, Moloughney BW, Iglar KT (2011). Identifying public health com-petencies relevant to family medicine. Am J Prev Med. 41:S251–S255. DOI: 10.1016/j.amepre.2011.06.002.
Johnson SB, Fair MA, Howley LD, Prunus-ke J, Cashman SB, Carney JK, Jarris YS, et al. (2020). Teaching Public and Population Health in Medical Educa-tion: An Evaluation Framework. Aca-demic Medicine. 1853–1863. DOI: 10.1097/ACM.0000000000003737.
Kershaw G, Grivna M, Elbarazi I, AliHassan S, Aziz F, Al Dhaheri AI (2017). Integrating public health and health promotion practice in the medical curriculum: A self-directed team-based project approach. Frontiers in Public Health. DOI:10.-3389/FPUBH.2017.00193.
KKI (2019). Standar Pendidikan Profesi Dokter Indonesia. Konsil Kedokteran Indonesia, 169.
Koo D, Thacker SB (2008). The education of physicians: the CDC perspective. Acad Med, 83, 399–407.
Koo K, Lapp I (2014). On Academics: Educating the Next Generation of Physicians in Public Health: The MPH for Medical Students. 129(5):460–464. DOI:10.1177/003335491412900511.
Leonard SM, Dixon KS, Ayres JM, Cordner K, Greiner KA, Parente DJ (2023). Perceived Value of Public Health and Health Policy Information Among Medical Students: A Cross-sectional Study. PRiMER. 7: 1–9. DOI:10.22454/primer.2023.758379.
Maeshiro R, Johnson I, Koo D (2010). Medical education for a healthier population: reflections on the Flexner Report from a public health perspective. Acad Med, 85, 211–219.
Maeshiro R, Koo D, Keck C (2011). Inte-gration of public health into medical education: an introduction to the supplement. Am J Prev Med, 41, S306–S308.
Maeshiro, Rika, Carney JK (2020). Public Health Is Essential: COVID-19’s Learnable Moment for Medical Edu-cation. Academic Medicine. 1799–1801. DOI:10.1097/ACM.00000000-00003517.
Mahoney JF, Fox MD, Chheda SG (2011). Overcoming challenges to integrating public and population health into medical curricula. Am J Prev Med. 41:S170–S175. DOI: 10.1016/j.ame-pre.2011.06.025.
McNeal MS, Blumenthal DS (2011). Inno-vative ways of integrating public health into the medical school curri-culum. Am J Prev Med, 41, S309–S311. DOI: 10.1016/j.amepre.2011.-06.013.
Miles S, Price GM, Swift L, Shepstone L, Leinster SJ (2010). Statistics teaching in medical school: Opinions of prac-tising doctors. BMC Medical Educa-tion 2010 10:1. 10(1):1–8. DOI:10.11-86/1472-6920-10-75.
Navinan MR, Wijayaratne DR, Rajapakse S (2011). Final-year medical students perceptions regarding the curriculum in public health. Indian Journal of Community Medicine. 36(4): 268–274. DOI:10.4103/0970-0218.91328.
Ornt DB, Aron DC, King NB (2008). Popu-lation medicine in a curricular revi-sion at Case Western Reserve. Acad Med. 83: 327–331. DOI: 10.1097/-ACM.0b013e318166ab8a.
Pomrehn PR, Davis MV, Chen DW (2000). Prevention for the 21st century: setting the context through under-graduate medical education. Acade-mic Medicine. 75(7):S5-13. DOI: 10.-1097/00001888-200007001-00002.
Preston C, Almashat S, Peik S, Desale M, Alexander M (2011). Role of preven-tive medicine residencies in medical education: a national survey. Am J Prev Med. 41:S290–S295. DOI: 10.1016/j.amepre.2011.06.021.
Punzalan JK, Guingona M, Punzalan MG, Cristobal F, Frahsa A, Liwanag HJ (2023). The Integration of Primary Care and Public Health in Medical Students’ Training Based on Social Accountability and Community-Engaged Medical Education. Int J Public Health. 68(January). DOI:10.-3389/ijph.2023.1605359.
Rao R, Hawkins M, Ulrich T, Gatlin G, Mabry G, Mishra C (2020). The Evolving Role of Public Health in Medical Education. Frontiers in Public Health. 8: 251. DOI:10.3389/-fpubh.2020.00251.
Riegelman RK, Garr DR (2008). Evidence-based public health education as pre-paration for medical school. Academic Medicin. 83(4): 321–326. DOI:10.1097/ACM.0B013E31-8166ABE7.
Sachdeva AK (2000). Faculty development and support needed to integrate the learning of prevention in the curri-cula of medical schools. Academic Medicine : Journal of the Association of American Medical Colleges. 75(7). S35-42. DOI: 10.1097/00001888-200007001-00006.
Schapiro R, Stickford-Becker AE, Foertsch JA, Remington PL, Seibert CS (2011). Integrative Cases for Preclinical Medical Students: Connecting Clini-cal, Basic Science, and Public Health Approaches. American Journal of Preventive Medicine. 41(4). S187–S192. DOI:10.1016/J.AMEPRE.2011.-06.004.
Simoyan OM, Townsend JM, Tarafder MR., DeJoseph D, Stark RJ, White MV (2011). Public health and medical education: a natural alliance for a new regional medical school. Am J Prev Med, 41, S220–S227. DOI: 10.1016/j.amepre.2011.05.027.
Stebbins S, Sanders JL, Vukotich CJ, Mahoney JF (2011). Public health area of concentration: a model for integration into medical school curricula. Am J Prev Med, 41, S237–S241. DOI: 10.1016/j.amepre.2011.-06.020
Trevena LJ, Sainsbury P, Henderson-Smart C, Clarke R, Rubin G, Cumming R (2005). Population health integration within a medical curriculum: An eight-part toolkit. American Journal of Preventive Medicine. 29(3): 234–239. DOI:10.-1016/J.AMEPRE.2005.05.008.
Whelan A, Black D (2007). Integrating Public Health and Medicine: First Steps in a New Curriculum. Education for Health, 20(3), 122. DOI: 10.4103-/1357-6283.101598.