Public Health

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic of Public Health discussed during my time in Medical School:

1st semester:

a. General Public Health

- Philosophy and development of public health: Introduction to Public Health

- Environment and health: Introduction to environmental health, environmental health problems

- Affecting factors of disease and prevention of disease: Progression of disease, prevention of disease

- Anthropology of Medicine

- Health administration: Basic of administration and management of health, National Health System, Five Star Doctor, Health Paradigm (Indonesian vision), Introduction to health service

- Health-care service center and health promotion

3rd semester:

a. Teenage and Reproductive Health Care

- Reproductive health

- Perinatal care

- Teenage reproductive health

- Referral system during attending complication in delivery

- Function of sexologist in reproductive health

- Implementation of social obstetric and gynaecology in reproductive health care: Family planning

- Management in health care center for mother and children

- Maternal and Child health clinic: Program for pregnancy and delivery and children health

- Child nutrition: Determination of healthy menu for children, community nutritional status evaluation

b. Industrial Health Care:

- Working physiology and ergonomy

- Nutrition for worker

- Industrial psychology

4th semester:

a. Skin disease and Leprosy Health Care:

- Leprosy management program and prevention of other skin diseases

b. Geriatric Medicine:

- Geriatric health care

- Health management system in geriatric health care 

- Health management of geriatric diseases and its prevention

c. Respiratory disease and Tuberculosis Health Care:

- Management of tuberculosis control

- Management of chronic obstructive pulmonary disease

5th semester:

a. Sexually Transmitted Infection and Hepatitis B Health Care:

- Global strategy for the prevention and control of sexually transmitted infection (STI): Epidemiology, education, counselling, managing patient's sexual partner, management of STI in health care center

- Global strategy for the prevention of Hepatitis B: Epidemiology, transmission, clinical features, geographical distribution

- Hepatitis B immunization strategies: Routine infant vaccination, prevention of perinatal Hepatitis B virus transmission, catch-up vaccination of older persons, management guideline of information for health workers and parents

- Hepatitis B vaccine: Vaccine (monitoring vaccine coverage), advocacy and communication (assessing Hepatitis B disease burden and the impact of Hepatitis B immunization)

b. Eye disease and Blindness Health Care:

- Blindness in Indonesia: Preventive ophthalmology of eye infection, amblyopia, radiation injury, glaucoma, drug-related visual loss, xeropthalmia, metabolic and genetic related eye disorder

6th semester:

a. Occupational Safety and Health Administration (OSHA):

- Company hygiene and occupational health

- Occupational disease: definition-types-diagnosis of occupational diseases, lungs-skin-eye-stress-musculoskeletal occupational diseases

- Prevention of occupational disease: Personal protection equipment (PPE)

- Occupational accident and its prevention

- Industrial toxicology

- Physical factor in workplace

- Ergonomy and physiology of work

- Occupational nutrition

- Industrial psychology: Motivation and satisfaction

- Management of occupational safety and health 

7th semester:

a. Travel Medicine:

- Non-infectious risk of travel: General health recommendation pre-travelling and during travelling (WHO international health regulations, general recommendations for vaccination and Immunoprophylaxis, geographical distribution of health potential risk for traveler, health information for traveler to Indonesia, motion sickness, sunburn, scuba diving hazards and animal-associated hazard)

- Infectious risk of travel: Prevention of specific infectious disease (prevention of malaria, rabies filariasis, hemophilus influenza type B -HiB, meningitis, amoebiasis, cholera, hepatitis, dengue fever, Japanese encephalitis, leptospirosis, diphtheria, pertussis, tetanus, measles - rubeola, mumps, varicella - chicken pox, rubella)

b. Family Medicine:

- Principle of Family Medicine: Continuity of care, comprehensiveness, coordination of care, community, family

- Family as a unit of care: Family structure, family functions, family as the social context of health care

- Family life cycle and its implications of health care: Human life cycle, stages of family life cycle, emotional process in transition of stages, first order changes, second order changes, problems encountered at each stage of the cycle, life stages and the impact of chonic illness, oppurtunity in each patient encounter

- Working with families: Biopsychosocial model, how family work - family system theory, interdependence, boundries, triangulation, family physician involvement with the family

- Tool for family assessment: Family dynamic, impact of illness on the family, tools for family assessment, family genogram, family circle, family APGAR

- Home care and palliative care: Who can benefit from a physician home visit, skills needed for home care (overcoming the fear of making home visit, initiating home visit, specific home visit skills, caring for the caregiver

- Health economics: Economic environment (Indonesian government program of "Sistem Jaminan Sosial Nasional", commercial insurance companies, manage care plans), billing system in family medicine practice (capitation system, utilization review, risk profit sharing, premi calculation)

- Special considerations in examining small children: Relieving anxiety, tailoring your examination to the age of the child, history and initial obsrevation, order of the examination, concluding the examinations

- Special considerations in caring for the adolescent patient: Adolescent - an underserved population, family physicians as providers of adolescent health care, common health problems of adolescent, problems with major psychosocial components, approach to adolescent patient, innovations in the delivery of services to adolescents (adolescent health care clinics, school-based clinics)

- Special consideration in caring the geriatric patient: Initial encounter, assessing the geriatric patient, addressing the problems of the geriatric patient, home visit, health maintenance, longterm care placement

- Preventive care: Scope of prevention in family practice, implementing prevention, education and counselling, prevention-oriented office system, community advocacy for health, wellness program in family practice

- Prenatal care: Perspective in prenatal care, prenatal care in the office (preconception planning, diagnosing pregnancy, first trimester prenatal care), history and risk assessment, second trimester prenatal care, third trimester prenatal care, family physicians and obstetric consultants

- Healthy child care and healthy adult care: Risk factor identification, immunization, diagnostic screening (growth and development, cardiovascular screening, musculoskeletal screening, scoliosis, hearing screening, vision screening, caries prevention, laboratory screening, education during healthy child visits), injury and accident prevention, immunizations for overseas traveler (recommendations for immunizations), screening for asymptomatic disease, patient education, implementing preventive care, challenges in preventive care

- Patient education and Health promotion: Improving patient compliance, a systemic approach to educate patients (establish rapport, identify needs, assess potential barrier to compliance, negotiate a plan, instruct the patient in the plan, evaluate the understanding, monitor the patient, putting it all together), assessment for health promotion, health promotion counselling, barriers of successful health promotion, community health promotion, specific health promotion strategies

- Medical record in family practice: Record form (Family folder, family health book), type (manual medical record, electronic medical record), problem oriented medical record (data base - information, problem list, plans - interventions, progress note), international classification of primary care

- Complimentary and alternative medicine: Scope and definition, variety of modalities (traditional herbs, herbal therapy, homeopathy, Ayurveda, Yoga, angel healing, etc.), integrative medicine

- Managing a medical practice: Clinic setup, recruiting and assigning job, improving ability and progress of staff, medical and non medical equipment, management-efficiency-intervention, maintenance-storage-security-inventorization of asset)

- Consultation and referral in Family Doctor practice: Medical referral, health referral, characteristic of consultation and referral, problem in consultation and referral, methods of consultation and referral, authority division and responsibility)

c. Sport Medicine:

- Primary care of the athlete: Preparticipation sports examinations, identifying the causes of athletic injuries (predicposing factors, determining the mechanism of injury, assessing the patient with recurrent injury, evaluating acute injuries, preventive measures)



*This medical syllabus copied and edited from 3 manual books for 1st semester medical student, 2 manual books for 3rd semester medical student, 3 manual books for 4th semester medical student, 3 manual books for 5th semester medical student, 2 manual books for 6th semester medical student and 3 manual books for 7th semester medical student from my university during my era. 
**The topic currently discussed in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.