Internal Medicine
Curricular Elements:
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  Case I
  Case II 
  Case III
  Adult Vaccination
  Cancer Screening
  Diabetes Screening


KNOWLEDGE - Students should be able to define or describe

1.         The concepts of primary, secondary, and tertiary prevention.

2.         The major criteria for determining whether or not a particular maneuver should be incorporated into the periodic health assessment of adults.

3.         Major areas of controversy in screening (i.e. PSA, mammography in 40s)

4.         The concepts of sensitivity, specificity, negative and positive predictive value

5.         Common adult vaccines with their indications, efficacy, and intervals of administration (Influenza, Pneumococcus, Rubella, Tetanus and Diphtheria, Varicella, Hepatitis B).

6.         Cancer screening strategies by physical examination and lab testing - (Breast, Colon, Cervix, and Oral Exam in smokers).

7.         The current recommendations for cholesterol, hypertension, and diabetes screening.

8.         The major preventive services as they apply to large age groups - (16-40 years old, 40-65 years old, 65 years and over).

9.         The balance of benefit and harm of aspirin prophylaxis for the primary prevention of MI in men ages 50-80.


SKILLS - Students should be able to:

1.         Take an accurate history and provide counseling for common adult problems - (alcohol and drug use, injury and violence prevention, nutrition, physical activity, STDs and unintended pregnancy, and smoking/tobacco use).

2.         Locate recently published recommendations concerning preventive services.

3.         Identify patients with risk factors for coronary artery disease and cancer.



1.         Appreciate the role of primary care physicians in the longitudinal role of health promotion and disease prevention.

2.         Address preventive health care issues as a routine part of patient assessment.

3.         Encourage and counsel patients to participate fully in disease prevention.