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Preventive Medicine: Frequently Asked Questions

What is preventive medicine?

Preventive medicine is the medicines and methods we use to prevent the diseases such as vaccinations/routine deworming/fecal exams/heart worm preventative medicines.
Preventive medicine means accepting the ultimate responsibility for our own health. It is similar to taking in your car for a tune-up and oil change. At this time, there is nothing wrong with your car, but this “preventive maintenance” can help keep your car in good shape and running well for a long time. Preventive medicine encourages us to exercise, eat a balanced diet and diagnose disease early by scheduling regular “check-ups” and having routine screening exams. ...

Is Acupuncture a Preventive Medicine?

Yes, very much so. Many people come once a week or every other week. Other patients prefer to go once a month or every three months when the seasons are changing. Your acupuncturist will help you decide what is most appropriate for you.

What are the limitations of the General Preventive Medicine Program?

The annual enrollment fee does not replace the patient's health insurance. For example, it does not cover many lab or X-ray charges, or visits to other doctors or hospitals. Certain insurances (HMOs, Medicare, etc.) will not work with retainer-based practices. Dr. Ward has made the decision not to participate in filing for 'traditional' insurance reimbursement and thus is considered an Out-of-Network provider for all insurance plans. ...

What type of preventive medicine should I use?

That depends on where you live and what you want to spend. Different areas of the country have different bugs and parasites that could be harmful to your dog. For worms there are many products. Two we have used are Heartguard and Interceptor (currently using). The same goes for flea and tick control. We use Frontline, but there is also Biospot and many others. Talk to your vet and ask them what they recommend.

How does the General Preventive Medicine program work?

A patient enrolled in the General Preventive Medicine Program pays an annual enrollment fee, either in one lump sum each year or quarterly to spread the payments out over the year. The fee is paid with the assumption the patient will see the doctor at least once per quarter (every 3 months). Often physicians charge “extra” for co-pays and deductibles and other fees the insurance will not cover. ...

Are part-time residents allowed in preventive medicine residency programs (II.A.2)?

The Program Requirements do not specifically address this issue. The goal of graduating residents is to meet the application requirements for the certifying examination in Preventive Medicine. The American Board of Preventive Medicine (ABPM) requires completion of the MPH (or equivalent) degree, but does not specify over what time period the degree must be earned. In addition ABPM requires twelve months of practicum residency training. ...

Must the program director be certified in preventive medicine?

The RRC encourages appointment of a residency director who is certified in preventive medicine, but will consider other suitable qualifications and experience.

Do the new codes capture a preventive medicine service?

No, health and behavior assessment and intervention services are delivered to patients with an established physical health problem, which has been diagnosed by a physician.
Source: www.apa.org

What if I am not sick but I just want to do some preventive medicine?

We have some fabulous preventive medicine programs available for people like you! This could include lab work, bio-energetic testing for data gathering, nutrient evaluation, medication and supplement review, metabolic testing, toxicity testing, hormonal balancing, and a detoxification program to reduce toxicity, parasite cleanse (if needed), organ boost, immune boost, dietary evaluation, etc. You will be pleasantly surprised with this program and more self assured when you finish.

How is preventive medicine different from wellness?

Preventive medicine deals with preventing illnesses and promotes the well-being and health of an individual, while wellness seeks to treat or cure an existing disease. Aside from the treatment, it may also offer other alternatives.

How do I apply for the Combined Family Medicine/Preventive Medicine Residency?

When you schedule your interview, make sure you tell us that you would also like to interview with Preventive Medicine. We have coordinated specific paired dates with that department, so your choice of interview dates will be limited. Also, while Preventive Medicine accepts the ERAS application that you submit to us, they further require a separate personal statement concerning your interest in Preventive Medicine.

How does a combined training program (another clinical specialty and Preventive Medicine) become accredited by the RRC?

Guidelines for conducting these programs have been approved and published by the American Board of Preventive Medicine and American Board of Internal Medicine (to date, the only approved combined programs are between internal medicine and preventive medicine). Combined training programs are not accredited as such by the RRC. However, each component of a combined program (e.g. internal medicine and preventive medicine) must have full accreditation status from their respective RRCs.

Can the fee for General Preventive Medicine Program count toward my deductible?

The insurance company has to have a bill from a doctor’s evaluation and treatment before they will allow money from the enrollment fee to cover part of the deductible. Patients participating in the General Preventive Medicine Program send the insurance company an invoice with this information, then this part of the enrollment fee may be counted toward the patient’s deductible.

What is the advantage of the combined residency compared to separately completing a Family Medicine Residency and a Preventive Medicine Residency?

The combined residency is more efficient. It can be done in 4 years compared to 5 years if both residencies are done sequentially. This is because some rotations are counted by both the American Board of Family Medicine and The American Board of Preventive Medicine. It’s also because the MPH is spread throughout the 4 years of training – a fact that also makes the program fairly intense. ...

Can PREVENTIVE MEDICINE Clinics enhance cosmetic surgery (liposuction) outcomes?

Yes, we can minimize or eliminate the need for liposuction. Our physicians can coordinate with your surgeon to optimize conditions and outcomes before and also after surgery.

I am in the MPH Preventive Medicine Residency Program. Can I take this program?

The Residency Program requires that you complete your MPH before you begin your second year of clinical rotations. You would not be able to meet that requirement since this program is 18 months.

Although my unit is not a ship, we are deployable. How can we get a PMT liaison through the Preventive Medicine Partnership Program?

Contact your cognizant NEPMU and ask for one. At NEPMU-5, we are currently supporting the pre-deployment preventive medicine needs of several deployable, non-ship units.

Must an applicant complete an ACGME-accredited clinical year prior to entry into a preventive medicine residency program that does not offer a clinical year?

Yes. The only exception is completion of a clinical year accredited by the Royal College of Physicians and Surgeons of Canada (RCPSC) or the College of Family Physicians of Canada (CFPC). This RRC policy is concordant with the American Board of Preventive Medicine (ABPM), which requires ACGME, RCPSC, or CFPC clinical training in order to be eligible to sit for the certifying examination. (See ABPM website for more information: http://www.abprevmed.org/html/certification.html).

I want to keep in touch with clinical practice during my MPH coursework. Can I do a preceptorship during that time, even in public health/preventive medicine?

Yes! The Department of Public Health and Preventive Medicine helps to organize student preceptorships in preventive medicine/public health. Students may also set up their own preceptorships, but must register for malpractice insurance (as an OHSU "away elective") through the Dean's Office (contact Vicki Fields at fields@ohsu.edu ). Thesis
Source: www.ohsu.edu

The field of preventive medicine looks interesting to me, but I don’t know that much about it. What sorts of career opportunities would I have?

The current Commissioner of the Suffolk County Department of Health Services (SCDHS) is a graduate of our program, as are the Medical Director for the Injury Prevention and Control Program of the Long Island Regional Poison Control Center , the Senior Vice President of Medical Affairs at the New York State Quality Improvement Organization (IPRO) , and the SCDHS’s Medical Director for the Bureau of Epidemiology and Disease Control, Director of Public Health, and Medical Director for the Bureau of Preventive Services. ...
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