Study Community Medicine, Community Medicine Schools
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A new branch of medicine provides comprehensive health services for the prevention of illness, promotion of health, curative and rehabilitative services to the community is called Community Medicine. Community Medicine, like preventive and social medicine, public health and community health, shares a mutual understanding and that is, to take care of the local community. The concern does not focus on the optimum health of the individual anymore; instead it has expanded into those that concern the community as well. The key factor in making the “Health for All” goal is through Community Medicine.
New problems concerning slums, accumulation of refuse and human excreta, overcrowding as well as other social problems developed during the industrial revolution of the 18th century. Frequent disease outbreaks such as cholera gained the attention of the people and the government to better the health conditions of the public. A great sanitary awakening was brought about by the Public Health Act of 1848 in England as a sign of acceptance to the fact that the state is responsible for the people’s health. A more comprehensive act was made in 1875 known as the Public Health Act of 1875. The American Public Health Association was created in 1872 as an organized professional body.
To become a specialist in Community Medicine, a medical student is required 5 years of approved residency training after medical school which includes:
- Basic Clinical Training for one to two years
- Three years in a RCPSC-approved, university-sponsored program which includes course work in the community medicine sciences and responsibilities.
- Further training for another year in a RCPSC-approved, university-sponsored programs that can include residency in any relevant clinical specialty usually internal medicine, pediatrics, obstetrics or psychiatry
- Clinical Training for two years through the Family Medicine Residency Program which leads to the eligibility to gain certification for family medicine (CCFP).
- Students are also required one year of academic courses in Community Medicine plus an additional one year of minimum field placement.
There are various settings where a community medicine specialist can work in. The highest percentage work in an administrative office, followed by a university or faculty medicine, academic centers for health sciences or research unit, and lastly in private offices or clinics. The following are the career options for the Community Medicine Specialist:
- Public Health Officer in State or Central Health Services
- Project Health Manager
- Family Physician
- Clinical Instructor or Teacher in a University or Public Health Schools
45% of community medicine specialists state that their main patient-care setting is an inter-professional practice. Those who are into group practice are on-call and all the expenses including office staff, equipment and office space are equally shared and divided among the physicians. A small percent of 17% engage in a solo practice.
40% or two-fifths of the community medicine specialist’s income comes from a salary and only one-fifth and below receive 90+% of their income from sessions or hourly rates. 27% get their income from a mixed source such as free-for-service, capitation, per session contract, benefits or pensions, or on-call remuneration.
Job positions for Community Medicine: