Disease Screening in Public Health
Current and future public health is characterized by the increase of chronic and degenerative diseases, corresponding to the worldwide ageing of the population. The increasing prevalence of these conditions together with the long incubation period of the chronic diseases and the continual technological innovations, offer new opportunities to develop strategies for early diagnosis. Public Health has an important mandate to critically assess the promises and the pitfalls of disease screening strategies.
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- Level Foundation
- Duration 22 hours
- Course by University of Geneva
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Offered by
About
Current and future public health is characterized by the increase of chronic and degenerative diseases, corresponding to the worldwide ageing of the population. The increasing prevalence of these conditions together with the long incubation period of the chronic diseases and the continual technological innovations, offer new opportunities to develop strategies for early diagnosis. Public Health has an important mandate to critically assess the promises and the pitfalls of disease screening strategies. This MOOC will help you understand important concepts for screening programs that will be explored through a series of examples that are the most relevant to public health today. We will conclude with expert interviews that explore future topics that will be important for screening. By the end of this MOOC, students should have the competency needed to be involved in the scientific field of screening, and understand the public health perspective in screening programs. This MOOC has been designed by the University of Geneva and the University of Lausanne. This MOOC has been prepared under the auspices of the Ecole romande de santé publique (www.ersp.ch) by Prof. Fred Paccaud, MD, MSc, Head of the Institute of Social and Preventive Medicine in Lausanne (www.iumsp.ch), in collaboration with Professor Antoine Flahault, MD, PhD, head of the Institute of Global Health, Geneva (https://www.unige.ch/medecine/isg/en/) and Prof. Gillian Bartlett-Esquilant (McGill University, Quebec/ Institute of Social and Preventive Medicine, Lausanne).Modules
About Us
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2
Readings
2
Readings
- Course Instructors
- Development Team
Syllabus and Course Guidelines
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4
Readings
4
Readings
- Course Description: Modules & Themes
- Course design
- Grading policy
- Discussion Forum Guidelines
General Introduction
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1
Videos
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1
Readings
1
Videos
- Welcome Message & General Introduction_ new video
1
Readings
- Getting started: Break the ice !
Concepts
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8
Videos
8
Videos
- Definition of Screening
- Definition of a Screening Program
- Natural History of Diseases
- Lead Time, Diagnosis and Treatment
- Risk of Overdiagnosis
- Screening Tests and Biomarkers
- The Prevention Paradox
- Target Populations for Screening
Quiz, Suggested Discussion & References
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2
Readings
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1
Assignment
1
Assignment
- Introduction to Key Concepts in Screening
2
Readings
- Suggested discussion
- Reading List for Concepts
Screening Metrics
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10
Videos
10
Videos
- Module 2 Introduction_new video
- Robustness of Tests
- Validity
- Sensitivity and Specificity
- Predictive Values
- Outcomes and Study Design
- Number Needed to Screen
- Presentation of the 2-by-2 Table
- Ethics
- Shared Decison Making_ new video
Quiz, Suggested discussion & References
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2
Readings
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1
Assignment
1
Assignment
- Screening Metrics
2
Readings
- Suggested discussion
- Metrics
Screening in Pregnancy and Newborns
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6
Videos
6
Videos
- Module 3_Introduction_new video
- Key Concepts for Genetic Screening Tests
- Overview of Prenatal and Perinatal Screening
- Example of an Improved Screening Test: Down Syndrome
- Example of Screening to Improve Prognosis: Congenital Hearing Loss
- Example of Genetic Screening: Cystic Fibrosis
Quiz, Suggested discussion & References
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3
Readings
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1
Assignment
1
Assignment
- Screening in Pregnancy and Newborns
3
Readings
- Suggested discussion
- Genetic conditions
- Prenatal and perinatal conditions
Cardiometabolic Conditions
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4
Videos
4
Videos
- Module 4 Introduction_new video
- Case 1: Hypertension
- Case 2: Diabetes
- Case 3: Cardiovascular Risk Factors in Children
Quiz, Suggested discussion & References
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2
Readings
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1
Assignment
1
Assignment
- Screening for Cardiometabolic Conditions
2
Readings
- Suggested discussion
- Cardiometabolic conditions
Cancer
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8
Videos
8
Videos
- Module 5 Introduction_new video
- Colorectal Cancer
- Prostate Cancer
- Cervical Cancer
- Lung Cancer
- Skin_Cancer_Part I _new video
- Skin_Cancer_Part II_new video
- Breast_Cancer_new video
Quiz, Suggested discussion & References
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2
Readings
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1
Assignment
1
Assignment
- Cancer Screening
2
Readings
- Suggested discussion
- Cancer
Public Mental Health and Screening in Ageing
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6
Videos
6
Videos
- Module 6 Introduction_new video
- Introduction to Public Mental Health
- Public Mental Health and Disabilities
- Dementia and Related Disorders
- Old-Age Depression_new video
- General Screening in the Elderly_new video
Quiz, Suggested discussion & References
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2
Readings
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1
Assignment
1
Assignment
- Public Mental Health and Screening in Ageing
2
Readings
- Suggested discussion
- Neuropsychiatric conditions
Screening of Noncommunicable Diseases in LMIC
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6
Videos
6
Videos
- Module 7 Introduction_new video
- Screening of Noncommunicable Disease in LMIC
- Optimal Strategy for Screening in LMIC
- Cardiovascular Disease (CVD) Screening in LMIC
- Focus on Hypertension for CVD Screening in LMIC
- Cancer Screening in LMIC
Screening of migrants from low and middle-income countries
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2
Videos
2
Videos
- Cross Cultural Competencies- Part I _new video
- Cross Cultural Competencies- Part II_new video
Quiz, Suggested discussion & References
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3
Readings
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1
Assignment
1
Assignment
- Screening in Low and Middle-Income Countries and Migrants
3
Readings
- Suggested discussion
- Screening in low and middle-income countries
- Screening of noncommunicable diseases in low and middle-income countries
Evaluation, Planning and Implementation of Screening Programs
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8
Videos
8
Videos
- Module 8 introduction_new video
- Major Controversies with Screening Programs
- Evaluation of Screening Programs
- Bias in Screening Programs
- Planning a Screening Program, Part I
- Planning a Screening Program, Part II
- Example of a Decision Aid for Screening
- Screening Program Implementation
Future Directions for Screening Programs
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1
Videos
1
Videos
- Future Directions in Screening Programs - Module 8 Conclusion_new video
Quiz, Suggested discussion & References
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2
Readings
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1
Assignment
1
Assignment
- Evaluation, Planning, Implementation and the Future of Screening Programs
2
Readings
- Suggested discussion
- Policies and evaluation
Auto Summary
Explore the critical aspects of disease screening in public health with this comprehensive course focused on chronic and degenerative diseases. Developed by the University of Geneva and the University of Lausanne, and led by esteemed professors Fred Paccaud, Antoine Flahault, and Gillian Bartlett-Esquilant, this course delves into strategies for early diagnosis and the public health perspective on screening programs. With a duration of 1320 minutes, it offers foundational knowledge ideal for health and fitness enthusiasts. Available through Coursera with Starter and Professional subscription options.
Antoine Flahault
Fred Paccaud (In Partnership with UNIGE)
Gillian Bartlett-Esquilant