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This MOOC will assist you in understanding important concepts for screening programmes, which will be explored through a series of examples that are currently relevant to public health. We will conclude with expert interviews that will delve into future screening topics. Students should be able to participate in the scientific field of screening and understand the public health perspective in screening programmes by the end of this MOOC.
Syllabus :
1. Introduction to Key Concepts in Screening
- 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
2. Screening Metrics
- 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
3. Screening in Pregnancy and Newborns
- 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
4. Screening for Cardiometabolic Conditions
- Hypertension
- Diabetes
- Cardiovascular Risk Factors in Children
5. Cancer Screening
- Colorectal Cancer
- Prostate Cancer
- Cervical Cancer
- Lung Cancer
- Skin Cancer
- Breast Cancer
6. Public Mental Health and Screening in Ageing
- Introduction to Public Mental Health
- Public Mental Health and Disabilities
- Dementia and Related Disorders
- Old-Age Depression
- General Screening in the Elderly
7. Screening in Low and Middle-Income Countries and Migrants
- 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
- Cross Cultural Competencies
8. Evaluation, Planning, Implementation and the Future of Screening Programs
- Major Controversies with Screening Programs
- Evaluation of Screening Programs
- Bias in Screening Programs
- Planning a Screening Program
- Example of a Decision Aid for Screening
- Screening Program Implementation
- Future Directions in Screening Programs
