Public Health Specialisation Course (CESP)

The Public Health Specialization Course (CESP) is one of the compulsory stages of the post-graduate medical training programme in Public Health. 

This intensive course, of professional nature, is intended for future medical specialists in Public Health to deepen their knowledge and develop essential skills for the performance of their duties. 

CESP at ISPUP

  • Quality and scientific rigor
  • Proximity and availability of the teaching staff
  • Close contact with scientific research
  • Comprehensive and multidisciplinary vision of Public Health

Who is it aimed at?

Public Health Residence Doctors

Duration and timetable

12 months on a working schedule:

Monday to Friday from 9am to 1pm and from 2pm to 6pm
Academic break during the month of August

Testimonies

testimonials

Through the CESP, I had the opportunity to learn and work with individuals of recognised merit in the areas of Epidemiology and Statistics, which inspired me to further my studies and join the PhD Programme in Public Health.

Francisco Fernandes Former CESP resident doctor
testimonials

During the CESP, I was able to learn and develop theoretical skills that strengthened my public health practice, and allowed me to integrate both areas: intervening and producing knowledge.

Diogo Almeida Former CESP resident doctor

Course Contents

Credits: 4 ECTS

Instructor: Henrique Barros

Teaching Staff: João Niza Ribeiro, Henrique Barros, Paula Meireles, Rui Morgado and Jorge Tavares, Joaquim Alvarelhão, Ana Catarina Queiroga.

Contents:

  • Presentation of the conceptual and organisational model of the CESP
  • Concepts and technical terms used in Public Health: Health, Public Health, Global Health
  • Evolution of the concept of health over time, Evolution of health over time 
  • Public Health disciplines and methodological approaches
  • Diseases and health problems
  • Health determinants: types Profile and competences of the Public Health physician
  • National Health Service and National Health System 
  • Public Health Services in Portugal
  • Public Health as a medical specialty
  • Public Health physician in the hospital environment
  • Health Policies and Health Systems
  • Health and Development
  • Primary Health Care
  • Prevention levels
  • Other introductory and fundamental concepts in Public Health

Credits: 2 ECTS

Coordinator: Henrique Barros

Teaching Staff: Beatriz Casais, Paula Rebelo, Henrique Barros

Contents:

  • Common writing, technical writing, scientific writing
  • Types of biomedical writing
  • Oral communication of papers
  • Structural and style components
  • Auxiliary elements of paper presentation: Tables and Figures, Appendices 
  • Bibliographical research: elements and referencing
  • Reports: practical notions of design, writing and presentation.

Credits: 1 ECTS

Coordinator: Henrique Barros

Teaching Staff: Henrique Barros

Contents:

  • Types of evidence I and II
  • The great victories of Public Health
  • Study and presentation of cases.

Credits: 2 ECTS

Coordinator: Ana Isabel Ribeiro

Teaching Staff: Ana Isabel Ribeiro

Contents:

  • Population and community
  • Population status: main characteristics; age pyramid, population distribution and density
  • Demographic phenomena: birth, nuptiality, mortality, migratory movements
  • Data sources for use in demography, quality of information
  • Population census
  • Quantification and analysis of demographic data 
  • Contingency of small numbers 
  • Methods of standardizing rates (mortality, incidence) 
  • Age groups: epidemiological importance and their role as indicators of the child period
  • Life expectancy and life tables 
  • Years of Potential Life Lost (YPLL), DALY and QALY Demographic transition and epidemiological transition.

Credits: 4 ECTS

Coordinator: Elisabete Ramos

Teaching Staff: Carla Lopes, Joana Araújo, Elisabete Ramos, Milton Severo

Contents:

  • Epidemiological reasoning
  • Epidemiological triad
  • Place and time in epidemiology
  • Spatial epidemiology
  • Indicators: types and epidemiological significance
  • Epidemiological methodology
  • Uses of epidemiology in public health
  • Measures of frequency: ratios, proportions and rates
  • Mortality and morbidity
  • Case definition
  • Classification of diseases and causes of death
  • Incidence and prevalence
  • Numerators and denominators in epidemiology
  • Random error and systematic errors
  • Bias
  • Confounding
  • Concept of risk and types: absolute risk, relative risk, etiological risk fraction
  • Notion of sample and general principles of sampling
  • Descriptive studies and explanatory studies.

Credits: 3 ECTS

Coordinator: Pedro Oliveira 

Teaching Staff: Denisa Mendonça, Laetitia Teixeira, Pedro Oliveira

Contents:

  • Variables and their types
  • Normal distribution
  • Categorical data description
  • Description of quantitative data
  • Relationship between categorical variables
  • Confidence interval
  • Significance level and p value
  • Comparison of two means
  • Comparison of two proportions
  • Measures of association
  • Population and samples
  • Statistical inference.

Credits: 3 ECTS

Coordinator: Carla Lopes

Teaching Staff: Carla Lopes, Milton Severo

Contents:

  • Principles of Public Health research
  • Types of research
  • Quantitative research and qualitative research
  • Complementarity of quantitative and qualitative approaches in Public Health
  • Formulation of research objectives
  • Population under study
  • Variables
  • Scales and measurement instruments
  • Data collection techniques
  • Questionnaires: criteria for elaboration and use
  • Design
  • Validation
  • Pre-test
  • Reliability
  • Documentary Sources

Credits: 1 ECTS

Coordinator: Susana Silva

Teaching Staff:  Cláudia de Freitas, Susana Silva

Contents:

  • Introduction to sociology of health: principles, conceptual development
  • Sociology applications in health
  • Social factors as determinants of health
  • Role of medicine and health in society
  • Medicalisation of societies
  • Social representations of health and illness
  • Study of social relations between professionals and patients in different therapeutic contexts
  • Reproductive health issues
  • Inequalities and discrimination present in the relationship of individuals with health services
  • Methodologies of social research applied to health.

 

Credits: 2 ECTS

Coordinator: Rui Leite

Teaching Staff: Rui Leite

Contents:

  • The domains of health economics
  • Analysis of the demand for health services
  • Analysis of the supply of health services
  • Health service markets
  • Economic evaluation of health interventions
  • Contribution of economics to the issue of equity in health
  • Cost-benefit analysis
  • Cost-effectiveness
  • Opportunity cost
  • Effectiveness
  • Efficiency

Credits: 2 ECTS

Coordinator: Fernando Tavares 

Teaching Staff: Delfina Antunes, Fernando Tavares, Fernando Tavares

  • National and international health information systems
  • National and international databases and health indicators
  • Health indicators: typology, construction, and characteristics of a health indicator
  • Quality and validity of data and indicators
  • Strategies for data collection and analysis

Credits: 1 ECTS

Coordinator: Pedro Ferreira

Teaching Staff: Pedro Ferreira

Contents:

  • Principles and types of planning
  • Health policy, strategy, and strategic planning in health
  • Stages of the planning process in health
  • Information and health planning

Credits: 2 ECTS

Coordinator: Pedro Ferreira

Teaching Staff: Pedro Ferreira, Teresa Leão, Graça Lima, Rita Sá Machado

Contents:

  • Health needs, services, and resources
  • Health problems and needs
  • Relationship between health needs, strategic planning, and development of health policies
  • Health status of the population and its determinants
  • Identification of health needs
  • Health inequalities
  • Determination of trends and prognoses
  • Multi-methodological approaches to the process of health needs assessment
  • Prioritisation of problems and health needs

Credits: 2 ECTS

Coordinator: Carlos Matos

Teaching Staff: Pedro Ferreira, Rui Capucho, Carlos Matos, Mariana Duque

Contents:

  • Health determinants
  • Measurement of illness frequency, death, and other phenomena of interest in health
  • Risk and impact measurement
  • Health indicators
  • Systematic study of the health status of the population and the factors that determine it (population health status assessment)
  • Presentation and dissemination of the results of systematic studies of the health status of the population.

 

Credits: 2 ECTS

Coordinator: Hugo Monteiro

Teaching Staff: Pedro Ferreira, Andreia Rodrigues, Elisabete Ramos, Hugo Monteiro

Contents:

  • Health programs and projects: differences and essential components
  • Health needs and objectives
  • Objectives: typology and SMART formulation
  • Activities, methods, and resources
  • Development of an implementation plan
  • Development of an evaluation plan
  • Programme and project management methods
  • Budgeting and financing of programmes and projects
  • Intervention in specific environments
  • Health education and pedagogy in Public Health intervention strategies

 

Credits: 3 ECTS

Coordinator: Ivo Cruz

Teaching Staff: Ivo Cruz, Carlos Matos, Firmino Machado, Margarida França

Contents:

  • The field of evaluation
  • Evaluation and research
  • Types of evaluation
  • Analysis of the production of services (access, coverage, and quality)
  • Analysis of the effectiveness and impact of interventions (health and non-health – health impact assessment)
  • Economic evaluation of health programmes
  • Analysis of programme implementation
  • Meta evaluation
  • Tracers
  • Health audit: indications for its use, audit plans and processes in the various health sectors.

Credits: 2 ECTS

Coordinator: Firmino Machado, Paulo Diz, Conceição Guimarães, Pedro Maciel

Teaching Staff: 

Coordinator:

  • Fundamentals of Management and basic concepts of Health Management
  • Fundamental theories and tools of management
  • Quality and assessment in Management
  • Specificities of the management of a health institution
  • Management of human resources in health
  • Performance of human resources in health and its relationship with the performance of health services 
  • Dynamics of the health labour market

Credits: 2 ECTS

Coordinators: Ivo Cruz and Rita Sá Machado

Teaching Staff: Rita Sá Machado, Firmino Machado, António Leuschner, Delfina Antunes

Contents:

  • Health systems and health services systems
  • Health policy and health services policy
  • Analysis of health systems and policies
  • Models which explain the production process of health services and the factors that influence it
  • Models which explain the process of use of health services and the factors that influence it
  • Role of Public Health in achieving health, service, and resource goals.

Credits: 2 ECTS

Coordinator: Henrique Barros

Teaching Staff: Henrique Barros, Margarida Tavares, Maria José Barros

Contents:

  • Concepts and associated technical terms
  • Characteristics of a surveillance system
  • Types of epidemiological surveillance
  • National and international systems
  • The DDO system, SINAVE
  • REVIVE programme
  • The role of the SP laboratory
  • Sentinel physicians
  • Rumour-based surveillance
  • Diseases and factors in surveillance
  • Epidemic corridors: rationale and construction
  • Risk communication (purpose, levels of action, risk governance)
  • Cardinal rules of risk communication and group predictors of alarm
  • Risk communication and mass media.

Credits: 2 ECTS

Coordinator: Guilherme Duarte

Teaching Staff: Guilherme Duarte, Ana Sofia Sousa, Rui Capucho, Fátima Amaro

Contents:

  • Epidemiology of the most important non-communicable diseases and their determinants
  • Mortality and morbidity
  • Cost-effective interventions for prevention and control of vulnerable determinants of non-communicable diseases
  • National and international programmes
  • Origin of the concept of disease management
  • Non communicable disease management – partnerships in prevention and control
  • Types of screening
  • Criteria for disease screening
  • Screening tests and their validity
  • Sensitivity
  • Specificity
  • Predictive value
  • Ethical aspects
  • Screenings in Portugal

Credits: 2 ECTS

Coordinator: Teresa Leão

Teaching Staff: André Moreira, Bárbara Gomes, Carla Araújo, Carla Costa, Filipe Macedo, Graça Cruz Alves, José Dinis Bastos Lima da Silva, José Rocha Nogueira,  Luís Ruano, Manuel Cardoso, Maria João Gregório, Paulo Melo, Pedro Norton, Rafael Rocha, Ricardo Gusmão, Romeu Mendes, Teresa Leão

Contents:

Credits: 1 ECTS

Coordinator: Henrique Barros

Teaching Staff: Henrique Barros

Contents:

  • Declaration of Human Rights
  • Declaration of Helsinki
  • Ethics and Deontology
  • Privacy and Confidentiality
  • Autonomy
  • Individual freedom and collective interest
  • Use of coercion
  • Informed consent
  • Ethical aspects of Public Health intervention

Credits: 2 ECTS

Coordinator: Rita Sá Machado

Teaching Staff: Rita Sá Machado

Contents:

  • Global circulation of people, goods, and commodities
  • Globalisation of health problems
  • International Health Regulations
  • Quarantine and quarantine measures
  • Traveler’s health
  • Ports and airports

Credits: 1 ECTS

Coordinator: Henrique Barros

Teaching Staff: Wilson Antunes

Contents:

  • Types of disasters and associated consequences for Public Health
  • Mortality and morbidity associated
  • Humanitarian action
  • Humanitarian principles
  • Emergency response actors and their interrelation
  • Contingency plans
  • Public Health intervention in the various phases of emergency response
  • Support tools: rapid diagnosis of the situation.

Credits: 2 ECTS

Coordinator: Lúcio Almeida

Teaching Staff: Lúcio Almeida

Contents:

  • Health Authority and Public Health
  • Legal basis
  • Basic Health Law
  • Specific ethical aspects
  • Priority intervention areas
  • Interdisciplinary intervention
  • Surveillance of water quality
  • School and work avoidance
  • Legal aspects of death verification
  • Legal and ethical aspects of compulsory internment.

Credits: 3 ECTS

Coordinator: Nuno Lunet

Teaching Staff: Nuno Lunet

Contents:

  • Epidemiology and epidemiological research
  • Transversality and longitudinality
  • Descriptive studies and explanatory studies
  • Design and main characteristics of each type of study
  • Case definition
  • Controls
  • Pairing
  • Exposure and effect
  • Follow-up and comparison groups
  • Randomization and blinding processes
  • Meta-analysis
  • How to choose the right type of study for a specific research question
  • Causality: links and causality criteria
  • Statistical association and causality
  • Effect measurement

The time factor in epidemiology and research.

 

Credits: 3 ECTS

Coordinator: Milton Severo

Teaching Staff: Milton Severo, Pedro Oliveira, Denisa Mendonça, Laetitia Teixeira

Contents:

  • Correlation
  • Linear regression (simple and multiple)
  • Logistic regression (binary and multinomial)
  • Poisson regression
  • Choice of an appropriate statistical treatment for the chosen study design
  • Practical application of statistical software to specific research

 

Credits: 2 ECTS

Coordinator: Nuno Lunet

Teaching Staff: Nuno Lunet

Contents:

  • Stages of investigation
  • General research planning
  • Research questions and goals
  • Samples and sampling process
  • Types of variables and variable operationalization plan
  • Bias control and confounding and interaction factors
  • Fieldwork preparation (practical aspects)
  • Presentation of results
  • Interpretation of results
  • Discussion
  • Internal and external validity
  •  Scope and range of conclusions
  • Ethical aspects in planning, carrying out, writing, and publishing research
  • Informed consent
  • Reading and interpretation of biomedical literature.

Credits: 4 ECTS

Coordinator: Raquel Lucas

Teaching Staff: Raquel Lucas

Contents:

  • Designing, writing, and presenting a research protocol
  • Schedule of activities
  • Budget
  • Relationship between Protocol and Research Report
  • Principles and practical aspects of preparing a manuscript for publication in a biomedical journal
  • Use of the Internet for health research (bibliographical search; publication of results).