EPID/CPH 309: Introduction to Epidemiology Fall 2012

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EPID/CPH 309: Introduction to Epidemiology Fall 2012 TIME: DAYS: LOCATION: FACULTY: 4:00-5:15 pm & Drachman, A114 Robin Harris, Ph.D., M.P.H. Office: Drachman, A-234 Telephone: 626-5357 E-mail: rharris@azcc.arizona.edu Office hours: By appointment Teaching Assistants & Preceptors Group Teaching Assistant Preceptor A Paul Kang paulk@email.arizona.edu Laura Stussie lstussie@email.arizona.edu B Cate Marshall cmarshall@email.arizona.edu Mega Patel mspatel@email.arizona.edu C Laura Tippit tippit@email.arizona.edu D Stephanie Koch smkoch@email.arizona.edu COURSE DESCRIPTION This course will introduce students to basic principles and methods used in epidemiology. The course will include basic research designs, estimating outcome measures, and establishing cause and effect and effectiveness of interventions to prevent and cure disease COURSE PREREQUISITES: Math 112 or equivalent COURSE LEARNING OBJECTIVES Upon completion of the course, students should be able to: 1) Describe the historical roots of epidemiologic thinking and their contribution to the evolution of the scientific method. 2) Explain how ethical principles affect epidemiologic research. 3) Calculate rates and proportions to express numerically the amount and distribution of health and non-health related outcomes 4) Use the distribution of a health-related outcome to generate hypotheses that might provide an explanation. 5) Explain basic statistical and epidemiologic concepts of estimation, inference, and adjustment to establish association. 6) Explain how to use evidence of an association to make a judgment about whether an association is causal.

7) Describe the basic epidemiologic study designs that are used to test hypotheses, identify associations, and establish causation. 8) Describe the concepts of measurement of test performance and be able to apply the concepts of testing and screening in different settings, 9) Describe the broad applicability of epidemiologic methods to clinical and basic science as well as public policy. UNDERGRADUATE COMPETENCIES 1) Use epidemiological principles to describe and analyze causes of disease and illness. 2) Provide a biological description for the major causes of communicable and non-communicable diseases and their pathology. 3) Provide an environmental description for the major causes of communicable and noncommunicable diseases and their pathology. COURSE FORMAT The class will be organized with classroom lectures and discussion forums. Learner-centered methods will include individual and small group work and discussion, guest lectures, and student presentations. RECOMMENDED BOOKS AND READINGS The following textbook is required for the course: Robert H Friis. Epidemiology 101, Boston: Jones and Bartlett Publishers, 2010. ISBN 0-7637-5443-9 Course syllabus, schedule, homework packet, additional readings, and class notes will be made available online: http://d2l.arizona.edu. Students use Student Link to access the D2L site. Students must enter their student ID and PIN, then a course schedule appears with active links to courses. COURSE REQUIREMENTS Each student will be assigned to a Group and will submit homework, class projects and discussion questions to their appropriate group via the D2L site or to the appropriate TA. Group assignments are available through the D2L website. Class Attendance and Participation The student is responsible for meeting all course deadlines. If the student knows in advance that s/he will be away, then it is the student s responsibility to make appropriate arrangements for submission of homework and discussion questions on time. Class attendance is strongly encouraged. Participation will be assessed through completion and submission of an evaluation form at the end of each class session. Homework Throughout the semester, regular homework assignments have been set. The purpose of these homeworks/activities is to provide opportunities for students to practice the tools of epidemiologists and to assure that they are practicing correctly. Homework assignments will be distributed at least one week prior to the due date or will be in the available online. Homework assignments are due at the time of the assigned class period. Unless otherwise noted, homework assignments will be graded as 1=assignment is complete & submitted on time; ¾ credit = homework is incomplete but submitted on time; ½= homework is complete, but submitted after the due date, 0= not completed.

Projects There are two projects to be completed throughout the semester: 1) review of a survey questionnaire, and 2) data hunt. Specific instructions for the format and grading criteria of these projects will be provided. Check the online website for further details. Due dates for the projects are listed on the course schedule. An extra credit project is available for students to complete if so interested. The assignment is worth 5 extra points to the overall points of the course. Instructions are available on the website. This assignment can be completed at any time, but must be submitted before last day of class. Examinations The midterm and final examination will be closed book, in-class exams unless otherwise specified. The final can potentially be an online exam. Students will be allowed to bring in 1 page of notes and calculators to an in-class exam. STUDENT EVALUATION Evaluation will be based upon the student's ability to demonstrate a basic understanding of the concepts, principles, and methods of epidemiology through: GRADING SCHEME Midterm 20 % Homework 25% Class Participation 5% Project 1: Questionnaire review 10% Project 2: Data Hunt 15% Final Exam 25% Total 100% The final grades are based on the following point system, although the instructor reserves the right to revise this scale if necessary. A - 91-100% D - 61-70% B - 81-90% E - <60% C - 71-80% OTHER INFORMATION Communications: You are responsible for reading emails sent to your D2L or UA account from your professor and the announcements that are placed on the course web site. Information about readings, news events, your grades, assignments and other course related topics will be communicated to you with these electronic methods. The official policy can be found at: http://www.registrar.arizona.edu/emailpolicy.htm Disability Accommodation: If you anticipate issues related to the format or requirements of this course, please meet with me. I would like us to discuss ways to ensure your full participation in the course. If you determine that formal, disability-related accommodations are necessary, it is very important that you be registered with Disability Resources (621-3268; drc.arizona.edu) and that you notify me of your eligibility for reasonable accommodations. We can then plan how best to coordinate your accommodations. The official policy can be found at http://catalog.arizona.edu/2008%2d09/policies/disability.htm

Academic Integrity: All UA students are responsible for upholding the University of Arizona Code of Academic Integrity, available through the office of the Dean of Students and online: The official policy found at:http://dos.web.arizona.edu/uapolicies/scc5308abcd.html and http://dos.web.arizona.edu/uapolicies/cai1.html. Plagiarism: What counts as plagiarism? Copying and pasting information from a web site or another source, and then revising it so that it sounds like your original idea. Doing an assignment/essay/take home test with a friend and then handing in separate assignments that contain the same ideas, language, phrases, etc. Quoting a passage without quotation marks or citations, so that it looks like your own. Paraphrasing a passage without citing it, so that it looks like your own. Hiring another person to do your work for you, or purchasing a paper through any of the on- or off-line sources. Classroom Behavior: Participation is an important component of this class. Feel free to ask plenty of questions, and contribute your own ideas and knowledge to the class. It is important to read the material in advance and give it some careful thought, so that you come to class prepared to discuss information and opinions. Engaging and instructive class discussion can come from this if we are both prepared beforehand and mutually respectful during our interactions with each other. Talking, using electronic devices such as cell phones, laptops, or ipods, and any other unruly behavior that disrupts the class will not be tolerated. The instructor reserves the right (and obligation to the class) to administratively drop from the course any student who does not maintain appropriate behavior. Turn off your cell phones. Students are expected to be familiar with the UA Policy on Disruptive Behavior in an Instructional Setting found at http://web.arizona.edu/~policy/disruptive.pdf and the Policy on Threatening Behavior by Students found at http://web.arizona.edu/~policy/threatening.pdf Grievance Policy: Should a student feel he or she has been treated unfairly, there are a number of resources available. With few exceptions, students should first attempt to resolve difficulties informally by bringing those concerns directly to the person responsible for the action, or with the student's graduate advisor, Assistant Dean for Student and Alumni Affairs, department head, or the immediate supervisor of the person responsible for the action. If the problem cannot be resolved informally, the student may file a formal grievance using the Graduate College Grievance Policy found at http://grad.arizona.edu/catalog/policies/academic-policies/grievance-policy Grade Appeal Policy: http://catalog.arizona.edu/2008%2d09/policies/gradappeal.htm Syllabus Changes: Information contained in the course syllabus, other than the grade and absence policies, may be subject to change with reasonable advance notice, as deemed appropriate. Please Note: URLs change frequently. You will need to test the URLs in the syllabus you produce each semester, to ensure the links are correct.

EPID/CPH 309: INTRODUCTION TO EPIDEMIOLOGY Fall 2012 Date Topic or Activity Readings* & Assignments, August 20 August 22 August 27 August 29 September 3 September 5 September 10 September 12 September 17 September 19 September 24 September 26 October 1 October 3 October 8 October 10 October 15 October 17 October 22 October 24 Overview: History, Philosophy and Uses Chapter 1 of Epidemiology Overview Chapter 1 Continued Homework#1 due Epidemiologic Measurements #1 Chapter 2 Measurements #2 Chapter 2 Homework#2 due Labor Day No class Measurements #3 Chapter 2 Discussion/In class activity Homework#3 due Data & Sources Chapter 3 Patterns of Disease Descriptive Epidemiology Discussion/In class activity Chapter 4 Homework #4 due Types of Associations Chapter 5 Causality in Epidemiologic Studies Chapter 5 Discussion/In Class activity Homework#5 due Analytic Epidemiology- Chapter 6 Study design #1 Study design #2 Chapter 6 Discussion/in class activity Midterm Homework #6 due Measures of Effect Chapter 6 Threats to Study Design Discussion/In Class Activity Project #1 due Homework #7 due October 29 October 31 Veterinarian Epidemiologists as Part of the Public Health Team Tim Krone, DVM Special topic: registries - autism Sydney Pettygrove, PhD Project #2 due

November 5 November 7 November 12 November 14 November 19 November 21 November 26 November 28 December 3 December 5 December 10 Threats to Validity: Confounding Epi & Policy Screening for Disease Chapter 7 Homework #7due Veterans Day no class Infectious Diseases & Outbreaks Kristen Pogreba-Brown, MPH ID Epi Outbreaks continued In class/discussion Using epi methods to understand why vaccine rates are low? Steve Haenchen, MPH Asthma & Respiratory Epidemiology Janet Rothers, PhD Special Topics: Injury Epidemiology Jerry Poplin, MS Discussion and Review Final Chapter 8 Homework #8 due Homework #9 due Project #2 due Chapter 10 *Chapter numbers refer to required text Epidemiology 101.