PUH 600-601: The Public Health Integrated Core Curriculum PUH 600, Fall Semester, 2004-2005 9 credit hours Lectures: days 9:05 -, nesdays 9:05-12:05, and days 9:05 - Help Sessions day - 12:05 Lab Session: see registration schedule PUH 601, Spring Semester, 2004-2005 6 credit hours Lectures: days 9:05 -, nesdays 9:05-12:05 Help Sessions day - 12:05 Lab Sessions: see registration Schedule PUH 600-601 is the core curriculum required of all MPH students in the UAB School of Public Health. The course spans one academic year (August-May) over two semesters for a total of 15 credit hours. This course focuses on the integration of public health disciplines in understanding and addressing public health issues and challenges. The course is designed to introduce students to the core disciplines of public health; to build knowledge and skills in these core areas, and to integrate the core disciplines through the examination and analysis of specific public health issues. The course will be structured around a series of topical modules, each focusing on a specific issue in public health while providing clear illustrations of the roles, responsibilities, concepts and methods specific to each discipline and the integration of these in achieving a full understanding of the issue in its public health context. The course will be taught by an inter-disciplinary faculty from across the school supplemented by guest lectures from professionals in the surrounding public health community. Lecture sessions will be complemented by weekly lab sessions that employ various exercises to enhance critical thinking and to demonstrate acquisition of knowledge and application of skills learned through lectures, readings, assignments and discussions to the analysis of public health and health-related issues and challenges. Performance on homework and lab assignments, quizzes and final exams will be used to assess student progress toward achievement of learning objectives. Weekly help sessions will provide opportunities for assistance. Students will evaluate each module of the course and the course as a whole each semester. OVERALL COURSE LEARNING OBJECTIVES: Upon completion of the Integrated Core Curriculum students will demonstrate competence in: the basic public health sciences including environmental health science, epidemiology, biostatistics, health behavior, health policy and the biological basis of public health;
data analysis skills and policy analysis skills; communication skills, written and oral, for professional and community audiences; program planning and administration skills; public health systems and the organization of health services in the US and abroad; recognition and analysis of ethical or legal issues in public health and in professional practice; identifying and considering cultural, behavioral, genetic, environmental, political, geographic and socioeconomic factors in health, the global nature of health and the needs of special populations such as mothers and children, ethnic minorities and vulnerable populations; and, the integration of core public health disciplines in public health problem decision-making processes. DISCIPLINE-SPECIFIC LEARNING OBJECTIVES Biostatistics: describe and utilize basic biostatistical concepts and tools and seek and utilize biostatistical expertise as may be required Epidemiology & International Health: describe the distribution and determinants of disease, disability, and death. apply basic methods of epidemiology and study design, including calculation and interpretation of the measures of association. Environmental Health Sciences: identify and describe the environmental factors including biological, physical, and chemical factors that affect the health of a community. Health Care Organization and Policy: describe the system for organizing and providing public health services. analyze population-based interventions appropriate for delivery through the public health system. think critically and creatively about the organization and financing of public health. Health Behavior: identify behavioral determinants of health and illness and psychosocial determinants of behavior. develop, implement, and evaluate health promotion/disease prevention services and programs. 2
STUDENT EVALUATION: Fall Semester: Four objective computer-based exams will be administered through the semester, on the day following the conclusion of each module. See course schedule for specific dates and times. A written comprehensive final exam will be administered after the last class during final exam week. Module Exams 30% Module 1 (History) Module 2 (Hantavirus) Module 3 (Tobacco) Module 4 (Polio ) Lab Grade 30% Projects, homework and participation (25%) Grand Rounds Seminar attendance (5%) Final Exam 40% Spring Semester: Four objective computer-based exams will be administered through the spring semester, usually during the week following the conclusion of each module. See course schedule for specific dates and times. The final module, on strategic planning, will involve completion of a group project. A written comprehensive final exam will be administered after the last class during final exam week. Module Exams 30% Module 5 (Lead ) Module 6 (Breast Cancer) Module 7 (STD s and HIV) Module 8-9 (Injury Control and Food Safety) Lab Grade 30% Projects, homework and participation (25%) Public Health Grand Rounds attendance (5%) Final Exam 40% Each semester course will earn a single letter grade. However, in an effort to monitor performance across the disciplines and to document competency in each area, students can request a numeric assessment of performance within each discipline together with an indication of the proportion of total course content devoted to each discipline. For example: PUH 600 9 credit hours Overall Course Grade B Biostatistics 40% 85 Epidemiology 20% 87 Environmental Health 3% 92 Health Behavior 10% 96 Health Org n and Policy 14% 92 3
FACULTY: Course Masters: Email Telephone Biostatistics - Ryals 327 Suzanne Chaney, PhD schaney@ms.soph.uab.edu 975-9215 Bonnie Agee, PhD* bsagee@uab.edu 975-8620 * Dr. Agee s office - Ryals 220 Environmental Health - Ryals 317 Mark Garfinkel, PhD garfinkel@uab.edu 934-7076 Epidemiology - Ryals 220 Mary Hovinga, PhD hovinga@uab.edu 934-6105 Health Behavior - Ryals 227 Connie Kohler, DrPH ckohler@uab.edu 975-8071 Susan Davies, PhD sdavies@uab.edu 975-8049 Health Care Organization & Policy - Ryals 330 Donna J. Petersen, ScD dpeters@uab.edu 934-3912 Maternal and Child Health- Ryals 320 Mary Ann Pass, MD, MPH passm@uab.edu 934-6425 Program Coordinator- Ryals 445 Kelley Swatzell, MPH ksw@uab.edu 934-7735 Teaching Assistants - Ryals 445 934-7736 Sanjay Beesoon Ashley Creagh Shilpa Desai Jeff Foster Stephanie Hall Penny Loosier Martha McDowell Kristen Ramsey Cortney Thompson Sonya Wilder Unless your TA tells you differently, the best way to send them email is through their WebCT email account. 4
Reference Materials: Required Readings and Texts: (available at Snoozy s Bookstore and the UAB Bookstore) Biostatistics: A Foundation for Analysis in the Health Sciences by Wayne Daniel, 7 th Edition. John Wiley & Sons. 1999. Epidemiology by Leon Gordis, 3 nd Edition. W.B. Saunders Co. 2000. Intervention Mapping: Designing Theory and Evidence-Based Health Promotion Programs with PowerWeb by L. Kay Bartholomew et al. McGraw Hill. 2001. Living With the Earth by Gary S. Moore, 2 nd Edition. Lewis Publishers 2002. Additional course readings are available in the copy center and reserve desk of the Lister Hill Library. Optional Text: (Recommended for ENH majors and those with an interest in GIS - available at Snoozy s bookstore) GIS for Health Organizations by Laura Lang. ESRI Press 2000. Optional Software: SPSS (Student Version) - available through Snoozy s bookstore for about $80. Required lab manual: Available for purchase during Orientation Course Web Site: All course syllabi, learning objectives, assignments, lecture notes, handouts, etc will be available on the course Web site: www.soph.uab.edu/webct. You should Bookmark this page. Be sure to remember your WebCT password. For web-site related questions or concerns, please contact Kelley Swatzell at ksw@uab.edu or Rob Gray at rmgray@uab.edu. Help Sessions: Every day following class from - 12:05 we will hold a Help Session. In addition, the teaching assistants/lab instructors will have scheduled office hours in Room 445. Students are strongly advised to attend Help Sessions and/or seek assistance from the teaching assistants before directly contacting the course instructors. 5
SPH 600 Date Time Discipline Topic Lecturer Lab MODULE 1 - HISTORY OF PUBLIC HEALTH ALL Introduction to PUH 600 Hovinga 8/20/2004 HCO History of Public Health Petersen 8/23/2004 8/25/2004 8/27/2004 ALL Movie: The Day the Universe Changed All faculty ALL Interdisciplinary discussion All faculty EPI History of Epidemiology Hovinga BST Overview of Biostatistics Chaney BST History of Biostatistics Chaney HB Overview of Health Behavior Kohler BST Types of Data Chaney EPI Overview of Epidemiology Hovinga 8/30/2004 EPI Incidence and Prevalence Hovinga Help Session: Lister Hill Library Research Seminar Agee BST Displaying Data Chaney 9/1/2004 ENH Population Dynamics Garfinkel ENH Water and Waste Garfinkel BST Measures of Central Tendency Chaney 9/3/2004 EPI Descriptive Epidemiology Hovinga 9/6/2004 No classes - Labor Day Holiday MCH Development of MCH Focus in Public Health Pass 9/8/2004 HCO History of Health Care Delivery and Insurance Petersen BST Measures of Dispersion Chaney 9/10/2004 HCO Public Health Law DeBow 9/13/2004 HB Intro to Health Promotion Program Dev. Kohler EPI Sources of Data Hovinga Help Session: Lister Hill Library Agee BST Sampling Chaney BST Sampling Distributions Chaney 9/15/2004 Grand Rounds Grand Rounds TBA BST: Introduction to SAS BST: Intro to SPSS EPI: Descriptive Epidemiology of SIDS EPI: Accessing and Using Population and Health Outcome Data 9/17/2004 ALL Emerging Issue: Heart Disease and Diabetes Hovinga ALL Conclusion/Review All faculty **MODULE 1 QUIZ** 6
SPH 600 Date Discipline Topic Lecturer Lab MODULE 2 - HANTAVIRUS ALL Movie: Hantavirus in the American Southwest All faculty BST: Sampling & 9/20/2004 ALL Interdisciplinary discussion All faculty Sampling Distributions Help Session- Review Quiz I Agee HCO Ethics, Informed Consent Bronstein 9/22/2004 EPI Infectious Disease Epidemiology Hovinga EPI Outbreak Investigations Hovinga BST Probability Distribution Chaney 9/24/2004 ENH Vectors Garfinkel BST Confidence Intervals Chaney EPI: Investigation 9/27/2004 HCO Organizational Structures in Public Health Petersen of an Acute Illness Outbreak 9/29/2004 HB PRECEDE/PROCEED Kohler BST Hypothesis Testing: Means Chaney 10/1/2004 HCO Supply and Demand Sen 10/4/2004 10/6/2004 10/8/2004 ENH Introduction to GIS Kirby ENH Ecology Garfinkel EPI Age-adjustment Hovinga ENH Environmental Diseases Garfinkel BST Hypothesis Testing: Proportions Chaney ALL Conclusion/Review All faculty ** MODULE 2 QUIZ** MODULE 3 - TOBACCO ENH: Geographical Information Systems (GIS) Movie: Tobacco Wars HB: BRFSS, 10/11/2004 ALL Interdisciplinary discussion All faculty YBRS Help Session- Review Quiz II Agee 10/13/2004 HB Identification and Assessment of Health Related Behaviors Kohler BB Biological Basis of Tobacco Pass BST Hypothesis Testing: Proportions Chaney 10/15/2004 BST Errors in Hypothesis Testing Chaney HB Kohler HB: Application of 10/18/2004 Theories of Behavior Change HB Kohler Health Behavior Theories 7
SPH 600 Date Time Discipline Topic Lecturer Lab 10/20/2004 EPI Study Design Hovinga Grand Rounds BST Errors in Hypothesis Testing Chaney EPI Critique of Journal Abstracts (homework) Hovinga 10/22/2004 EPI Measures of Effect Hovinga EPI: Study Design and 10/25/2004 ENH Air Pollution Garfinkel Measures of Association and Effect Help Session TAs EPI Study Design: Details Hovinga 10/27/2004 ENH Toxicology Garfinkel BST Sample Size Calculations Chaney 10/29/2004 HCO Tobacco Policy Petersen ENH: Dose-Response 11/1/2004 HCO Tobacco Policy II Petersen and Indoor Air Quality MCH Role of Tobacco in Infant and Child Morbidity Pass 11/3/2004 HB Community and Clinical Approaches to Tobacco Control Kohler 11/5/2004 MODULE 4 - POLIO 11/8/2004 11/10/2004 EPI Causality Hovinga EPI Overview of Cancer Cole ALL Conclusion/Review All faculty **MODULE 3 QUIZ** Movie: A Paralyzing Fear All faculty ALL Interdisciplinary discussion All faculty Help Session- Review Quiz III Agee EPI Epidemiology and Control of Polio Vermund MCH Vaccines Pass EPI Intervention Studies Hovinga 11/12/2004 EPI Prevention Studies Hovinga 11/15/2004 BST ANOVA Chaney MCH Programs/Organization Pass 11/17/2004 HCO Insurance Issues Petersen Grand Rounds ENH Sanitation and Infectious Disease Elliott 11/19/2004 HB Community and Group Models of HB Change Kohler HCO: Global Vaccination Strategies EPI: Polio- Clinical Trials of the 1950s and Modern Disease Eradication 8
SPH 600 Date Time Discipline Topic Lecturer Lab No labs 11/22/2004 BST Linear Regression Chaney 11/24/2004 Thanksgiving Holiday - NO CLASS 11/26/2004 Thanksgiving Holiday - NO CLASS 11/29/2004 BST Correlation/Review Chaney BB Nutrition and Immunity Islam 12/1/2004 Emerging Issues Conclusion All faculty 12/3/2004 12/6/2004 BST Biostats Review - Final Chaney ALL Review - M 4 Quiz All faculty **MODULE 4 QUIZ ALL Final Review All faculty FINAL EXAM nesday, December 8, 2004 MCH: Analyzing, Planning, and Communicating Polio and Vaccine-Related Issues No labs 9
SPH 601 Date Time Discipline Topic Lecturer Lab MODULE 5 - LEAD ALL Introduction to SPH 601 Petersen 1/5/2005 ALL Introduction to Lead Garfinkel ALL Interdisciplinary Discussion All faculty 1/10/2005 HB Frameworks for Health Promotion Research Davies BST Review Chaney 1/12/2005 ENH Risk Assessment Roseman 1/17/2005 No classes- MLK Holiday BST Nonparametric Statistics Chaney 1/19/2005 ENH Environmental Regulation Garfinkel HB Risk Communication Davies 1/24/2005 EPI Confounding Hovinga EPI Bias Hovinga 1/26/2005 HCO Introduction to Strategic Planning Ginter ALL Conclusion/Review All faculty 1/28/2005 **MODULE 5 QUIZ** MODULE 6 - BREAST CANCER 1/31/2005 2/2/2005 2/7/2005 2/9/2005 2/14/2005 Movie: Trade Secrets All faculty ALL Interdisciplinary Discussion All faculty Help Session - Review Quiz V Agee EPI Natural History of Breast Cancer Hovinga ENH Carcinogenesis Garfinkel EPI Screening Hovinga BST Nonparametric Statistics Chaney HCO Role of Insurance in the Market for Services Morrisey HB Stress, Coping and Social Support Davies BB Breast Cancer Genetics Strong HCO: Grimes v Kennedy Krieger Case HB: PRECEDE/ PROCEED Lab: Crafting A Press Release Lab: Presentations I Lab: Strategic Planning Exercise EPI: Screening Lab: Presentations II 10
2/16/2005 SPH 601 Date Time Discipline Topic Lecturer Lab BST Chi-Square/Contingency Tables Chaney ENH Exposure Media Garfinkel BST Logistic Regression Chaney ALL Conclusion/Review All faculty 2/21/2005 MODULE 7 - STD/HIV 2/23/2005 2/25/2005 2/28/2005 3/2/2005 3/7/2005 3/9/2005 3/14/2005 3/16/2005 3/18/2005 Movie: Deadly Deception All faculty ALL Interdisciplinary Discussion All faculty MCH Biological Basis of HIV/STDs Pass **MODULE 6 QUIZ** EPI Global Overview of HIV/AIDS Vermund Help Session - Review Quiz VI Agee BST Survival Analysis Chaney HB Sexual Risks and STDs Davies HCO Confidentiality Bronstein HCO Cost Effectiveness Analysis Kilgore BST Current Issues in Biostatistics Chaney Interventions to Prevent Sexual Risk HB Behaviors Davies HCO Measuring Patient Based Outcomes Klapow BST Current Issues in Biostatistics Chaney MCH Inter-organizational Issues in STD Prevention Pass Conclusion/Review All faculty MODULE 8 - INJURY CONTROL 3/21/2005 3/23/2005 3/28/2005 3/30/2005 **MODULE 7 QUIZ** EPI Injury - Definition and Classification McGwin MCH Vulnerable Populations in Injury Control Pass Help Session - Review Quiz VII Agee HB Evaluation of Theory-Based Interventions Davies HCO Advocacy in Health Legislation Petersen HCO Domestic Violence??? No classes- Spring Break MCH: Adolescent Health HB: Interactive systems for promoting condom use (HIV/STD prevention) HCO: Ethics HB: Focus Groups EPI: Analyzing injuries as a health concern and designing effective interventions 11
SPH 601 MODULE 9 - FOOD SAFETY 4/4/2005 4/6/2005 4/8/2005 ENH Foodborne Illness Becker HCO Interagency Issues in Food Safety Petersen EPI/ENH MODULE 10 - STRATEGIC PLANNING 4/11/2005 4/13/2005 4/18/2005 4/20/2005 4/25/2005 State and Local Government Response to Food Safety **MODULE 8 & 9 QUIZ** Various HCO Public Health Leadership Petersen HCO Your Future in Public Health Petersen Help Session - Review Quiz VIII & IX Agee ALL Student Presentations Students ENH Toxic Disasters Becker Help session Agee ALL Global Public Health Issues: Natural Disasters, War, Refugee Health, Bioterrorism, Emergency Planning and Response All faculty ALL Final Review All faculty FINAL EXAM nesday, April 27, 2005 Preparation for Strategic Planning Project No labs ENH: Disasters No labs 12
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