Program in Public Health Summer Faculty Retreat Friday, June 19, 2009 12:30PM ~ 3:30PM

1. Program in Public HealthSummer Faculty RetreatFriday, June 19, 200912:30PM ~ 3:30PM

2. PPH Faculty Retreat Introductions

3. PPH Faculty Retreat-Agenda • Agenda • Lunch and Introductions (12:30-1:30) • Committee Reports (1:30-2:10) • Admissions (Moran) • Curriculum (Carnethon) • Diversity (Hankinson) • Evaluation (Wurtz) • MSEB Advisory (Carnethon) • Professional Experience (Sheehan) • Other (2:10-3:00) • Accreditation 2010 • Public Health Curriculum in Medical School (Wurtz) • Report on Delta Omega (Hahneman) • Undergraduate Initiative (Chang) • Graduation (Chang) • Open Discussion

4. Committee Reports: AdmissionsMaureen Moran, Chair Enrollment Update

5. Admissions: 2009* MD/MPH 7 formal applicants 5 admitted 1 pending 1 withdrew At least 6 expected to matriculate *To Date MPH 17 applicants 5 admitted 3 matriculated 1 expected to matriculate 1 offer pending

6. Current Enrollment = 90 MD/MPH students incoming = 6* M2 = 16 M3 = 12 M4 = 12 Fifth yr = 3 Total 49 JD/MPH Total 2 Freestanding Incoming = 2 First year = 9 Second yr = 5 Third yr = 1 4th or more = 7 Total 24 PhD/MPH Total 15

7. MD/MPH DemographicsN=49 Median age: 24 Range: 21-30 Males Females Asian 8 11 Black 0 3 Hispanic 0 1 White 10 15 Not specified1 0

8. MPH DemographicsN=24 Median age: 34 Range: 25-53 15 (62%) physicians, 9 (38%) other Males Females Asian 0 1 Black 0 3 Foreign 0 5 White 3 11 Not specified 1 0

9. Committee Reports: CurriculumMercedes Carnethon, Chair Members: Faculty:Rowland Chang, LynetteCraft,Betty Hahneman, MaureenMoran, Juned Siddique, Lewis Smith, Leah Welty Staff:Dante Brinkley, Karen Quintana Students:Amber Alencar (2nd yr MD/MPH), Caley McIntyre (2nd yr MD/MPH), Latasha Nelson (MSCI), Erik Orelind (freestanding student)

10. Mission Statement • To review annually the course syllabi and post-course evaluations of the content and quality of instruction for all courses required for students to obtain the Masters in Public Health and Masters of Science in Epidemiology and Biostatistics degrees. By maintaining coursework and instructional quality that is consistent with the stated mission, educational objectives and values of the Programs in Public Health, we will continue to train technically proficient, knowledgeable and compassionate public health professionals.

11. Update 2008-2009 • Alan Dyer stepped down in March 2009 • Activities continued/will continue as usual • Reviewing Syllabi • New MPH Courses • Behavior Medicine Intervention: From the Individual to the Population (Fall09) • What is the Role of community in Public Health? Introduction (Fall09) • Public Health Law: Promoting Healthy Youth Development (Winter10)

12. Update 2008-2009 (continued) • Reviewing Course Evaluations • Letters of commendation issued where appropriate • Review Overall Curriculum Offerings • Review independent study requests • Improve the quality of instruction by requesting that all first-time course directors undergo review by the Searle Center

13. Objectives 2009-2010 • Responsibilities will be for the MPH and MSEB curriculum • Review new MSEB curriculum and all course syllabi • Post-hoc review of credit given for prior graduate or medical school work

14. Committee Reports: Diversity Arlene Hankinson, Chair Members: Faculty:Virginia Bishop, Mercedes Carnethon,Marie Crandall, Craig Garfield, Betty Hahneman, June McKoy, Maureen Moran, Adam Murphy Students:Elizabeth Groothuis (MD/MPH class of 2011)

15. Diversity Committee Annual Objectives • Invite a national scholar on minority health or health disparities to campus • Financial support diversity programming for the FSM community • Organize a workshop focused on diversity/ health disparities programming • Actively advertise/promote our degree programs to minority students • Renew and rotate diversity committee membership

16. Diversity Committee: Progress towards objectives 2009-2010 • Completed • Winter 2009 • Financial support of medical student diversity program • Spring 2009 • April 2-3, 2009: Visiting Professor of Minority Health - Ana Diez-Roux M.D., Ph.D. • Planned • Fall 2009 • September 17, 2009: Open house in conjunction with fall MPH field experience poster session • Goal is to make our programs known to minority students at local universities • 2010 (Date TBD) • Visiting Professor of Minority Health – in planning stages

17. 2008-2009 Evaluation CommitteeStrategic Plan • Revisit (and revise if necessary) the EC charge • Revisit (and revise if necessary) program mission statement and program goals, in light of any changes in the PPH and PH educational goals at large. Tie the mission statement to program competencies and student/alumni survey questions • Review composition of the EC. • Review CEPH accreditation criteria relating to evaluation; ask Betty Hahnemann to interpret for EC (see CEPH Accreditation Criteria program evaluation expectations in the appendix)

18. Ask each program committee to revisit their mission statements, 2008-2009 committee goals, and evaluation criteria and send a semi-formal summary to the EC about their evaluation criteria and methods; invite the chair of each standing program committee to present this statement to the EC; specific questions for committees include • Curriculum committee: faculty evaluation criteria, outliers, learning objectives • PEC: writing component • Admissions: • Diversity • Revisit (and revise if necessary) biannual alumni survey questions and administration, especially in light of any changes in PH and program goals • Revisit (and revise if necessary) annual student self-assessment and program assessment survey questions and survey administration, especially in light of any changes in program goals • Assess purpose of proposed student interest survey • Confirm follow through on Task Force/Crandall Committee recommendations

19. Sponsor quarterly informal feedback sessions for students • Assess evaluation process and findings of the PPH by the following groups • External advisory committee • 360 by peers? • Institutional impact • Are the evaluation processes and findings reviewed by the EC consistent with the PPH’s goals/objectives? Should the program consider establishing and evaluating short-term (e.g., 1-2 year goals)? • Are these processes, findings, and documentation consistent with CEPH expectations? • Share our recommendations with the PPH Executive Committee 0.5 Finish comparison study proposal (comparing career paths of NU MD/MPH students and NUFSM MD student outcomes ), obtain IRB approval, and initiate study

20. What we have not done: • At the request of PPH administration, develop criteria for the PPH to annually certify that each student has demonstrated a level of progress that warrants continuation in the program, based on NU Graduate School and PPH expectations • Assess evaluation process for the following PPH components (Is there an evaluation process in place? If yes, what are the findings? If no, should there be an evaluation process in place?) • Faculty experience • Academic integrity • Students • Faculty • Community engagement • Program productivity • Drop-out and graduation rate • Publications? 0.5 Finish comparison study proposal (comparing career paths of NU MD/MPH students and NUFSM MD student outcomes ),obtain IRB approval, and initiate study

21. 2009 Annual Program & Student Self-Evaluation of Core Competencies • 1st, 2nd, 4th yr MD/MPHs, all freestanding, all IGP/MPH, all PhD/MPH eligible • 68/86

23. NEWMS in Epidemiology and Biostatistics (MSEB) Program

24. Program Administration and Structure • Director • Mercedes Carnethon • Planning Committee • Rowland Chang, Maureen Moran, Karen Quintana • Steering Committee • Members TBD Fall 2009 • Joint leadership from the epidemiology (M. Carnethon) and biostatistics (TBD) disciplines • Additional members: PPH Director, Program Administrator (K. Quintana), Admissions Committee Director (TBD), 1 ad hoc faculty member

25. MSEB Committee Structure • MSEB Specific Committees (meeting frequency) • Steering (monthly) • Admissions (monthly, as needed) • Examination and Evaluation (as needed) • Relevant PPH Committees to assume responsibility for MSEB • Curriculum • Diversity

26. Mission Statement • The mission of the Masters of Science in Epidemiology and Biostatistics program at Northwestern University is to train postdoctoral and predoctoral scientists to apply current methods of epidemiology and biostatistics in conducting research on a range of health problems facing the population. Postdoctoral students will leave our program prepared to seek grant funding and faculty positions in fields related to population science. Predoctoral students will leave prepared to support ongoing research efforts by serving as statistical analysts or project coordinators. Version: Feb 25, 2009

27. Target Audience • Postdoctoral research scholars whose backgrounds are in medicine, nursing, basic science or the social sciences who wish to expand their research training in the design (epidemiology) and analysis (biostatistics) of populationstudies • Predoctoral science or research majors who are interested in supporting population science by serving as statistical analysts and/or study project coordinators

28. Recruitment Pool • Investigator track candidates (Goal 5-10/Year) • Training grant directors in the medical school • Pre-health career offices for undergraduates • Statistical Analyst track candidates (Goal: 5-10/Year) • Pre-health career offices for undergraduates • Mathematics and statistics offices • Efforts targeted towards Midwestern Universities/ Colleges

29. Proposed Curriculum • Two tracks (see attached) • Investigator track (open to pre- and postdocs) • Statistical analyst track (open to pre- and postdocs) • 4-quarter curriculum • Summer 2010 start • Electives from existing MPH and MSCI curriculum • New courses required: • “Labs” for epidemiology and biostatistics course sequence (3 quarters) • Practical issues in population studies • 2 advanced biostatistics courses

30. Timeline • Spring 2009 (ongoing) • Program and structure decisions • Preliminary material (proposed curriculum, faculty listing) to career counseling offices • Summer 2009 • Continued program development • Establish leadership and committees • Fall 2009 • Final printed materials ready • Meetings with undergraduate pre-health and math/statistics career counselors • Meetings with training grant directors

31. Timeline (continued) • Winter 2010 • Presentations with interested students at local universities • Review applications and admit students • Spring 2010 • Confirm instructors for classes • Review applications and admit students • Summer 2010 • Entering class starts

32. Goals • Aggressively market and advertise the program • Generate faculty enthusiasm by soliciting input during development • Encourage faculty to hire MSEB students for ongoing research projects • Concrete job-placement skills (e.g., SAS certifications)

33. Committee Reports: Professional ExperienceKaren Sheehan Members: Faculty:Virginia Bishop, Joseph Feinglass, William Grobman, Betty Hahneman, June McKoy, Maureen Moran, John Gatta, Rachel Story, Pablo Denes, Art Kohrman, Rebecca Wurtz Staff:Cicely Anderson, Karen Quintana, Dante Brinkley Students:Maureen Diaz, Mitra Afshari, Muthu Vaduganathan

34. Committee Reports: Professional Experience Mission: The mission of the Programs in Public health Professional experience Committee is to enable our students to have public health-relevant, safe, and productive field and culminating experiences, helping them to acquire the practical skills necessary to become effective public health professionals.

35. Professional Experience Committee Student Status • Graduated May 2009 • MD/MPH:Ruth Abaya, Joshua Evans, Kara Gleason, Eleanor Harrison Bly, Jared Klein, Michelle Lin, Rebekah Osgood, Joel Ou, Brian Patterson, Jennifer Sharkey, Usha Periyanayagam • MPH: David Eisenberg, Robroy MacIver, Parag Shah

36. Committee Reports: Professional Experience Plans • Re-examine field experience sites • If MD/MPH remains large, consider adding more sites • Establish relationships with international public health sites for FE and perhaps CE • Offer more interactive sessions about the CE process if students identify this as a need

37. Public Health and Medicine • Four week (8-12 hours) module at the end of 1st year “Patient, Physician, and Society (PPS)” • Second year with this layout; tweaked speakers and methods (e.g., SRS, recorded two lectures, no breakout sessions)

38. Objectives • Upon completion of this course, the student will be able to or will have… • State the essential functions of public health. • State what his/her medical, legal, and ethical obligations as a physician are to public health. • Describe how medicine and public health contribute to and conflict with the other. • Learned more about population medicine and cancer, injury prevention, cardiovascular disease, communicable diseases, and public health preparedness. • Met some physicians who have successfully combined public health and clinical practice.

39. Topics covered • Definitions of PH • PH’s 10 essential functions –used H1N1 epidemic to illustration • Key concepts: surveillance, incidence, prevalence, rate, prevention • Compare and contrast: medicine and PH • Your role as a clinician in PH • Your conflicts with PH as a clinician • Healthy People 2010 • BRFS, NHANES • Cardiovascular epidemiology and communicating risk to a patient • How to investigate an outbreak

40. Topics covered (cont’d) • Cancer epidemiology, specifically lung cancer and smoking • Correlations with neuroscience (folate and NTD) • Physicians’ implementation of guidelines • Communicable diseases and the importance in reporting cases to PH • Disaster preparedness and the individual physician • Injury and violence; the role of the trauma surgeon

41. Format • Large group lectures, outbreak exercise, vaccination exercise • Several readings for each week • Final exam: multiple choice and true/false

42. Specific comments • “Probably the best PPS unit,” “Awesome,” “Loved it,” “Kind of pointless,” “Why is this required?” “Dumbed down,” “I wish they hadn't been given the spot at the end of the year when no one is paying attention,” “Kinda nice,” “Interesting and useful,” “Random”

43. PHM • Successes • Speakers! • Failures • Two of the speakers had delivered the same lecture already • Discombobulation • Plans for next year • Try to figure out a way to have more small groups • Different curriculum for people who already have an MPH

44. Thanks to… • Jim Adams • Marie Crandall • Rob Garofalo • Don Lloyd-Jones • Jyoti Patel • Allison Hammer • Kathy Neely • Bob Kushner

45. Report on Delta Omega • Student Membership: • Rebecca Elizabeth Osgood, Dual MD/MPH Degree Candidate, June 2009 • Brian William Patterson, Dual MD/MPH Candidate, June 2009 • Faculty • Virginia Bishop, MD, MPH; Degree in 1992 from George Washington School of Medicine • Karen M. Sheehan, MD, MPH; Degree awarded in 1996 from University of Illinois at Chicago, School of Public Health

46. Class of 2009

47. MSEB Degree CandidatesJune 2009

48. Michael BarbozaMaster of Science in Epidemiology and Biostatistics

49. Keran LiMaster of Science in Epidemiology and Biostatistics

50. Marisa PayanMaster of Science in Epidemiology and Biostatistics