Individual work with an adviser to develop a topic and proposal for the Ph.D. dissertation.
Traditional methods of delivering and paying for medical services have proven ineffective in improving quality of care, reducing resource use, and enhancing patient experience. This course will review the theory and empirical evidence on recent innovations in health care delivery and payment models, through the lens of economics and policy analysis. Utilizing a combination of lecture, discussion, and case studies, we will examine the impact of these models on patient health, utilization, and spending outcomes, as well as the potential for unintended consequences.
The following are examples of questions that we will consider: What innovative strategies are employers pursuing to improve the value of care that is delivered to their workers, and do these ideas hold promise for broader health system redesign? How do providers respond to the incentives imposed under alternative payment models and network designs (e.g., episode-based payment, tiered networks)? In a post-COVID-19 environment, will “convenient care” (e.g., retail clinics, telemedicine) continue to grow in popularity? What unmet needs are health care startups and nontraditional players attempting to address?
This course offers a graduate level introduction to the literature of nineteenth century U.S. history. It uses a reading list of recently published and classic texts to help students map the critical questions and debates that have shaped the field. The list is designed to represent key methodological developments, including in gender and transnational histories. Taken as a whole, the course seeks to situate the United States within the nineteenth century world and to identify the broad set of historical forces that worked to define it. The course is designed to serve as an introduction to graduate study in American history, as preparation for Ph.D. field exams, and as a place to explore potential dissertation topics.
A review of research methods from the perspective of social work research concerns. Topics include problem formulation, research design, data-gathering techniques, measurement, and data analysis. Selected aspects of these areas encountered in social work research are intensively reviewed in terms of social work research.
Large data sets provide crucial information for monitoring the health of our nation and evaluating public health policies. The principal goal of this course is for students to develop the skills to identify, process, and analyze these data to answer a specific research or policy question. The class is an applied, hands-on course that provides an introduction to several major health data sets and guides students in processing and analyzing these data. Students will hone computer and statistical skills developed in other research methods courses. Students with also gain insight into active research projects that utilize large scale health data sets via a series of guest lectures. By accessing data that measure health variables of current importance, the class provides a foundation for developing a variety of health policy research questions.
This course examines the movement to health care quality in the US, providing students with definitions of quality and a historical perspective on quality initiatives. Primary focus of the class is on quality initiatives in the past 10 years, including efforts by the Institute of Medicine, Agency for Healthcare Quality and Research, various accrediting organizations (e.g. NCQA), and employer-based initiatives such as HEDIS and Leapfrog. There will be in depth analysis of establishing and measuring the quality of health care in various organizational settings, on risk management and legal issues, and on recent efforts to link quality with pay for performance.
The current systems for the delivery of health services in the United States often fall short of addressing the health needs of many people living in the communities they cover and in so doing contribute to health status disparities. The objective of this course is to help students develop a framework to understand the needs of traditionally under-served populations and the challenges facing the delivery systems that handle these groups. This course has two major foci. The first is understanding who the “vulnerable” populations are as it relates to access to needed health services and disparities in health status. The interaction between health care systems and health care disparities will be explored. Particular attention will be paid to issues surrounding poverty, literacy, immigrant health care and several vulnerable sub-populations including gay-lesbian, homeless and prison. The second focus is service delivery for individuals traditionally under-served. This component includes an examination of organizations and provider (particularly physician)-patient relationships. Students will have the opportunity to move from the classroom to the street, observing, first-hand, several hospital and community-based arrangements.
This course is intended to provide students with the legal framework governing health care administration, management and policy. Students will analyze case law, and selected statutes relevant to health care administrators, providers, and consumers of care. Students will be exposed to the evolution of laws and the ethical, practical and political impact of laws in the management of health care institutions.
An examination of the complex and evolving healthcare and insurance system from the perspective of managed health care and insurance companies, hospital systems, IPAs, physicians, employers, patients, and pharma companies. This course will focus on the interplay among these key stakeholders. There will be four guest speakers from the healthcare industry who will help the students apply their readings and discussions to real challenges.
This course will take an in depth look at hospital finances using data from the New York area. Students will develop technical skills, learn hospital operations, and be asked to examine how structures created to optimize finance affects access to services for disparate patients across varying services.
Students will develop technical skills by creating their own excel models. Assignments will include budget and staffing models; financial plan projections; and cash-flow forecasts.
Students will also be asked to participate in a course long group research project that evaluates the nexus between healthcare reimbursement policy and access to services.
See CLS Curriculum Guide
Managing professionals is crucial to the success (or failure) of health care organizations because the provision of services primarily relies on human decision-making and interaction. Health care professionals determine the level of quality as well as the costs associated with health care services directly or indirectly. The goal of this course is to introduce students to the functions and issues associated with managing human resources in health care organizations through in class exercises and outside of class assignment that demonstrate the human resource challenges that graduates may face as health care executives in the future. Significant attention is given to: 1) workforce issues, 2) understanding legal issues related to the employment setting, 3) selection and retention of employees, 4) establishing performance standards and evaluating performance, and compensation, and 5) understanding the use and effects of monetary and non-monetary incentives in human resources management in the United States and globally.
This course will provide an overview of the history of mental health policy in the United States, the nature of mental illness and effective intervention, and the elements of mental health policy. We will discuss the components of the mental health service system, mental health finance, the process of policy making, population-based mental health policies, and mental health in health policy reform. Students are expected to be able to understand the range of mental health illnesses/populations, to explain the concerns about quality, access, and cost of mental health services as well as the workings of policy mechanisms such as financing as they are applied to mental health. They are also expected to understand mental health policy considerations in current health care reform debates.
What should the world do about climate change? This is a normative question. Answering it requires an understanding of the science and impacts of climate change, of the technological options for addressing climate change, and of the economics and ethics of pursuing these options. Why does the world say that a lot must be done about climate change, but fail to do what is needed to achieve this goal? This is a positive question. Answering it requires an understanding of politics, international law, international relations, and game theory. Finally, how can the world do better? This is a question of strategy. Answering this question requires all the tools listed above, especially game theory. All three questions lie at the heart of climate policy and diplomacy. By the end of this course, students will not only be able to answer these questions, but to have made a start in designing a more promising approach to limiting future climate change.
This course examines one of the most significant but relatively recent developments in the healthcare market place: the trend toward increased consolidation of healthcare providers into larger practices and into vertically integrated delivery systems, as well as the parallel trend toward consolidation of health insurance companies into fewer, but much larger entities. It will draw upon economic theory, empirical research, and health policy and economic analysis to explore the implications of these developments, coupled with other emerging trends, on healthcare market competition, prices, profits, expenditures, and consumer welfare
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In this course we explore constitutional law through the lens of public health policy. We examine the relationships and tensions between individual and collective concerns. We evaluate public health issues from an American legal perspective to determine the constitutional soundness of the health promotion objective. In this course we consider multi-disciplinary factors and how they interact with issues of federalism, morality, economics and the politics of science. Readings include case law and related legal materials, in addition to writings by public health practitioners, historians, sociologists, economists and philosophers. Core topics include, among others, constitutional law and major constitutional cases relating to public health, economic analysis in law, tort litigation in public health, historical public health law perspectives, health promotion campaigns, property regulation, privacy protection, various case studies including immunization, civil commitment, infectious disease, tobacco policy and abortion law. Guest speakers provide additional current perspectives from practitioners.
This course covers the broad scope of preconception, prenatal, and postnatal care including theoretical and practical knowledge for the essentially uncomplicated childbearing period. Routine care, risk assessment, and commonly encountered complications will be reviewed with a strong focus on the physiological, social, emotional, and educational components of preconception, prenatal, and postnatal care.
This independent study in PMH is designed to provide an opportunity for students to be mentored in their exploration of a topic of their choice in the area of psychiatry. Students are required to develop a focus for their study, followed by a thesis statement, outline, and literature review. Students may present an annotated literature review or a brief paper (3-5 pages) as their completed project.
This is a year-long elective course sequence required for Behavioral Health Workforce Education Training (BHWET) interns. The purpose of the seminar is to provide students with enriched educational, training and career development opportunities focused on interprofessional practice, assessment of violence and trauma focused cognitive behavioral techniques. Over the course these 3 semesters, students will gain proficiency in evidence-based methods of trauma informed care, understanding the short and long term consequences of violence and other forms of trauma, and assess for the impact of trauma on well-being and rehabilitation. Didactic, experiential, and simulation training will be made available to enhance participation and learning. Students will gain an understanding of the role of the interprofessional behavioral health team and their individual contributions and therapeutic modalities. At the end of the course sequence, students will be prepared to meet behavioral health needs in varied settings across the life span.
Strategic Planning for Health Insurance Plans is designed to provide students with a broad and deep understanding of safety-net health insurance plan operations and management. Students will have the opportunity to manage plan finances, set benefit designs, and establish actuarially sound premiums, all while operating within the constraints of the Patient Protection and Affordable Care Act. In a very abbreviated period of time, student will be completely immersed in real-world situations where they will be forced to make appropriate decisions which will either sustain or submerge the health plan. In addition to expanding their knowledge base about the health insurance industry, students will enhance their competency develop in a number of areas including analytical thinking, strategic orientation, collaboration, and communication. The 21 hours of course work will contain a blend of lectures, class work and a group project. Students will be evaluated on class participation (20%), learning reviews (quizzes (30%), and a group project (50%).
This course has two overall goals. The first is to increase your effectiveness in understanding and managing individuals and teams in health care organizations. The course’s second goal is to prepare you to effectively design organizations. Effective managers not only must lead individuals and teams: they also must ensure that their organizations are well-designed to deliver the results that their strategies promise. This entails developing knowledge and skills to analyze key issues in organizational structure, power and politics, culture, and change.
The course combines conceptual and experiential approaches. We draw on several sources of knowledge to accomplish course objectives: (1) conceptual frameworks and research findings from the social sciences; (2) case studies; (3) roles plays, videos and exercises; and (4) your own work and personal experiences. The class will be highly interactive, and active participation in discussions is expected.
The course selectively surveys ideas and frameworks from the social sciences and explores their implications for leadership and managerial practice.
This course is designed to prepare students for evaluating and treating the running athlete. This course includes an overview of foot and ankle mechanics, lower quarter strength and flexibility examination, application of the Functional Movement ScreenTM, and use of Video Analysis to identify relevant pathomechanics observed during running. Students are introduced to the clinical setting by evaluating patients in the context of a simulated running clinic, prior to participating in the student-led, Columbia RunLabTM clinic. Here they engage in clinical reason discussions and advise runners on exercise programs and improvements to running form. Students participate in training sessions required for the clinic including HIPPA and Blood-borne Pathogens training.
This course is designed to prepare students for evaluating and treating the running athlete. This course includes an overview of foot and ankle mechanics, lower quarter strength and flexibility examination, application of the Functional Movement ScreenTM, and use of Video Analysis to identify relevant pathomechanics observed during running. Students are introduced to the clinical setting by evaluating patients in the context of a simulated running clinic, prior to participating in the student-led, Columbia RunLabTM clinic. Here they engage in clinical reason discussions and advise runners on exercise programs and improvements to running form. Students participate in training sessions required for the clinic including HIPPA and Blood-borne Pathogens training.
Over the semester, the course considers questions of Mission and Vision (What areas, activities, or business(es) should we be in?") and questions of Strategy and Operations ("How can we perform or compete effectively in this area?"). It covers both strategy formulation ("What should our strategy be?") as well as strategy implementation ("What do we need to do to make this strategy work?"). The course also addresses several additional issues that are critical to the strategic management "process" (e.g.. designing planning systems, managing contention). The course emphasizes the multiple, related requirements of the leader/manager's job: analysis, creativity, and action.
Students apply advanced strategic frameworks and concepts to real-world, complex, strategic problems involving multiple healthcare sectors, institutions, players and/or disciplines/functions. Specific objectives include: the ability to conceptualize and model a complex, multi-faceted, multi-player healthcare strategic challenge in simple language and in a coherent framework that supports analyses and resolution; a deepened understanding of the inherent complexity and interdependency of the major challenges--economic, political, strategic, and operational--facing the healthcare industry and specific sectors, institutions, and players within the industry; the ability to apply strategic analysis and other curricular concepts and tools and field work experience to complex healthcare industry/management problems; the ability to think critically about issues, perspectives, and potential strategic options, using sophisticated analytical and problem-solving tools and informed judgement to formulate recommendations for presentation to senior healthcare executives and policy-makers; : the ability to formulate a set of strategic options--addressing the multiple health industry players and interconnected challenges--for consideration;
the ability to critique a number of strategic options available to a health industry/healthcare executive team (or multiple, interconnected teams) and conclude which sets of options may be optimal given internal institutional competences and external political, policy, and economic realities
Directing a public health non-profit requires knowledge of a variety of diverse content as well as organizational skills. This class will focus on leadership, facilitating change, human resources, strategic planning, grantwriting/fund-raising and assessing program effectiveness that public health professionals working as managers encounter on a regular basis. Students will have the opportunity to develop strategies for responding to daily management situations. The goal of the class will be to provide students an experience that will directly translate to working in public health organizations.
Health care quality management involves both the evaluation of quality and its improvement. The course will begin with the study of various methodologies for evaluating quality, including techniques that measure aspects of the structure, process and outcome of care, as well as levels of satisfaction. Then we will look at systems that take the results of these measurement techniques and apply them in strategies to improve quality. Once we have covered methods for both measuring and improving quality, we will examine how they are applied in two of the most common settings: hospitals and managed care organizations.
In recent years, entrepreneurship has gained enormous popularity, even becoming accepted as a means to address pressing social and environmental issues. A significant percentage of our economy is now based on small businesses, and an entrepreneurial career is more likely and possible than ever before. Even in a more traditional corporate career, entrepreneurial skills can serve a manager well as companies that see out new opportunities. The benefits of entrepreneurship are abundant: the creativity to grow and manager your own business, the freedom of time, the potential to accumulate significant wealth and the possibility of making the world a better place. How does it happen? How can we take an idea and a blank piece of paper and transform them into an operating business with customers, cash flow and profits?
This course will break the process into discernible steps and skills. It will teach skills in opportunity identification and evaluation as well as an understanding of the steps and competencies required to launch a new business. The focus will be on scalable businesses that are large enough to attract professional investors.
Utilizing a background in basic physical assessment, advanced practice nursing students apply the didactic content introduced in N8786 to this clinical practicum. Advanced physical assessment skills and the identification of abnormalities in the physical exam and appropriate documentation are emphasized with a focus on the ability to integrate systems appropriately. The complete pelvic exam is included. As well as complete male genital exam.
The Pivot_Professional Development is required for full-time MHA and MPH degrees in the Health Policy & Management (HPM) department. It is one component of the Professional Development Program (PDP), a comprehensive, co-curricular effort aimed at developing personal and professional skills to prepare students to enter the workforce successfully and to begin to develop necessary skills to be successful in their careers. The course will meet over three semesters for a total of 1.5 credits. Semester one will focus on self-discovery and personal branding, semester two will hone in on building skills to get your practicum and succeed in your practicum, and the third semester will largely focus on the full-time job search and the first 90 days on the job. Pivot will be complemented by Practicum Day, mock interviers, data software workshops and Career Service seminars.
The two main goals of this course are to develop skills needed to shape your professional self and develop the skills to find and thrive in a job. This course will help you achieve these goals by providing the tools to: (1) develop a professional persona (2) sharpen professional communication (3) collaborate effectively as a team member and (4) clarify career objectives.
The Pivot_Professional Development is required for full-time MHA and MPH degrees in the Health Policy & Management (HPM) department. It is one component of the Professional Development Program (PDP), a comprehensive, co-curricular effort aimed at developing personal and professional skills to prepare students to enter the workforce successfully and to begin to develop necessary skills to be successful in their careers. The course will meet over three semesters for a total of 1.5 credits. Semester one will focus on self-discovery and personal branding, semester two will hone in on building skills to get your practicum and succeed in your practicum, and the third semester will largely focus on the full-time job search and the first 90 days on the job. Pivot will be complemented by Practicum Day, mock interviers, data software workshops and Career Service seminars.
The two main goals of this course are to develop skills needed to shape your professional self and develop the skills to find and thrive in a job. This course will help you achieve these goals by providing the tools to: (1) develop a professional persona (2) sharpen professional communication (3) collaborate effectively as a team member and (4) clarify career objectives.
This course will introduce the student to the epistemology and scholarship of practice and to lifelong learning. Using the DNP Competencies in Comprehensive Care as the framework, students will analyze clinical decision-making and utilization of evidence for best clinical practices in a variety of mental health settings. Individual plans for guided study will be mapped for each student. Clinical review and discussion of interesting, complex cases from the practice environment will facilitate the students’ development of the knowledge base and skills essential to the role of the psychiatric nurse practitioner.
This graduate seminar encourages students to take up the challenge of doing historical work on social movements from the late 18th century until the present. During the past two decades, mobilization from different points in the political spectrum, including the Occupy Movement, the Movement for Black Lives, and right-wing movements, among other impactful mobilizations, has vividly illustrated the impact of social movements on the shaping of political struggles. Moreover, activists in these movements have served as knowledge producers that have defined, sharpened, and propagandized understandings of exploitation, displacement, and justice in the past and present. This course invites students to explore the impact of social movements within a national and transnational context. Although the class will begin in with the period of slave resistance during the era of the Haitian Revolution, the bulk of the seminar will focus on 20th century movements. Abolitionism serves as a framing device for the course, given its historic importance in the ending slavery and its current iteration as an objective for many of the movements to be explored throughout the semester. Moreover, the seminar also examines how right-wing movements have co-opted and transformed the tactics and strategies of progressive movements. The central questions of the course are: what is/was a social movement? How can historians document and historicize their emergence and impact? How have historians sought to engage with these movements, including those that promote authoritarian rule? How can activist scholars harness their research and expertise in the interests of progressive social transformation? In our age of resurgent xenophobic nationalisms and crisis for liberal conceptions of democratic governance, the need for innovative historical research on social movements is as urgent as ever.
This course provides an advanced, critical analysis of the delivery and payment of healthcare services in the U.S. with a specific focus on actions innovative healthcare providers and health insurers are
taking to improve the quality of patient care, manage the escalating costs of providing such care, and enhance business performance. It will analyze the attractiveness and feasibility of new approaches to address the challenges facing providers, payers and patients operating in an inefficient, misaligned, and fragmented healthcare system. Particular focus will be given to the impact of the 2009 HITECH Act as well as the Affordable Care Act (ACA) of 2010. There will be guest lectures by a variety of major leaders in healthcare business and policy. The course will be useful for students interested in careers in health system management, health insurance, HCIT, healthcare consulting & banking, private equity, investment management, health policy, entrepreneurship in the healthcare services sector and pharmaceuticals, medical devices & diagnostics.
Health in the United States has been on the decline for decades. From 2014-2017, life expectancy declinedand then returned to 2010 levels. This is a phenomenon that has only previously been seen with catastrophic epidemicsor with massivesocio-political disruptions.Other nations have the luxury of both declines in birth rates andwith ever-increasinghealth andlongevity. These trendsmay taxpension fundsand health systemsas the population ages, but it is a good problem tohave.Immigration brings healthy, younger workersto the workforceand more taxpayersand consumersto theoverallpopulation.In poor nations, reduced immigration also reducesremittances, allowing families to afford luxurieslike childhood vaccines and anti-diarrheal medicines.In this seminar, we will try to figure out what is wrong with the United Statesand line up policies to fix these problems. We will certainly look to other countries for solutions. But mostly, we will try to come up with our own, home grown ideas.
This course will explore the complex and evolving relationship between food, public health and social justice. It will provide a context to understand the historical, behavioral, cultural and environmental impacts on access to food, and its integration with population health and the health system. Students will make connections between the food system, public health, and the development and implementation of health policy. Students will translate course material into a practical exercise by designing and implementing a community food and public health project. Food intersects with public health on many more issues than most people imagine.
For students who wish to acquire further knowledge and research skills in areas of special interest. Tailored to the particular needs and interests of individual students, they can take many forms - literature reviews, research projects, field experiences, other special studies, or learning experiences. The objective is to enrich the students program.
This course is designed to integrate foundation skills and strengthen the student's clinical practice in a variety of psychiatric mental health settings. The practicum is the first of two consecutive courses. Expectations of the clinical experience are direct patient contact (assessment, diagnosis, and treatment including medication management) and therapeutic interaction with staff, families, and systems. The student will develop a knowledge base and skills essential to the role of the advanced practice psychiatric nurse practitioner. Details of the practicum will be coordinated with the agency by faculty in line with courses objectives, agency objectives, and student education goals.
This course is an introduction to the history of the Native peoples of North America. Instruction will focus on the idea that indigenous people in North America possess a shared history in terms of being forced to respond to European colonization, and to the emergence of the modern nation-state. Native peoples, however, possess their own distinct histories and culture. In this sense, their histories are uniquely multi-faceted rather than the experience of a singular racial or ethnic group. Accordingly, this course will offer a wide-ranging survey of the Indigenous history of North America with a particular focus on the encounters between the Native peoples or nations of this continent and the European empires, colonies, and emergent modern nation-states attempting colonize their homelands. This course will also move beyond the usual stories of Native-White relations that center either on narratives of conquest and assimilation, or stories of cultural persistence in the face of a dominant Euro-American culture. We will take on these issues, but we will also explore the significance and the centrality of Native peoples to the historical development of modern North America. Rather than thinking along a continuum of conquest and resistance we will explore Indigenous history through the lens of survivance, the active presence and continuance of Native stories, cultural adaptation, and history making. This will necessarily entail an examination of race formation, and a study of the evolution of social structures and political and social categories such as nation, tribe, citizenship, and sovereignty which continue to define and shape the lives of Native peoples in the present day.
With the Middle East and other regions of the world in political turmoil, and with the frequent occurrence of natural disasters and deadly epidemics, the demands on and the stakes involved with humanitarian aid in health grow steadily higher. Yet both historical and recent political and scientific controversies abound regarding how it should be planned and delivered. In this course, students will explore some of the most salient of these controversies and review concrete cases of intervention from Africa, Asia, the Americas, the Middle East, Europe and former Soviet Union. The twin objectives of the course are to provide students with: 1) a rigorous understanding of current policies and approaches to humanitarian aid in health, and 2) the analytical tools and historical perspective to participate, as public health professionals, in the field’s renewal. The course will be provided through a mix of lectures, discussion and debates. Major international UN and NGO practitioners will be invited to participate in the debates and a United Nations Headquarters tailored site visit will be organized.
Pedagogy of Sexuality Education will provide students with the background and skills they need to design, implement and evaluate effective sexuality education interventions. The course will emphasize teaching methodology for working with groups, and students will learn both theories of behavior change and techniques for influencing the key determinants that are relevant in encouraging sexual health. Further, all students will learn strategies for facilitating group learning, responding to the needs of students of various ages and developmental stages, and ways to engage parents. The course will include designing and delivering lesson plans and receiving substantive feedback from the other course participants and the instructor. The course will analyze emerging digital approaches to sexuality education and ways to translate what has been learned about effective in person sex education into digital strategies. We will also cover techniques for working effectively within tight time constraints and preventing controversy. The context in which young people are learning about sexuality as well as current dominant cultural scripts about sexuality will be examined.
This 8 week course, during the fourth term of the DPT curriculum is the first of two courses on cardiopulmonary physical therapy. This course provides extended exposure to normal physiology and pathophysiology of the cardiovascular system.
Exploration of pathophysiological changes of the cardiovascular system and of evaluative techniques for identifying these changes will provide the student with knowledge critical to decision making in contemporary clinical practice. The course will cover examination, evaluation, diagnosis, prognosis, intervention, and outcomes for patients with various cardiopulmonary disorders. This course will be given in a hybrid-learning format consisting of asynchronous on-line video lectures, as well as in person classroom and lab time for higher-level activities to solve problems and apply what has been learned outside the classroom to new situations. Students will need to prepare before a class session and then apply what was learned in face-to-face class meetings.
This 10 week course, during Term 7 of the DPT curriculum is the second of two courses on cardiopulmonary physical therapy. This course provides extended exposure to cardiac and thoracic surgical interventions, their physical therapy, an understanding of medications, ventilators and pacemakers.
Exploration of pathophysiological changes of the cardiovascular system and of evaluative techniques for identifying these changes will provide the student with knowledge critical to decision making in contemporary clinical practice. The course will cover surgical interventions for cardiac and pulmonary diagnosis, including transplant and ventricular assist devices. Medications and support (ventilators) will be discussed and the implications to PT care explored. This course will be given in a hybrid-learning format consisting of asynchronous on-line video lectures, as well as in person classroom time for higher-level activities to solve problems and apply what has been learned outside the classroom to new situations. Students will need to prepare before a class session and then apply what was learned in face-to-face class meetings.
The class explores how laws, policies, and rights function to shape public health, with particular emphasis on the implications of this interaction for rights-based approaches to health programs and policy. After introducing the principles, practices, and underlying assumptions of law, policy, and rights, the class offers students the opportunity to use human rights tools in documentation of health-related human rights violations and formulating programs, policy responses, and advocacy strategies to violations. A wide range of issues - sexual and reproductive rights, HIV/AIDS, health problems of criminalized populations, the intersection of the environment and health, and others - are explored to illustrate the importance of sustained human rights inquiry and analysis in public health.
This is one of two consecutive seminars designed to introduce the DNP student to the fundamental principles of pediatric primary care. The focus of this course is the development and application of critical thinking, clinical reasoning, and introduction of the CUSON DNP Competencies as essential components of the PNP role. Utilizing case scenarios representing pediatric acute and chronic disease processes students will begin to analyze clinical decisions and apply evidence for best practice.
This is the third in a series of four courses on orthopedic physical therapy. This course emphasizes differential diagnosis, clinical decision-making, and development and implementation of a plan of care for patients demonstrating musculoskeletal dysfunction of the upper extremities.
This course applies the Patient Management Model to musculoskeletal conditions associated with the upper extremities. Examination, intervention, progression and outcome assessment of the upper extremity is linked with diagnostic imaging and conservative and surgical management. Interventions integrate joint and soft tissue manual therapy techniques with therapeutic exercise. Emphasis is placed on clinical decision-making and evidence-based practice in individuals with orthopedic conditions. Exercise applications that are utilized throughout lifespan that address identified impairments; activity and participation limitations are emphasized. Students will apply clinical decision-making strategies to practice, design, modify and progress exercise programs with proper biomechanical alignment and proper muscle balance for optimal performance. This course will be given in a flipped hybrid-learning format consisting of synchronous classroom time, synchronous small group team meetings, asynchronous on-line video lectures. The active learning strategies facilitate “thinking on your feet.” Students will need to prepare before a class session and then apply what was learned in face-to-face class meetings as well as the video lectures.
A hands-on graduate seminar to investigate the technical and stylistic revolution that occurred in Japanese ceramics around 1600. Topics to explore will include: the legacy of medieval ceramics, especially the “six ancient kilns” (rokkoyō); the role of the arts of tea (chanoyu) as a catalyst for technical innovation and stylistic invention; intraregional commerce in Japan and objects imported from China, Korea, and Southeast Asia; the role of modern archaeology; and the question of transmateriality, or whether and how the related arts of painting, lacquer, and textiles affected the conception and design of clay objects. We will conduct regular visits to local public and private collections throughout the semester to examine objects firsthand. Reading knowledge of Japanese strongly recommended.
This course will examine key issues in sexual and reproductive health and development over the life span. The issues included will represent positive as well as the more typical negative sexual and reproductive health outcomes and experiences. The examination will illustrate how issues in the field are often viewed as fitting with the reproductive health (RH) or the sexual health (SH) “box” and how a more integrated perspective would enhance our research questions, findings and policy/programmatic responses to these issues. It will also focus on gender, sexuality and sexual orientation, class and race/ethnicity as key intersectionalities that affect SRH outcomes and development.
This 8-week course during the fourth term of the DPT curriculum is the first of a two-part series which applies the Patient Management Model to adults with neuromuscular conditions, in particular acquired brain injury disorders, stroke, and traumatic brain injury.
Examination, intervention, progression and outcome assessment for stroke and traumatic brain injury disorders are linked with diagnostic imaging and management via medical and surgical methods. Emphasis is placed on clinical decision-making and evidenced-based practice in individuals with neurological conditions.
In this course you will learn to develop and implement a quantitative data analysis plan and to interpret the results of quantitative analyses using datasets from actual evaluation studies. The early phase of the course will focus on necessary but essential pre-analysis tasks often overlooked in the research training process. These include: Data entry, data cleaning, and data transformation. The second half of the course focuses on conducting bivariate and multivariable statistical tests. This is an applied course, emphasizing skill building through hands-on work using SPSS in each class session. Reflecting the focus on skill building, this course includes weekly homeworks using SPSS.
Child mortality has steadily declined over the last century. In 1918, approximately one in three children died before the age of five. Today, that number is one in twenty. Global progress is however marred by tremendous disparities, and much more progress is possible. Students in the course will learn about the conditions that affect children in high-mortality settings; review the evidence base for major child survival interventions; and examine the practical issues related to their implementation. Students will look at these issues from a global, national, and program perspective, ranging from the impact of global policies, to the track record of national strategies, to key program management skills they will need to be effective. These skills include monitoring, evaluation, communication, cross-cultural understanding, leadership and human resources. Students will also learn about relevant cross-cutting areas of knowledge, such as health systems, community health, child development, crisis settings, aid effectiveness, inequality, and power dynamics.
This graduate-level course examines the study of Brazilian history from the first contact between the Portuguese colonizers and the region’s Indigenous inhabitants to the present, in its hemispheric, Atlantic, and global contexts. We will be reading works of history that were produced by authors who themselves are from Brazil, giving us the chance to reflect on the formation of Brazil’s immensely rich, distinctive historiographical traditions. Throughout the semester, we will be reading and discussing scholarship that familiarizes students with major themes in the study of Brazilian history and the country’s intellectual traditions and mutual influences in other parts of the world; this scholarship also raises questions, implicitly and sometimes explicitly, about what it means to examine a nation’s past, and about what distinguishes the postcolonial period from earlier moments (and what calls such conventional watersheds as independence and other political transitions into question). Our readings and in-class discussions broadly survey the entire sweep of Brazilian history. We will, however, take advantage of the recent florescence and global influence of Brazilian historiography in such subfields as: the study of slavery and post-abolition society; innovative approaches to labor history; studies of authoritarianism and dictatorship; nineteenth- and twentieth-century liberalisms; citizenship and exclusion; human rights and justice; divided cities and urban shantytowns; and the critical study of historical memory and patrimony. Over the course of the semester, our coursework will be accompanied by a series of optional academic and cultural events related to Brazilian history on our campus at Columbia and in the New York City area.
This course is primarily designed for doctoral students, but those enrolled in MA programs or in the professional schools may register with the instructor’s permission. All required readings will be in English, and there are no prerequisites.
It is estimated that two-thirds of deaths worldwide are attributable to non-communicable diseases (NCDs), with cardiovascular disease, cancer, diabetes mellitus, and chronic lung disease comprising the largest burden of NCDs. However, chronic diseases, including NCDs, have until recently received little attention in humanitarian settings, leaving prevention, care and treatment needs largely unaddressed among some of the most vulnerable populations. The rising numbers of refugees requiring health services, the protracted nature of modern displacement, and the changing demographics of populations living in fragile states have created compelling new health needs and challenges. It is unclear what chronic disease interventions are effective and feasible in such settings, how best to deliver them, and how well interventions are adhering to clinical best practice. As a result, there are increasing calls for a better understanding of chronic diseases and their interventions in humanitarian settings and protracted crises.
This course will introduce students to an overview of chronic diseases in protracted crises, including armed conflict and political instability. The course will utilize a combination of lectures, case studies, interactive class discussions, small group exercises and presentations by expert practitioners. Chronic diseases that will be explored include cardiovascular disease, diabetes, cancer, chronic respiratory disease. This course will also address chronic disabilities, HIV, tuberculosis and mental health within the spectrum of chronic diseases. An emphasis will be placed on understanding the contextual factors (including forced migration, natural emergencies, armed conflict, political instability and fragile states) that constrain the response to chronic diseases. Using a social and political determinants of health framework, students will gain an understanding of the main topics related to chronic diseases, including access to health care and the health care system, and case studies examining strategies and interventions for promoting health and health outcomes. The needs of vulnerable population sub-groups, including women, children, older persons and forced migrants will receive particular attention in each session. Students will be equipped with both the knowledge and skills to develop and evaluate a program to address chronic diseases, adapted to specific contexts and integrated into national and global humanitarian response systems.
Class participants will be offered both a didactic experience and hands-on field exploration of the evolving public health mission and role of schools as an organized network for health education, medical care, and civic involvement. While the emphasis will be on the existing models of School Health available in the local urban New York area, students will also explore alternate school health models in rural, national, international, and global settings. This class is designed for MPH candidates from all departments who are looking to complete their graduate school experience through the integration and application of their skills sets with practical program experience on the field. Participants will work as a group with a community school to plan and develop a project proposal for funding and implementation. Students will interact with various local agency and community players in both the education and school health fields. This course will also expose candidates with an interest in school health, child health, health education and health promotion to local agencies and non-profits directly involved in education and school-related public health services.
This is the second of three consecutive seminars designed to build upon knowledge from DNP Seminar I with a continuation of focus on clinical decision making and evidence-based practice for the provision of primary care to the pediatric patient across settings. Utilizing the clinical encounter format and CUSON DNP Competencies in Comprehensive Care as a framework, the student will analyze clinical decisions, appraise, and apply evidence for best practice using patient cases from practicum.
This 8-week course during the second year of the DPT curriculum, is the first of a pair of courses on orthotics and prosthetics in physical therapy. This course presents information on the types, components, and appropriate prescription of orthotics in the management of patients. Principles of biomechanics will be utilized to understand the application, evaluation, and prescription of orthotics in the context of patients/clients with musculoskeletal and neuromuscular dysfunctions of the trunk, upper- and lower-extremities.
The course will introduce and expand students’ knowledge of orthoses used in physical therapy for upper-extremity, lower-extremity, and trunk dysfunctions. Emphasis will be placed on applying biomechanical principles, the available evidence base, and clinical evaluation and management considerations underlying the clinical decision-making of orthotic prescription and clinical care for individuals with range of orthopedic and neurologic dysfunctions. Particular attention will be paid to developing gait assessment skills to allow evaluation of gait abnormalities that can be affected with orthoses. This course requires development of clinical problem-solving skills to determine orthotic solutions and a comprehensive plan of care.