Risk Assessment is the process of correlating the amount of exposure (to a chemical, activity, or situation) with expected harm. This Department core course is primarily concerned with toxic substances to which humans are exposed through their environments, in the context of whether and how exposure to such toxicants should be controlled: risk assessment. Toxicological and epidemiological principles are used primarily to provide (uncertain) quantitative estimates of the harm associated with a given level of exposure: dose-response. Using a dose-response relationship necessitates quantifying exposure, an uncertain endeavor that relies on understanding human physiology and behavior. The quantitative estimates of harm from anthropogenic activity that risk assessment gives are just the starting point for the challenge of risk management: What do we do now?" The resulting decisions are influenced by both economic factors (e.g., cost-benefit analysis) and psychological factors (e.g., risk perception)."
What is “health,” biologically speaking? What is aging? These big, controversial questions are the subject of much debate, but the answers are crucial to everything we do in public health: what kinds of treatments and research we pursue, how we evaluate our progress, and whether we make a difference in people’s lives. The current biomedical framework is built on a reductionist view of these questions, building up the organism one molecule, cell, or tissue at a time. However, new research is increasingly showing us the interconnected nature of our biological systems, where risk factors for one disease are often risk factors for many. This course will provide a foundation in this new research, showing how it relates to old knowledge and paradigms, and using it to build a global understanding of what an organism is, how it maintains it health, and how this gets lost during the aging process. All of this will be situated within a public health perspective: how can we, as public health researchers, use this knowledge to ask better questions, to identify true risks and evaluate interventions, and most importantly to grow the health of our societies.
This course is a quantitative companion to Molecular Epidemiology (P8307) and will discuss quantitative methods and considerations needed to conduct epidemiology research involving biomarkers. Using ‘real world’ examples, this course covers topics including data accession, storage, and sharing. It includes a comprehensive evaluation of sources of biomarker data variability and how these features are handled analytically in the conduct of molecular epidemiology research. The course covers topics including how to handle values less than the limits of detection, the identification of outliers and variability due to batch effects, freeze/thaw cycles along with sources of biologic variability including urinary dilution and lipid concentration. It also discuss methods for implementing genome-wide and epigenome-wide association studies, sample and data pooling along with considerations for returning individual and aggregate-level molecular epidemiology results to study participants, scientific and lay audiences. Class activities include quantitive demonstrations and discussions. Assessment will be based on four assignments that include responses to quantitive and qualitative prompts using R-markdown.
Careful consideration is needed in the design and implementation of molecular epidemiologic studies that leverage biomarkers of exposure, disease susceptibility, disease etiology, prediction, and prognosis. This course aims to provide insight into major methodologies and logistic considerations when incorporating the use of biological specimens in epidemiologic research from concept to publication. For this purpose, we will utilize simulated laboratory experiences and a mock molecular epidemiology study for hands-on insight into the application of biomarkers in epidemiologic settings in conjunction with class discussions on published findings. Class activities include small group assignments where each group takes responsibility of designated tasks as part of a mock molecular epidemiology study and report back their activities for in-class discussion throughout the semester. This work will culminate in a final report at the end of the semester. In addition, 1-2 students in each session will be assigned to lead an in-class discussion that critically exams a published molecular epidemiology study. Students will also complete a virtual lab notebook that assesses material covered in the assigned virtual laboratory.
To begin to develop an understanding and vocabulary in relation to theatrical design with a central emphasis on the roles of scenery and costumes in telling a dramatic story.
The class will begin with a general introduction into the issues and goals of the course, after which there will be three sessions devoted to issues of scene design and three sessions devoted to issues of costume design. Shakespeare’s Hamlet will be the focus for these discussions. Over the course of these sessions, directors will be asked to gather visual research and, in the end, arrive at a concept for their production of the play.
Directors will also be asked to visit one set and one costume class so that they can see how designers are grappling with the same principles and developing different approaches to interpreting and realizing a theatrical text for the stage.
This class will focus in on how to direct opera and will cover the process of making an opera from analysing the score until the opening night. The aims are to: 1) Introduce theatre directing students to the practical differences between theatre and opera directing; 2) Equip them with practical skills and knowledge so that they could walk into any opera rehearsal room (either as an assistant or a director) and know exactly what to expect and how to manage the process; 3) Offer them techniques to strengthen their skill of interpretation or concept by guiding them to focus in on one specific opera case study; and 4) Introduce them to specialist professional practitioners, like conductors, singers and set designers, to allow them to understand the art form through the lens of the collaborators the opera director works with.
Geographic Information Systems (GIS) has emerged as an essential tool for public health researchers and practitioners. The GIS for Public Health course will offer students an opportunity to gain skills in using GIS software to apply spatial analysis techniques to public health research questions. The laboratory section of the course will give students the opportunity for hands-on learning in how to use GIS systems to analyze data and produce maps and reports. These laboratory exercises will be designed to increasingly challenge the students to incorporate the analytic skills and techniques they have learned in other courses with the geospatial and spatial statistics techniques commonly used in GIS. Guest speakers will be invited to share their real-world examples of GIS in Public Health research and practice. These speakers will include Columbia researchers and staff from government agencies or non-profit organizations.
The purpose of this course is to provide practical experience in analyzing epidemiologic data. The goal is to familiarize you with various analytic methods and their uses to answer specific epidemiologic research questions. Brief reviews of relevant statistical methods, their applications in epidemiologic research and interpretation of results will be covered step by step in this course. You will be provided with several data sets from epidemiologic (case-control and cohort) studies and will be asked to conduct analyses of these data.
TBD
This course, intended for graduate students, exposes students to some “classics” in 20th century U.S. historiography with newer scholarship that reconceptualizes the American past. Readings cover topics including labor, class and capitalism; political divides and comparative civil rights movements; race and migration; gender, sexuality, and reform; urbanization and suburbanization; health and environment; and relationships between human and non-human historical agents. Discussions of texts will build necessary skills in critical reading and understanding authors’ arguments, sources and methods, scope and style, and historiographical intervention. This course will require one oral presentation on a supplementary book; a historiographical essay on a 20th c. topic of the student’s choosing; and a professional assignment of writing either a lesson plan or lecture.
This is a semester-long course that addresses issues in adult psychiatric epidemiology. The course begins with a review of the origins of psychiatric epidemiology in several classic studies. It also describes major recent studies, presents evidence concerning the reliability and validity of psychiatric diagnosis in community studies and summarizes evidence derived from epidemiological studies that is relevant to issues of etiology. The course also covers selection into treatment, treatment effectiveness, the distribution of treatment, and social factors affecting course and role functioning.
A study of the theoretical and practical aspects of ethnomusicological fieldwork, using the New York area as a setting for exercises and individual projects.
Why are some nations able to grow and prosper while others mired in conflicts and poverty? What are the political factors that shape countries’ success in growing their economies How does economic progress affect a regime’s ability to stay in power and the prospects and direc-tions of political changes? This course addresses these questions by introducing students to major ideas and findings from both classical and cutting-edge scholarship on political economy of de-velopment. The first part of the course will review major episodes of growth (or the lack thereof) in human history and how they influenced the theoretical paradigms for studying development. The second half of the course will be devoted to more specialized topics, examining how differ-ent institutions, strategies, and contingencies affect countries’ economic fortunes. The goal of the course is to help you acquire the necessary conceptual and empirical toolkit for digesting and producing scholarly knowledge about the origins and consequences of economic development.
This course considers visual culture in Britain in the context of Black European studies. The discipline of cultural studies, which evolved in postwar Birmingham, intersected with the rise of black consciousness throughout Britain in the 1980s. How did the interactions of intellectuals and artists at this moment in the late 20th century lead to the creation of strong postcolonial theory and practice? We will consider the role of medium (particularly film and video), feminism, issues of diaspora, migration, and globalization, and the emergence of Black European Studies. Readings include texts by Hazel Carby, Paul Gilroy, Stuart Hall, and Kobena Mercer. We will look at visual production and film by artists such as Sonia Boyce, Rotimi Fani-Kayode, Ingrid Pollard, Chris Ofili, Isaac Julien, and Khadija Saye among others.
This course introduces cancer epidemiology through critical examination of assigned readings, lectures, and class discussion. Topics include the biology and molecular mechanisms of carcinogenesis; cancer risk factors, including chemical, microbial, hormonal, genetic, behavioral, and environmental factors; epidemiologic methods and study designs; and patterns of cancer incidence, mortality, and survival. The course also addresses cancer prevention, screening, and control, including issues relevant to disproportionately affected populations. The course is offered in a hybrid format, with in-person and virtual sessions held throughout the semester.
Spatial epidemiology is the study of geographic distributions and determinants of health in populations. The goal of this class is to introduce students to relevant theory and methods, in order to provide the foundational skills required to understand and critically analyze spatial epidemiologic studies. The course emphasizes spatial epidemiology as a sub-discipline of epidemiology while acknowledging the many scientific disciplines that shape it, including biostatistics, cartography, criminology, demography, economics, geography, psychology, and sociology. We begin by defining spatial epidemiology and exploring these multi-disciplinary roots, with particular regard to the theoretical causal mechanisms that provide a bridge between social and physical environmental conditions and population health. We then provide a basic overview of geographic information systems and their utility for descriptive spatial epidemiology—including data visualization and cluster detection—before demonstrating how to incorporate spatial structures within conventional epidemiologic study designs to examine associational and causational relationships between environmental conditions and health outcomes. Class readings describe advances in theory and methods for spatial epidemiology and related disciplines, as well as concrete examples of applications for communicable disease, non-communicable disease, and injury epidemiology. This course is intended for doctoral and 2ndyear MPH students.
Prerequisites: the instructors permission. Students will make presentations of original research.
This course, intended for non-clinicians with an interest in psychiatric epidemiology, is designed to familiarize students with the major psychiatric clinical entities and relevant issues concerning diagnosis, based in part on the DSM-5 diagnostic criteria. In this course, we will cover the phenomenology of mental illness by way of contemporary psychiatric theory and practice and give students heavy exposure to the process of psychiatric assessment. The course will start by introducing students to how to build a disorder from symptom bricks as well as giving students an in-depth review of clinical psychiatric evaluations. This foundation will ultimately be used through the duration of the semester as we discuss many of the major categories of mental disorders in the following weeks.
The primary objectives in this course are to gain knowledge about and to critically engage with current topics in the field of injury control and prevention, to develop research and scientific inquiry skills, and to make meaningful connections with experts in this field. In this course, we will learn from experts on four topics in the field of injury control and prevention. By the end of the semester, students will have improved their ability to interpret peer-reviewed research on current topics in injury control and prevention and will be prepared to go forward asking important scientific questions in this field, with a solid sense of what is already known and what is worthy of further inquiry and investigation. Readings will be determined by the four guest speakers based on what is relevant to their field of research.
Public health surveillance is the fundamental mechanism that public health agencies use to monitor the health of the communities they serve. It is a core function of public health practice, and its purpose is to provide a factual basis from which agencies can appropriately set priorities, plan programs, and take actions to promote and protect the public's health. This course will cover the principles of public health surveillance, including historical context, vital registration, disease reporting regulations and notifiable diseases, surveillance registries, surveillance for behaviors and risk factors, administrative data sources in surveillance, epidemiologic uses of surveillance data, legal and ethical issues, and dissemination of surveillance information.
The goals of this class are to familiarize the students with the methodological issues and design strategies used in environmental epidemiology and to develop the student's critical thinking regarding the application of epidemiologic methods. The course covers traditional approaches to environmental epidemiology such as, occupational cohorts and ecologic studies and also covers newer molecular epidemiologic approaches to exposure assessment and the analysis of gene-environment interactions. Discussions of classic environment-disease associations, such as aflatoxin and liver cancer, illustrate methodologies used to investigate the health effects of environmental exposures. Each week readings will be assigned for discussion in the following class, students are expected to be prepared to discuss the readings.
Prerequisites: the instructors permission. Students will make presentations of original research.
This intensive course offers an introduction to multiple disciplinary and cross-disciplinary approaches to the major issues defining the emergence, persistence, and transformation of the countries that once comprised the Soviet bloc. The course explores the history, politics, economies, societies, and political cultures of Russia, the non-Russian republics of the former USSR, and East Central Europe, focusing on the conceptual, methodological, and theoretical developments employed by Soviet studies in North America and related disciplines. It also critically interrogates the enduring relevance and problems posed by the widespread use of the term “Soviet legacy” in reference to contemporary features and challenges faced by the region.
The intensive nature of this course is reflected in two ways- preparation and focus. First, the course carries a substantial reading load designed to inform and prepare students for the course sessions. These assignments will mostly be academic readings, but may also include short videos, news articles, and digital archival materials. In order to use our time together productively, the lectures and discussion will build upon, not review, the assignments for the session. Each session typically will be split into 2 segments, roughly of 55-60 minutes each. Many of these segments will be taught by guest lecturers who will give 30 mins presentations on their topic and then field questions. During our limited time for Q&A students should ask single, concise questions.
Clinical epidemiology is a basic science of clinical medicine and a subspecialty of epidemiology. It is the application of epidemiologic methods to studying problems encountered in clinical settings pertaining to the causes and management of diseases and medical conditions in individual patients. The central paradigm of clinical epidemiology is that exposure and outcome patterns of the disease in different population groups can be analyzed methodically to gain scientific knowledge about the etiology, diagnosis, prognosis, safety, and effectiveness of therapeutic and other interventions. Epidemiologic methods are increasingly used in clinical investigations to provide scientific evidence for assessing clinical practice and for improving clinical decision making and outcomes. This course is designed to introduce students to basic theories, concepts, and methods of clinical epidemiology, and provide them with the necessary tools and skills to critically appraise the clinical research literature, competently design and conduct clinical studies, and appropriately analyze and interpret clinical data. This course consists of one lecture and one laboratory session per week. Students will be evaluated based on a mid-term exam, final exam, and homework assignments.
This applied course introduces students to the epidemiology of HIV infection in resource-rich and resource-limited settings. Class sessions focus on the latest approaches to conducting surveillance of HIV and AIDS; the evolving burden of HIV infection in sub-groups, including men who have sex with men, people who inject drugs, adolescent girls and older people; the development and evaluation of prevention- and treatment-related interventions across a range of settings; and the application of epidemiologic methods to understand historical and current controversies and determine best practices. Activate participation in class discussion and exercises, homework, a group presentation and a final project will be used to evaluate student progress towards learning objectives.
Malaria imposes a profound burden on public health and inhibits economic growth. It is distributed over 90 countries accounting for an annual estimate of 400 million cases and over one million deaths, most of them in children. Pregnant women are more vulnerable to malaria, resulting in infection, miscarriages, severe anemia, maternal mortality and low birth weight. Low birth weight poses the greatest risk for neonatal death. The disease also affects non-immune immigrants, refugees and displaced populations during their movement from non-endemic to endemic areas. Resistance to anti-malarial drugs and insecticides by the Plasmodium human parasites and Anopheles vector mosquitoes respectively is widespread. This course examines the ecological and epidemiological characteristics of malaria, transmission dynamics, economic costs of malaria, available intervention strategies and the global challenge of its control.
This course focuses on the branch of epidemiology concerned with how social arrangements, processes, and interactions shape the population distribution of health and disease and produce social inequalities in health. The sub-discipline of social epidemiology has grown dramatically in the past decade and, while still evolving as an interdisciplinary enterprise, it is now an established field of etiologic inquiry, both incorporating and influencing the conventional theories, methods, and principles of epidemiology. This course will familiarize students with the key theories, concepts, methods, findings, and ongoing debates in social epidemiology. Through lectures, readings, and discussion we will review the major social determinants of health, the theories and empirical evidence with respect to how social conditions “get under the skin,” and the methodological challenges involved in measuring social phenomena and making causal inferences about the relationship between social factors and health. By the end of the course students will understand the theoretical, substantive, and methodological parameters of this growing sub-discipline of epidemiologic inquiry, and be able to evaluate both its strengths and limitations.
Prerequisites: the instructor's permission. A graduate seminar designed to explore the content, process, and problems of China's political and economic reforms in comparative perspective. Please see the Courseworks site for details
In recent years, a number of infections have appeared for the first time, while many others have spread rapidly to new areas; these are termed emerging infectious diseases". HIV/AIDS, SARS, the recent Middle East respiratory syndrome coronavirus (MERS-CoV), human infections with H5N1 and H7N9 avian influenza, and a number of others are recent examples. Infectious causes have also been implicated in such chronic diseases as gastric ulcers and certain cancers. This course examines the concept of emerging infectious diseases and our current understanding of emergence. The course will consider methods for identifying and studying emerging pathogens, factors responsible for disease emergence, and methods for surveillance and intervention.
The primary objectives in this course are to learn to systematically review and summarize primary research in chronic disease epidemiology, to synthesize scientific evidence to establish causal inference, and to understand how this evidence relates to scientific decision making for improving health outcomes. In this course, we will evaluate 4 topics in the epidemiology of chronic diseases. By the end of the semester, students will improve their ability to interpret the literature on current topics in chronic disease epidemiology and will be able to evaluate how the evidence can inform health decision making and causal inference. Readings will be based upon publications highlighted in the Dean’s Seminar Series on Chronic Disease and the Department of Epidemiology’s Chronic Disease Cluster seminars.
Mental, neurological, and substance use (MNS) disorders are substantial drivers of the global burden of disease. The burden is particularly high in low-and-middle-income countries (LMIC) where over 80% of persons in need of MNS services go untreated. Yet for decades, attention to MNS epidemiologic research in LMIC was scarce relative to both psychiatric epidemiology studies conducted in high-income countries as well as infectious disease epidemiology studies in LMIC. Recently, however, the emerging field of global mental health has been recognized by international agencies, including the United Nations (via the Sustainable Development Goals) and the World Health Organization (via the Mental Health Action Plan) as major funding agencies, including NIH, CDC, and the UK MRC have followed suit in prioritizing global mental health research.
As the field has emerged, challenges in how to appropriately conduct public mental health research in LMIC contexts have surfaced. Such challenges require the appropriate application of epidemiologic methods in order to accurately measure and describe MNS problems in LMIC and evaluate and implement intervention approaches. Epidemiologic methods to be discussed in this course include: complex survey designs to measure MNS prevalence in humanitarian and emergency settings; validation of mental health screening tools in the absence of a gold standard criterion among culturally diverse populations; evaluation of MNS intervention effectiveness using experimental and non-experimental designs; novel methods for assessing clinical competency and intervention fidelity of lay mental health providers in LMIC; and implementation science tools, designs, and analysis approaches for translating evidence-based interventions into practice in LMIC.
The course is designed to complement Priorities in Global Mental Health (P6813), which provides a broad overview of priority issues in global mental health, and epidemiologic methods series courses (e.g., Quant Core Module / P6400, and Epidemiology II). The course is also designed to be practical in the sense that the intent is for students to learn the ‘how to’ of conducting global mental health epidemiologic studies in the field. Each lecture will apply a core epidemiologic method or concept (e.g., information and selection bias; survey, cohort, case-control, and RCT study designs; effect modification; and causal inference) to the field of global mental health. Through lectures, int
Seminar for students in the Social Determinants certificate program
Life course epidemiology is the study of exposures, both physical and social, that occur during the periconceptional period, during gestation or during early childhood and adult health and disease risk. This course will examine conceptual models and identify study designs appropriate for a variety of life course research questions, as well as the limitations of these designs. Understanding the approaches to the life course, the development and evaluation of epidemiologic research designs related to the life course, and the contextual models and their relevance for the design and evaluation of research studies will be covered using a combination of lectures, case studies and small group work.
This course will argue for a broader spatial history of empire by looking at sites such as frontiers and borderlands in a theoretical and comparative perspective. The course will familiarize students to “frontier thesis” to the “spatial turn” and to the emergence of “Borderland Studies” before embarking on specific monographs highlighting borderlands scholarship in a global context. Formulations of power, race, gender, and class will be central to our comparative units of historical analysis and allow us to create conversations across area-studies boundaries within the discipline.
Ethnography is often taught as a method of observation. This course begins from a different premise: ethnography is a political technology of knowledge production shaped by empire, race, capital, gender, and disciplinary power. It is also a fragile and unfinished writing practice that scholars continually remake. This seminar treats ethnography as a site of struggle over these questions: Who can produce knowledge? Whose worlds become legible? Which archives endure? What research should refuse to know? And, how writing itself organizes relations of power?
Individual work with an adviser to develop a topic and proposal for the Ph.D. dissertation.
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 advanced course builds upon foundational principles of healthcare finance and shifts the analytical focus to financial management from the perspective of health insurers and managed care organizations. Students examine how financial strategies, methodologies, and quantitative analyses are applied within the health insurance industry to support premium rate development, reimbursement design, and value-based payment models.
The cpurse emphasizes the financial and operational dynamics between payers and providers, including the economic incentives, cost-containment mechanisms, and revenue optimization strategies that influence performance across both sectors.
Through applied exercises and case-based analysis, students develop a practical understanding of how payment rates are calculated, negotiated, and structured between providers and payers. Students learn the impact to contracting decisions and profitability, network configuration, care delivery incentives, and overall healthcare affordability
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.
Resolving seemingly intractable policy issues depends on harnessing an array of strategies used by political actors. These strategies may include reframing an issue or bringing new evidence to light that stimulates new coalitions, persuading legislators that supporting a controversial measure is actually beneficial for their political career, or getting the media excited about an important, but very dry, technical policy issue. Another strategy is to change the venue in which the policy debate takes place – perhaps for example, by filing a lawsuit in state or federal courts, or bringing legislation before city government or state legislatures. As this course shows, the venue in which policy debates take place will structure the kinds of debates that are likely to occur.
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
.
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.
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.
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.
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.
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.
“Money, Politics & Law: Public Health and Abortion Policy” is a deep dive into health policy, health care finance, federalism, and regulatory and enforcement protocols through the unique lens of abortion. Public funding limitations, private insurance coverage restrictions and provider supply constraints are perpetually debated in health policy but remain critical leverage points influencing abortion care. With access alternately protected and eroded by courts, legislatures and regulators nationwide, abortion remains the single most controversial health care service in the United States. Although generally safe when performed legally and cost-effective relative to pregnancies carried to term, the future of abortion appears uncertain. Using abortion as a case study, students conduct a multi-disciplinary examination of legislative, executive and judicial branches of government in action.
In each of seven sessions, students will scrutinize facets health law and policy- from landscape view to microscopic dissection- to understand how abortion both mimics and is marginalized relative to other health care services. The course begins by exploring patterns of payment for abortion, selected abortion jurisprudence, federal statutes, key state laws and the regulatory frameworks affecting funding for abortion. How much does abortion cost? Who pays for it and how? Students focus on public financing limitations including the Hyde Amendment, Harris v. McRae and its state level progeny; private insurance coverage and coverage bans including the Affordable Care Act and implementing regulations; noninsurance based funding mechanisms for abortion services including out-of-pocket contributions, borrowed money, sliding scale negotiations, structured funds and philanthropy. Complex issues influencing the abortion provider supply including medical malpractice insurance, laws governing provision of care by non-physicians, and provider training pipelines are explored. This cutting edge health policy case study concludes by contextualizing US abortion policies among developed nations and examining abortion-related restrictions on US foreign funding.
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.
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.
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, policy and advocacy. The course includes an introduction to the principles, provisions and underlying assumptions of law, policy and rights related to public health. Students then have the opportunity to use human rights tools and principles in documentation of health-related human rights violations and formulation of programmatic and advocacy responses to violations. A wide range of issues – HIV, health problems of criminalized populations, autonomy of people living with mental disorders, racial discrimination in health services and related policy, and rights-unfriendly practices of for-profit companies – are used to illustrate the importance of human rights inquiry and analysis in public health.
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.
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 and essential pre-analysis tasks often overlooked in the research training process. These include: identifying and resolving dirty data including logical inconsistencies, and conducting simple and complex data transformations. 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 STATA in each class session. Reflecting the focus on skill building, this course includes weekly homework using STATA.
This course explores the technical and programmatic characteristics of the communicable diseases most frequently encountered in international emergencies. Discussions will focus more on the epidemiological aspects of prevention and control and how these measures can be implemented in the exceptional circumstances that surround emergencies, rather than on etiological, diagnostic, and treatment considerations, although these will be mentioned as well. Particular emphasis will be put on community-based control and evaluation activities. Political, cultural, and economic characteristics of disease control will also be discussed. Classes will mix lecture, video presentations, group discussion, and case studies.
The health of children in the United States has been largely driven by confluence of scientific discovery and policy. But decision makers do not always approach policy from a scientific approach, partly because of differening educational and experentiual backgrounds which are commonly more focused on legal, regulatory, and/or political frameworks than science. It therefore behooves those practicing public health to understand the principal governmental agencies that impact pediatric populations, their main areas of focus, and the processes used to make decisions about resource allocation. Initial sessions in this course will thereby focus on gaining an understanding of key federal and state agencies and a review of example programs focused on pediatric populations. Students will be challenged to constructively critique existing programs and policy and suggest novel ideas which have the potential to improve child health and reduce disparities. They will be taught and expected to demonstrate some of the skills necessary to make convincing arguments to those lacking a public health background but whose influence on program and policy development is nonetheless significant.
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 course is designed as an advanced seminar/workshop for 2nd year master’s students in epidemiology who are seeking to strengthen their critical thinking skills and hone their abilities to effectively communicate public health content to varied audiences, for varied purposes, through scientific writing and oral communication. This course will provide practical experiences that reinforce core epidemiology skills, including data interpretation, data synthesis, and critical analysis of epidemiologic research, with an emphasis on logic and reasoning, scientific argumentation, and effective communication. Didactic lectures/presentations and course discussions will focus on identifying and appropriately citing scientific sources; making logical scientific arguments; effective argumentation; effective writing and oral presentation skills development/enhancement; identifying challenges to effective written and oral communication and strategies to address them; skills development in the peer-review process, and tailoring scientific presentations to various types of audiences and for various purposes. Students should have a public health topic or research question of interest before the start of the semester. Students who enroll in this class can be exempt from P9419, Master’s Thesis I.
The collection of qualitative data is widespread and growing in public health research, however the credibility and quality of qualitative research rests upon utilizing systemic rigor in collecting, recording, organizing, categorizing, and interpreting qualitative findings. Focusing in particular on focus group data (though individual interview data can also be used), this course introduces a variety of approaches to qualitative data analysis, with a focus on applying thematic or framework analysis, and facilitates their application and manuscript development through hands-on group work and work outside of class.
This seven-week course explores the socio-cultural and political factors that contribute to the existence of gender-based violence and which lead to an increased occurrence of acts of gender-based violence in complex emergencies, with an emphasis on conflict zones. Students will develop a practical understanding of effective interventions for preventing and responding to violence against women and girls in different phases of complex emergencies. Specifically, students learn the conceptual framework for preventing and responding to gender-based violence and the practical framework for developing gender-based violence programming. Furthermore, students review strategies for incorporating critical elements of gender-based violence programming: coordination among humanitarian agencies; evidence-based programming; and engaging communities in programming.
Increasing demand for transparency and accountability, particularly with respect to donor-funded humanitarian programs, has heightened the need for skilled evaluators. To this end, students in this course will become familiar with various forms of evaluation and acquire the technical skills necessary for their development, design and execution through lectures and discussion, exercises, guest presentations and real-world examples. Specifically, students will discover evidence-based methods for identifying stakeholders, crafting evaluation questions, designing instruments, sampling and data gathering to achieve good response rates, analysis and synthesis of information for report-writing and case studies.
Increasing demand for transparency and accountability, particularly with respect to donor-funded humanitarian programs, has heightened the need for skilled evaluators. To this end, students in this course will become familiar with various forms of evaluation and acquire the technical skills necessary for their development, design and execution through lectures and discussion, exercises, guest presentations and real-world examples. Specifically, students will discover evidence-based methods for identifying stakeholders, crafting evaluation questions, designing instruments, sampling and data gathering to achieve good response rates, analysis and synthesis of information for report-writing and case studies.
In this course, students will learn about the disproportionate burdens of environmental contamination and resultant health disparities affecting marginalized communities across the United States and globally. The curriculum will explore the ways in which the environmental justice movement in the US has succeeded in implementing just forms of health research, progressive environmental health policies, and protections from racial/cultural injustice, as well as obstacles, policy impediments and potential paths forward. We will examine environmental health/justice theories and perspectives in the contexts of health impacts on various populations, including American communities of color and the socioeconomically disadvantaged, indigenous peoples, women and children. We will study climate change, natural disasters, urban pollution and segregation, extractive industries, and environmental sustainability. Students will be asked to critically examine these topics and also explore unresolved, chronic problems relating to environmental injustices and their health impacts.