This course explains the toxic effects of chemicals (including drugs and other agents) on living organisms. An overview of the history, principles, mechanisms and regulatory applications of toxicology is provided. Also, the absorption, distribution and excretion of toxins are described. The toxic effects of chemicals (including cancer) on the digestive (liver), respiratory, cardiovascular, nervous, hematopoetic, immune, dermal, urinary, endocrine and reproductive systems and development forms the major portion of the course. Members of chemical classes such as solvents, metals, pesticides, air pollutants (sulfur dioxide, nitrogen oxides and ozone), radiation, plants, fungi, venoms and pharmaceuticals are used as examples. Environmental toxicology form the primary emphasis, but aspects of occupational, food, pharmaceutical and clinical toxicology are also included.
An optional addition hour for credit is provided for those students needing a background in anatomy, histology, chemistry, biochemistry, cell biology, and the normal physiology of the digestive (liver), respiratory, cardiovascular, nervous, hematopoetic, immune, dermal, urinary, endocrine and reproductive systems.
Prerequisites: G6215 and G6216. Open-economy macroeconomics, computational methods for dynamic equilibrium analysis, and sources of business cycles.
How should society regulate environmental health risks? Some argue that the health of the citizenry is paramount, and that the role of government should be to protect against any possibility of harm. Others back an approach based on a full accounting of the benefits and costs of environmental protection. And in the current political environment, ideological positions sometimes eclipse analysis. These debates occur against a backdrop of uncertainty about the health risks posed by specific environmental insults. In spite of all this ambiguity and complexity, policy happens: congress makes laws, regulatory agencies enforce the law, and most polluters comply.
In this class we will study several frameworks for thinking about these questions. Environmental economics, in the form of benefit-cost analyses, is the primary framing used by the US Federal Government. We will explore its conceptual foundations and its applications in the US regulatory context. In our discussions of the sociology of science perspective, we will examine how environmental health scientists interact with the policy process, and think through how such interactions might be improved. The third perspective is decision theory, and in particular, choice under uncertainty. We will consider the basic analytics of expected value, and some permutations and applications that are germane to the environmental health policy domain. In addition to these conceptual frameworks, we will analyze and interpret cases drawn from recent experiences with environmental health regulation in the United States.
This course is designed to introduce Mailman students to core frameworks for thinking about environmental health policy. The course is open to all students.
Science Basic to Public Health Practice (SBPHP) is a 3 credit, one semester course designed to provide students with a better understanding of the science underlying topical issues vital to public health. In past years, this class has examined scientific support (or not) for legislative and policy decisions concerning the potential human health effects related to exposure to bisphenols, UV and low-dose ionizing radiation, mercury and other heavy metals, GMO foods, alternative energy sources, or talcum (baby) powder. In addition to case studies such as these, the course provides a basic introduction to the biochemistry, cell & molecular biology, genetics and toxicology surrounding carcinogenesis, neurotoxicity, endocrine disruption and damage to specific target organs and tissues. Students in this course are often drawn from a cross-section of different educational and scientific backgrounds including the Schools of Public Health, Physicians & Surgeons, Journalism, SIPA and Law. The diversity of backgrounds provide for vigorous discussions from various perspectives and enriches the student experience. In essence, this course is designed for and appropriate for any student interested in gaining a clearer basic science understanding of the biological processes underlying current public health concerns.
Constitutive equations of viscoelastic and plastic bodies. Formulation and methods of solution of the boundary value, problems of viscoelasticity and plasticity.
Through the process of developing, pitching, researching, and writing a treatment for a documentary short, students will develop an overview of the documentary process from development through distribution. The course will touch on research, story, production and post production logistics, legal, financing, budgeting, distribution, and ethical issues in the creation of documentary films.
This class, will primarily focus on the challenges of interpreting and performing Shakespeare.
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)."
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.
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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.
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Methods used in cancer epidemiology are critically examined through weekly assigned readings, lectures and class discussion. Topics covered in this course include molecular and cellular biology of cancer, basic mechanisms of carcinogenesis, and the roles of chemical, viral, hormonal, genetic and nutritional factors in human cancer. The natural history of cancer analysis of time trends in cancer incidence, mortality, survival and geographic distribution are also examined. Screening and treatment issues will be discussed.
Prerequisites: the instructors permission. Students will make presentations of original research.
Tech Arts: Advanced Post Production covers advanced techniques for picture and sound editing and the post production workflow process. The goal of the course is to give you the capabilities to excel in the field of post production. We will focus extra attention to concepts and workflows related to long-form projects that can contain a team of technical artists across the post production pipeline. We will cover preparing for a long-form edit, digital script integration, color management and continuity, advanced trimming, and advanced finishing. The hands-on lessons and exercises will be conducted using the industry-standard Non-Linear Editing Systems, Avid Media Composer, and Davinci Resolve.
Each week’s class will consist of hands-on demonstrations and self-paced practice using content created by the students and provided by the program.
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.
Over the past thousand years, modern capitalism has expanded from its European starting point to the entire world. Modern economic activity started with a commercial revolution in the late Middle Ages, concentrated in European city states like Venice and Genoa. From the sixteenth through the eighteenth centuries, European colonialism spread this commercial revolution around the globe. The Industrial Revolution in northwestern Europe led to unprecedented and sustained economic growth, which allowed European nations to dominate the rest of the world economically, politically, and militarily, with mixed results for the rest of the world. Over the past hundred years, global capitalism has continued to present countries, and the people in them, with enormous opportunities, crushing constraints, and major political dilemmas.
The course is an introductory overview of the economics and politics of international economic activity in historical and theoretical perspective.
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.
In what ways has religion been deployed as an analytical category in 20th century American history? Through a case study of how Jews and antisemitism have been conceptualized, theorized and narrated within the annals of American history, we will ponder what to American historians think about religion. What is the heuristic value of such a category? We will also research in Columbia’s archives to see how Jews and Judaism are discussed. This course will also introduce students to the theoretical innovations in the field of contemporary religion and to suggest ways that the study of religion intersects, intervenes and complicates the fields of American urban, cultural, and political history.
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.
How shall we approach the vast collection of artifacts left by Americans in the eighteenth through twentieth centuries? What can silver tea services, Amish quilts, rubber telephone receivers or ebony Art Deco coffee tables tell us about the people who designed, produced and used them? How can we understand the sourcing and transformation of raw materials as culturally embedded practices that reinforce, contest or evolve power dynamics between members of different human communities? What role have everyday objects played in mediating Americans’ relationships to the natural world? How can the study of material culture deepen our understanding of U.S. entanglements with global history?
In this graduate seminar we will explore the methods used by art historians and others to explore the meanings of material culture. The class will involve several visits to local collections and each student is expected to produce an 18-20 page research paper on a single object or class of objects.
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
Generative AI tools, such as Large Language Models (LLMs), represent a subset of artificial intelligence technologies capable of generating new content, including text, images, audio, and video, that mimics human-generated content. Unlike earlier AI approaches, such as machine learning, which are designed to recognize or classify data, generative AI can create novel data outputs by leveraging the patterns, styles, or information it has learned during its training process. This ability to recognize and generate patterns shares many similarities with the goals of Epidemiology, which focuses on identifying patterns of health and disease in populations.
Although these generative AI models are relatively new, their adoption in the research environment, including in Epidemiology, is rapidly increasing. The introduction of LLMs has the potential to revolutionize scientific research by providing unprecedented speed, innovation, and efficiency. This is achieved by enabling novel and compelling ways to explore data. However, the complexity of the neural networks behind these models' decision-making processes and lack of transparency in data training sources, can make it challenging to understand how they arrive at specific outcomes and biases. The opacity of these models, coupled with the necessity of training them on potentially biased data sets, underscores the need for responsible use. Epidemiologists, therefore, face the challenge of ensuring that research findings generated by AI are real, ethical, and reliable.
This course is designed to introduce LLMs, highlighting their potential to enhance epidemiological research. It aims to explore innovative ways LLMs can be utilized, understand the myriad ethical considerations involved, investigate the potential public health concerns raised by AI, learn how to conduct basic analyses, and examine firsthand applications of LLMs within the field of epidemiology. The class will include informational lectures with in-class applied discussions and laboratory learning exercises using LLMs.
The 1960’s and ‘70s witnessed an explosion of performance works in the visual arts. Departing from precedents in the early 20th century, performance during this period is marked both by its international reach and breadth of artistic experimentation: process painting, extreme bodily acts, textual scores, video and audio recordings, sculptural installations, ritualistic drawings, and direct political interventions, proposing complex relations between object, process, and act. This course explores this history and its legacy through the lens of two contributing factors: first are political events, upheavals and revolutionary movements that erupted across the globe, generating artistic performance as protest and activism; and second is an emergent media culture characterized by technologies of repetition and recording, resulting in performance works that are defined through reproduction rather than liveness, while taking inspiration from experimental film, music, and dance. To explore these themes, the class will examine select case studies of individual artists, movements and collectives: among which include the NY based Guerilla Art Action Group; Japanese Gutai and international Happenings; Brazilian neo-Concretism; South Korean Experimental art (
silheom misul
); as well as video, audio, photographic and durational works (by Ana Mendieta, Bruce Nauman, Adrian Piper, Tehching Hsieh, etc.), to name a few. In final research papers, students will trace this genealogy, examining contemporary performance works that are realized variously through networked and digital forms, uncapturable ephemerality, or direct social action.
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.
Individual work with an adviser to develop a topic and proposal for the Ph.D. dissertation.
This course examines the impact of the display of different photographic practices around the world beginning in the 1990s on the heretofore universalizing discourse around photography and modernism. It will read certain canonical texts of photo criticism in counterpoint with research on African photography. We will also consider how the display of these photographs has heightened ethical questions around the competing rights of photographers and their subjects. Who has influenced whom?
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.
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.
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 reading and research course covers major themes in the history of New York City, with a focus on the twentieth century. We will look at the transformation of the city over the years that followed its consolidation in 1898; the ways New York was changed by the massive immigration of the first twenty years of the twentieth century; racial segregation in the city; the impact of the Great Depression, the New Deal, and World War II on New York; urban renewal in the postwar years; deindustrialization and gentrification; and the economic, political, and social transformations of the late twentieth and early twenty-first century. Throughout, we will think about New York in relationship to other cities, and we will read classic works in urban history to gain comparative perspective. Finally, the course will feature archive visits and some walking tours to learn more about how to conduct research on New York City.
The period of Southern history between the end of Reconstruction and World War I, during which the foundation was laid for a Southern Order more durable than any of its predecessors - either the Old South of King Cotton, the Confederate South of the Civil War era, or the Republican south of the Reconstruction. Field(s): US
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.
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
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.
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.
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.