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For Undergrads, a Shot of Public Health

April 3, 2009

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Ask 10 people what an educated citizen should study and you’re bound to get 10 different answers (albeit with some overlap). The Educated Citizen and Public Health Initiative continues to make its case that public health should make any such list, and recently released a set of recommendations for integrating public health into general and liberal education.

“This is not about professional education. This is about citizenship,” said Susan Albertine, co-author of "Recommendations for Undergraduate Public Health Education."

“One of the great benefits will be that more people will choose health professions when we desperately need them. But a lot of it is about the fundamental concept that educated citizens make better choices," said Albertine, a former English professor and dean, and now a senior director at the Association of American Colleges and Universities, one of several associations that has been involved in the public health initiative.

"We really thought that we should advocate for general education as a way to introduce the largest number of undergraduates to the concepts of public health."

The recommendations, which come at a time of burgeoning interest in public health as a field of study, feature course development materials, including learning outcomes and curriculum frameworks, for Public Health 101, Epidemiology 101 and Global Health 101. The three courses could form the core for minors in public health, but also could be used to fulfill general education requirements.

"The interest among the students is enormous. The interest among the faculty is growing rapidly, but I think everybody appreciates that if you don't have a health sciences component at your institution and you don't have a school of public health or a program in public health, then you do need some help getting things going," said Richard K. Riegelman, the report's other co-author and a professor and founding dean of the School of Public Health and Health Services at George Washington University.

"One of the attractions of public health to the liberal arts is it is interdisciplinary, inherently so. We are trying to utilize people's existing expertise, existing interest, and give them the tools to make the job easier," said Riegelman. He said that the initiative's emphasis has been on general education and minors, and that those involved have been neutral on the question of creating new public health majors outside of institutions with existing programs or schools. "Which gets into accreditation, it gets into questions of articulation to graduate education, it gets complicated," he said. "Our position has been, rather than to comment on that, to focus on the minors where everybody agrees" on the need.

A 2008 AAC&U survey of 837 institutions found that 137, or 16 percent, offered a major, minor or concentration in public health. Their prevalence varied greatly by institution type. Only 5 percent of baccalaureate institutions surveyed had undergraduate public health programs, and about half (49 percent) of institutions offering master of public health degrees offered undergraduate programs.

Many expect those figures to grow. "Undergraduate public health education is burgeoning," said Harrison C. Spencer, president and CEO of the Association of Schools of Public Health, which represents the 40 Council on Education for Public Health-accredited schools. The association has collaborated on the Educated Citizen and Public Health Initiative (including by funding the survey above). "The collaboration is really based on an explosion of interest in undergraduate public health. So many of their [AAC&U] members are looking to do courses or minors, and many places where there are existing accredited schools are also looking to do majors," Spencer said.

The College of Saint Rose, in Albany, is launching a new 22-credit interdisciplinary minor in public health this fall. "To create a minor, we basically just needed some basic background classes and for a culmination of other classes that were already on the books or were being created just to be in one place," said Stephanie A. Bennett, an assistant professor of sociology who's coordinating the program. She'll be teaching the minor's three core courses, Introduction to Public Health (which includes a service learning component), Social Statistics and Epidemiology. Students can choose from a range of electives, including Environmental Ethics or Post 9/11: Ethical Issues in Disaster Planning and Response, both offered by philosophy; Pathogenic Microbiology or Biology of AIDS; and Substance Abuse or Family Violence, both offered by social work.

"If nothing else, it gives them a skill set," Bennett said of the planned minor. "It may also open their eyes to [the fact] that some things they're interested in may be public health." Perhaps they would choose to pursue that interest in graduate school, she said.

Whetting students' appetite for graduate study, so to speak, is a shared goal. The Association of Schools of Public Health in 2008 estimated that 250,000 new public health workers would be needed by 2020 -- a need that ultimately must be answered at the graduate level. (And indeed, there's been growth there in recent years.)

“I want people to go into public health. That’s my big push right there in a nutshell," said Jeanette Jeffrey, an associate professor of public health and nutrition at Howard Community College, in Maryland, which is starting a new A.A. degree program in public health this fall. It's designed as a transfer degree, to articulate with a four-year public health program at University of Maryland Baltimore County. "It's truly a transfer degree, and not a stand-alone degree in public health," said Jeffrey. "You can't go out and get a job just after getting an A.A. degree in public health. In fact, if you're looking at a bachelor's degree, the advisement says you go on for a master's."

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Comments on For Undergrads, a Shot of Public Health

  • Community Health
  • Posted by Billie , Associate Professor & Program Chair, Community Health at Western Washington University on April 3, 2009 at 11:45am EDT
  • There has been considerable interest to add introductory public health courses to curricula over the past few years with this initiative, and many colleges have done so.  At the same time, many colleges & universities (I would estimate about 120), have undergraduate Community Health majors that train students to work in public health.  Many of those programs include courses in epidemiology, environmental health, biostatistics, but additionally are based on the curriculum framework to address competencies and skills identified by the profession as necessary to be an effective health educator, with a corresponding certification with the National Commission on Health Education Credentialing, Inc.   This has a much longer history (first certification in 1989 after a decade of work), with a recent update, than the public health certificate that is now being promoted.  Our students, with their strong skill-base, are regularly being hired over students with MPHs.  There are many paths to address community and public health needs.    

  • Posted by mdiehl on April 3, 2009 at 2:00pm EDT
  • Consider how it might put an end to the antivaccination campaigns and ignorance.

  • Mania, health, Consumerism
  • Posted by GTKarnezis on April 4, 2009 at 1:00pm EDT
  • One way of linking public health education to the liberal arts or gen ed is by showing how the work of Dr. Peter Whybrow, which relates consumerism to bipolar or manic disorders, speaks to questions of how we assess the "health" of our economy. If you see gen ed as having interdisciplinary features, then making a connection between medical disorders and the way we imagine the purpose of our "economy" would be a nifty element in a gen ed. curriculum.

  • More information on the Educated Citizen and Public Health
  • Posted by Richard Riegelman , Professor and Founding Dean at George Washington School of Public Health & Health Services on April 13, 2009 at 8:15am EDT
  • The Educated Citizen & Public Health Movement

    The Educated Citizen and Public Health Movement aims to fulfill the Institute of Medicine of the National Academies’ recommendation that “… all undergraduates should have access to education in public health” since “public health is an essential part of the training of citizens”. The movement is a collaboration of arts and sciences and public health organizations, including the Association of American Colleges and Universities (AAC&U), the Council of Colleges of Arts and Sciences (CCAS), the Association for Prevention Teaching and Research (APTR) and the Association of Schools of Public Health (ASPH).

    Background
    The Educated Citizen and Public Health movement encourages undergraduate public health core curricula as part of general education at four-year and two year colleges as well as the integration of public health throughout undergraduate education. The Educated Citizen and Public Health has been developed in conjunction with the LEAP initiative of AAC&U which aims to transform undergraduate education for the 21st century. Undergraduate public health with its emphasis on interdisciplinary education, a global perspective, community-based education and life-long learning is an excellent area of study for implementing the LEAP initiative.

    Accomplishments
    A Consensus Conference on Undergraduate Public Health Education was held in 2006, funded by the Josiah Macy Jr. Foundation, bringing together arts & sciences, public health, and health professions’ educators. Leaders of these groups agreed that undergraduate public health education should result in an educated citizenry prepared to address public health challenges ranging from AIDS to aging and avian flu to the costs of health care. Not only can undergraduate public health prepare students for professional education in public health and the clinical health professions, but the critical and analytical thinking that are part of public health education are excellent preparation for careers ranging from law to business to international affairs.

    The Consensus Conference led to the APTR-AAC&U Faculty Development Program which conducted three Workshop/Institutes reaching more than 250 faculty from more than 60 institutions. A curriculum guide and recommendations for undergraduate public health education resulted from the Faculty Development Program. The recommendations include curriculum frameworks, learning outcomes and enduring understandings for Public Health 101, Epidemiology 101, and Global Health 101 as well as a framework for minors including core curricula, curricula built upon institutional strengths and experiential learning such as service-learning in public health.

    The Committee on Affiliates of the American Public Health Association (APHA) and their Student Assembly have begun a “Connecting with the Colleges” initiative to bring public health professionals together with local colleges and universities to support the development of undergraduate public health education in the classroom and the community. An APHA policy resolution proposed by the Student Assembly seeks to encourage undergraduate public health at all colleges and universities.

    The next phase will include a focus on community colleges and the development of public health as part of general education as well as associate degrees in areas of need such as environmental health and public health preparedness. The Education for Health framework designed as an educational underpinning for Healthy People 2020 includes a focus on undergraduate public health. The Educated Citizen and Public Health Movement has produced publications and press coverage. Key materials include the following:

    Undergraduate Public Health Resources
    • The Curriculum Guide to Undergraduate Public Health Education, version 3.0 is available for feedback through APTR at http://www.aptrweb.org/resources/pdfs/Curriculum_Guide_Version3.pdf
    and AAC&U at www.aacu.org.

    The Recommendations for Undergraduate Public Health Education are also available at http://www.aptrweb.org/resources/pdfs/Recommendations.pdf

    • The Association of Schools of Public Health provides information on undergraduate majors and minors and curricular materials: www.pathwaystopublichealth.org and www.thisispublichealth.org.

    • APTR’s Prevention Education Resource Center (PERC) provides syllabi, curriculum materials and other curriculum resources, as well as a location to upload and share educational materials. A peer review process for educational materials is being established: www.teachprevention.org

    Press and Publications
    • Morbidity and Mortality Weekly Report CDC publication of “essential findings” of the Consensus Conference on Undergraduate Public Health Education, October 19, 2007 The full consensus conference report is available through CCAS at www.ccas.net

    • CDC Podcast on undergraduate public health education with Dr. Julie Gerberding, Director of CDC, available at http://www2a.cdc.gov/podcasts/player.asp?f=8696

    • Inside Higher Education: Epidemiology as an Undergraduate Mainstay http://www.insidehighered.com/news/2007/11/07/health

    • Liberal Education: AAC&U “Back to the Pump Handle: Public Health and the Future of Undergraduate Education” Albertine S, Persily NA, and Riegelman.R http://www.aacu.org/liberaleducation/le-fa07/le_fa07_perspectives1.cfm

    • Journal of Public Health Management and Practice Who Will Keep the Public Healthy? The Case for Undergraduate Public Health Education: A Review of Three Programs; Jan-Feb 2008 Bass SB, Guttmacher S, Nezami E www.jphmp.com

    • Academic Medicine- April 2008 Theme issue on population health including an article on Evidence-Based Public Health as Preparation for Medical School www.academicmedicine.org

    • American Journal of Preventive Medicine-APTR September 2008 Theme issue on undergraduate public health education www.ajpm-online.net.

    • Public Health Reports, ASPH Articulation of Undergraduate and Graduate Education in Public Health Lee J. http://www.publichealthreports.org/userfiles/123_8/12-17.pdf

    • Washington Post- For a Global Generation, Public Health Is a Hot Field front page September 18, 2008 http://www.washingtonpost.com/wp-dyn/content/article/2008/09/18/AR2008091804145.html?hpid=topnews

    • Peer Review- AAC&U- Intentionality and Integration in Undergraduate Global Public Health Education Bernheim RG et. al. Fall 2008 http://www.aacu.org/peerreview/index.cfm

    • Inside Higher Education-For Undergrads, A Shot of Public Health. April 3, 2009 http://www.insidehighered.com/news/2009/04/03/publichealth

    • Peer Review- AAC&U-Special Issue on Undergraduate Public Health Education through the support of the Josiah Macy Jr. Foundation Summer 2009.