Agenda. Med Tox and the MPH. Medical Toxicology and the Masters in Public Health Degree 3/24/14

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1 Medical Toxicology and the Masters in Public Health Degree Stephen Munday, MD MS MPH FACMT Medical Toxicologist, Sharp Rees-Stealy Medical Group, Inc. San Diego California Poison Control Center *Joshua G Schier, MD MPH FACMT Team Lead, Environmental Toxicology Team, NCEH, CDC Assistant Professor, Department of Emergency Medicine; Emory School of Medicine Atlanta, GA Agenda Job opportunity overview MPH program types Examples of specific job opportunities CDC s Epidemic Intelligence Service Program Med Tox and the MPH Objective Inform medical toxicologists about the types, value and utility of the MPH degree So Why get an MPH degree? 1

Emergency Medicine; Emory School of Medicine Atlanta, GA Agenda Job opportunity overview MPH program types Examples of specific job opportunities CDC s Epidemic

2 Med Tox and the MPH Having public health credentials and speaking the language helps! Job Opportunities Jobs that you can do better with an MPH degree Public health position with the local, state or federal health organization Work for a private, public health organization or nongovernmental organization (NGO) Leadership role in a hospital or healthcare system Research career Academia vs Industry Clinical practice (being able to critically evaluate the literature) Public health practice jobs Job Opportunities CDC and health departments MPH degree and the skill sets indispensable MDs with an MPH may be a dime a dozen in public health but an MD without an MPH certainly stands out for the wrong reason Skill sets Speaking the language Data analysis skills (SAS, SPSS, etc ) Understanding study design and application to public health issues Study type, confounders, choice of analysis, etc Understanding problems in the context of populations 2

nongovernmental organization (NGO) Leadership role in a hospital or healthcare system Research career Academia vs Industry Clinical practice (being able to critically evaluate the literature) Public

3 Job Opportunities Federal agencies in Health and Human Services with public health practice jobs for the Med Tox MD-MPH CDC (including NIOSH) ATSDR FDA EPA Other US Government Departments DHS DOD Job Opportunities Local and state health departments Epidemiology Environmental health Occupational health State toxicologist Emergency preparedness Other Job Opportunities Various private public health organizations Various public health NGOs (Non-governmental organizations) 3

health departments Epidemiology Environmental health Occupational health State toxicologist Emergency preparedness

4 MPH Programs Core, traditional disciplines Biostatistics Epidemiology Environmental Health Health Policy and Health Administration Social and behavioral sciences Traditional MPH degree requires coursework in all of these areas but a focus in one MPH Programs Various other disciplines (school dependent) Global health Community health education Family and child health Gerontological health Population health Leadership & management Public health nutrition Forced migration and health Aging and public health Sexuality and public health Urbanism and the built environment Health care outcomes MPH Programs q Requirements Vary a little from school to school Dependent on format Online Full-time Part-time Common themes include X number of credit hours (probably around 40 or so for most programs) Need to finish within 5 years Most require a thesis paper (no defense) q Masters of Science in Public Health (MSPH) For academics mainly interested in going the PhD route 4

Population health Leadership & management Public health nutrition Forced migration and health Aging and public health Sexuality and public health Urbanism and the built environment Health care

5 MPH Programs Requirements Vary a little from school to school Dependent on format Online Full-time Part-time Common themes include X number of credit hours (probably around 40 or so for most programs) Need to finish within 5 years Most require a thesis paper (no defense) Masters of Science in Public Health (MSPH) For academics mainly interested in going the PhD route 5

within 5 years Most require a thesis paper (no defense) Masters of Science in Public Health (MSPH) For

7 Often comes down to: Geography Money Check to see if your institution or department would partially or fully support the degree Reduced shifts Offset tuition costs Both Local/State 7

8 Centers for Disease Control and Prevention Environmental Health National surveillance of poison center data via the National Poison Data System (NPDS) Exposures, illness and incidents of potential public health significance Wolkin A, et al. Using poison center data for national public health surveillance for chemical and poison exposure and associated illness. Annals of Emergency Medicine (1): Centers for Disease Control and Prevention Environmental Health Radiation Disaster Epidemiology Establishing data collection tools for an epidemiological response to a radiation incident Overlap with preparedness and response More to follow q ACMT-ATSDR Partnership 1999: First 5 year cooperative agreement 2003: Regional Consultation Network established 10 ACMT regional medical directors in 10 EPA regions 2003: First ACMT/ATSDR contract for bio-preparedness 2003: First Toxic Industrial Chemicals/Materials courses 2004: First renewal (cooperative agreement) 2006: First Methamphetamine Clandestine Lab course 2009: Second renewal (cooperative agreement) 8

9 ACMT-ATSDR collaboration Document review, education, public meeting participation Referral site for citizens with concerns about environmental exposures Federal Region ACMT representative Administering ACMT educational courses (Agents of Opportunity and Methamphetamines) Developing environmental toxicology educational modules (there have been 12 of these to date) q ACMT-ATSDR collaboration Compensation Hourly rate for non-clinical care related consultations Clinical referrals 3 rd party payor Course work often a set amount ACMT/ATSDR Network meeting on Tuesday, October 1 from 12-2PM 9

environmental toxicology educational modules (there have been 12 of these to date) q ACMT-ATSDR collaboration Compensation Hourly rate for

10 ACMT-ATSDR collaboration Compensation Hourly rate for non-clinical care related consultations Clinical referrals 3 rd party payor Course work often a set amount ACMT/ATSDR Network meeting on Tuesday, October 1 from 12-2PM Paulozzui L. Prescription drug ovedoses: A review. Journal of Safety Research 43 (2012) Centers for Disease Control and Prevention Medication Safety Use vs abuse Pediatric sub-program 10

Paulozzui L. Prescription drug ovedoses: A review. Journal of Safety Research 43 (2012) 283 289.

11 Centers for Disease Control and Prevention Environmental Health Laboratory Science Food and Drug Administration Office of Surveillance and Epidemiology Multiple divisions Safety issues and pharmacovigilance FDA Center for Drug Evaluation and Research Office of Generic Drugs Safety & efficacy of generic is not significantly different than that of the RLD Medical Officers 11

gov/nceh/dls/ Food and Drug Administration Office of Surveillance and Epidemiology Multiple divisions Safety issues and pharmacovigilance http://www.fda.

12 Practical Training Alternative Practical training programs (CDC) Inside_the_Outbreaks_The_Elite_Medical_Detectives_of_the_Epidemic_Int elligence_service_by_mark_pendergrast Summary Consider a formal degree if interested in public health issues An MPH may assist you in Obtaining a public health practice position (state/federal public health) Achieving a leadership position in your hospital/healthcare system (e.g., healthcare policy and management MPH degree)\ Launching or improving a research career (e.g., epidemiology, biostatistics) Improving your clinical practice (via learning how to properly evaluate the literature Contact Information Stephen Munday, MD MPH stephen.munday@sharp.com W: Josh Schier, MD MPH jschier@cdc.gov W:

gov/eis/ Summary Consider a formal degree if interested in public health issues An MPH may assist you in Obtaining a public health practice position (state/federal public health) Achieving a

Medical Toxicology and the Masters in Public Health Degree

Medical Toxicology and the Masters in Public Health Degree Stephen Munday, MD MS MPH FACMT Medical Toxicologist, Sharp Rees-Stealy Medical Group, Inc. San Diego California Poison Control Center *Joshua