James W. Holsinger, Jr., M.D. Chair, Academic Council for the Medical Center

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1 April 18, 2002 MEMORANDUM TO: FROM: RE: James W. Holsinger, Jr., M.D. Chair, Academic Council for the Medical Center Emery A. Wilson, M.D. Dean and Associate Vice President for Clinical Services New Graduate Certificate in Medical Behavioral Science Proposal The Faculty Council of the College of Medicine has approved and submits for your consideration and approval the following new certificate proposal: Graduate Certificate in Medical Behavioral Science Description: To allow this program to award an official graduate certificate. Graduate courses for the certificate program are already in place and offered by the Department of Behavioral Science. Justification: To make students transcripts show not only their course work but that they were awarded certificate status.

2 April 18, 2002 MEMORANDUM TO: FROM: RE: Deans, Department Chairs and Members of the University Senate Emery A. Wilson, M.D. Dean and Associate Vice President for Clinical Services New Graduate Certificate in Medical Behavioral Science Proposal The Faculty Council of the College of Medicine has approved and submits for your consideration and approval the following new certificate proposal: Graduate Certificate in Medical Behavioral Science Description: To allow this program to award an official graduate certificate. Graduate courses for the certificate program are already in place and offered by the Department of Behavioral Science. Justification: To make students transcripts show not only their course work but that they were awarded certificate status.

3 February 21, 2001 Emery A. Wilson, M.D. Dean, College of Medicine University of Kentucky Lexington, KY Dear Dean Wilson: Attached is a proposal to make official a Graduate Certificate in Medical Behavioral Science. The Behavioral Science Department has had a long-standing commitment to graduate education at the University of Kentucky with NIH/NIMH training grant funding since Unofficially, the Department has supported the health communications, health psychology, medical anthropology and medical sociology concentrations offered in variety of other degree-granting departments including: Anthropology, Communications, Educational and Counseling Psychology, Psychology, and Sociology. The proposed certificate requires students successfully complete four hours in two required courses, an orientation course (BSC 620) and a methods course (BSC 745) as well as nine hours in three electives (9 hours) and at least one hour in an independent research course (BSC 790). As the graduate courses for this certificate program are already in place and offered by the Department of Behavioral Science, no new courses need be proposed to implement this proposal. In making the present concentration an official certificate, students' transcripts will show not only their course work but also the awarding of the certificate status. Thank you for considering our proposal. A signature page with the signature of Dr. Leukefeld, an original hard copy and an electronic copy of the proposal are all attached. Sincerely, Mitzi M.S. Johnson Associate and Director of Graduate Studies MMSJ:cjc Attachments

4 Department of Behavioral Science Proposal for a Graduate Certificate in Medical Behavioral Science Overview As a basic science department of the College of Medicine, the Department of Behavioral Science has a three-fold mission in the areas of research, teaching, and service. First, the Department conducts research in various areas of medical behavioral science, thereby enhancing understanding of many aspects of human behavior in their relevance to health and disease. Second, the Department provides instruction to medical students on concepts from the behavioral sciences that are critical for the provision of excellent patient care and for functioning in the rapidly evolving health care system. The educational mission also includes an extensive commitment to working with graduate students and postdoctoral fellows from various disciplines who are seeking research training in medical behavioral science. Basic behavioral science instruction is also delivered to selected health professional programs, particularly, Dentistry, Nursing, Physical Therapy, and Pharmacy. Finally, faculty provide service for the institution, society and professional organizations by volunteering their efforts. The Department s commitment to graduate education will be illustrated further below. No graduate degree is offered independently by the Department of Behavioral Science. However, the department is quite active in graduate education. It cooperates with the doctoral programs in Gerontology, Anthropology, Educational and Counseling Psychology, Psychology, Sociology, Communications, Nursing, Nutritional Science, Kinesiology and Health Promotion, and Geography to offer health/medical behavioral specializations in the students basic disciplines. Sixty-eight graduate students have chosen such a specialization in the past five years. In the academic year, 21 students were being financially supported by the Department. These funds are derived from the department s NIMH, NIDA, and DOD training programs, from departmental research grants, from the vice-chancellor s fellowship pool, and from graduate school fellowships. The majority of these students have traineeships, fellowships, or are research or teaching assistants. The majority of program graduates find employment in academic departments of their basic disciplines. In those positions, they emphasize teaching and research in health/medical aspects of the discipline. It is also common for these individuals to establish research and teaching connections with nearby medical centers. Other graduates select postdoctoral positions, though this remains a less frequent route. The Department has helped guide 68 students to their Ph.D. degrees and 16 to their M.A. degrees in the past five years. The NIMH, NIDA, and DOD training program grants support six postdoctoral fellows annually. These fellows typically are drawn from the behavioral science disciplines and

5 are seeking further research training in the medical behavioral area. Occasionally, health professionals seeking further behavioral science and medical behavioral research experience accept fellowships; the latter have been individuals with doctorates in nursing science. In one instance, the department accepted a postdoctoral fellow who was supported by a Lyman T. Johnson Minority Postdoctoral Fellowship. In the past five years, fourteen postdoctoral students have been supported by the NIMH, NIDA, and the DOD training programs, ten were women and two were minorities. In addition, there has been one postdoctoral scholar supported by a research grant, and one postdoctoral fellow by research grant salary savings. Graduate Certificate Associates or Affiliates The Department of Behavioral Science currently has in its budget 13 tenure-track faculty lines, two of which are now vacant. Three additional faculty have primary, tenure-track appointments in the department, but are budget elsewhere. In addition, the department has two emeritus faculty, Drs. Haley and Straus, as well as 12 joint appointees, 4 adjunct and three voluntary faculty. All primary, tenure-track faculty have graduate faculty status and are listed on Table 1 with their topical research interests. Of the two most important required courses: 1) responsibility for the orientation course is rotated among 12 primary faculty; 2) responsibility for the methods course is usually taken by those with specific expertise (Michael Andrykowski ethics; Mitzi Johnson quasi-experimental and survey design; Thomas Kelly experimental design; Craig Rush biobehavioral pharmacology methods; Nancy Schoenberg qualitative methods). Graduate Certificate Director Since the original awarding of the NIMH training grant 40 years ago, the Department has had a Director of Graduate Studies appointed by the Chairman of the Department and as recognized by the Graduate School. The Director recommended for the proposed certificate curriculum would be the same person appointed as the Director of Graduate Studies appointed by the Department Chairman and the Dean of the Graduate School. Currently, Dr. Mitzi Johnson holds this position Admission Requirements To be accepted into the Certificate in Medical Behavioral Science, a student must first be admitted to the University of Kentucky Graduate School as a doctoral student in a doctoral program (usually in a social or behavioral science department) and complete the Certificate application form. Postbaccalaureate (non-degree) and master's-only students are not eligible for admission.

6 Certificate Curriculum The Department of Behavioral Science proposes to offer a Graduate Certificate in Medical Behavioral Science designed for students who are enrolled in a doctoral program in a basic academic field. This program typically will admit doctoral students from programs in Anthropology, Communications, Educational and Counseling Psychology, Geography, Gerontology, Health and Physical Education, Nursing, Nutritional Science, Psychology, and Sociology. These students often come to the University of Kentucky to work with our faculty and to obtain training in Medical Anthropology, Medical Sociology, Health Psychology, and Health Communications which are subspecialty fields within each of these disciplines. The Certificate is designed to provide students with: An orientation to a multidisciplinary approach incorporating the basic theories and methods from their disciplines with other social and behavioral sciences with identification of areas of convergence and interrelation in content, theories, and methods. An orientation to health and medical settings, including an enculturation to the attitudes, values, professional interrelationships, and educational objectives of health personnel and organizations, and the nature of behavioral science research in these areas. Research training designed to equip each student with basic skills and approaches to research design, data acquisition, data analysis, and manuscript and research grant preparation in medical behavioral science through collaboration with ongoing research projects. The Requirements for completion of the Graduate Certificate in Medical Behavioral Science are: 1. Successful completion of a minimum of thirteen credit hours of graduate course work in Behavioral Science course with a GPA of 3.00 or better, specifically: a required three-credit course in research methods in medical behavioral science (BSC 745: Research Methods in Medical Behavioral Science), a required one-credit course that is designed to orient students to the medical setting (BSC 620: Orientation to Medical Behavioral Science), and nine hours of electives (see listing in Table 2) approved by the Director of Graduate Studies of which at least three credit hours must be from a course outside of the student s basic discipline. 2. Participation in personalized, supervised research activities with a faculty member from the department including experimental, survey, and case study

7 methods applied to research questions related to health and mental health earning credit in BSC 790: Research in Medical Behavioral Science. A student must have a minimum GPA of 3.0 in the set of courses required for the graduate certificate in order to be awarded the certificate.

8 Table 1: Graduate Faculty in BSC Serving as Certificate Associates or Affiliates Name Degree/Date Topical Research Interest PRIMARY APPOINTMENTS Michael Andrykowski Lee X. Blonder Associate Cynthia M. Cole Associate Carol L. Elam Associate Eugene B. Gallagher Thomas F. Garrity Joseph E. Gaugler Assistant Mitzi M.S. Johnson Associate Thomas H. Kelly Carl G. Leukefeld Ph.D./1984 Ph.D./1986 Ph.D./1989 Ed.D./1990 Ph.D./1958 Ph.D./1971 Ph.D./1999 Ph.D./1986 Ph.D./1983 D.S.W./1975 Psychosocial oncology, quality of life assessment, research design, research ethics. Behavioral consequences of stroke, neurocognition. Rural health, and medical practice. Medical Education Technological medicine and health care in developing societies, medical education. Loss and grief, behavioral determinants of and coping with cardiovascular disease. Family caregiving for elderly, long-term care, formal-informal care patterns, longitudinal methodology. Decision making and health care in later years, medical education. Experimental analysis of human behavior, behavioral pharmacology. Treatments, outcomes, HIV prevention, criminal justice sanctions, health services, and rural populations. Phyllis J.P. Nash Craig R. Rush Associate Ed.D./1985 Ph.D./1992 Medical Education Biobehavioral pharmacology and drug abuse, experimental analysis of human behavior, research design ethics.

9 Nancy E. Schoenberg Associate Timothy A. Smith H. Jean C. Wiese Associate John F. Wilson Ph.D./1994 Ph.D./1963 Ph.D./1971 Ph.D./1977 Chronic disease management; health services delivery; women, minorities, and rural elders. Dental fear and anxiety, pain, measuring dental anxiety, educational technology Communication in medical settings, cross-cultural health change. Pain control, stress reduction, coping, medical education.

10 Name Degree/Date Topical Research Interest JOINT APPOINTMENTS Mary K. Anglin, Assistant Ph.D./1990 Anthropology Norma J. Christman, Associate Ph.D./1980 Nursing Deborah L. Crooks, Assistant Ph.D./1992 Anthropology Sandra L. D Angelo, Assistant Ph.D./1989 Pediatrics Lynne A. Hall, Dr.P.H./1983 Nursing Graham D. Rowles, Ph.D./1976 Gerontology Frederick A. Schmitt, Associate Ph.D./1982 Neurology Gary Shannon, Ph.D./1970 Geography John van Willigen, Ph.D./1971 Anthropology Doris Y. Wilkinson, Ph.D./1968 Sociology Rick S. Zimmerman, Associate Ph.D./1983 Sociology

11 Table 2: GRADUATE COURSES FOR THE PROPOSED CERTIFICATE CURRICULUM Required BSC 620 Orientation to Medical Behavioral Science, 1 cr Rotation of Faculty BSC 745 Research Methods in Medical Behavioral Science, 3 cr Craig R. Rush Electi ves BSC 626 Survey of Health Psychology, 3 cr (PSY 626) John F. Wilson. BSC 766 Concepts in Medical Sociology, 3 cr (SOC 766) Eugene B. Gallagher BSC 770 Psychosocial Issues in Health and Aging, 3 cr Mitzi M.S. Johnson BSC 772 Topical Seminar in Medical Behavioral Science, 1-3 cr Advanced study of selected topics of current importance in medical behavioral science. Faculty BSC 773 Psychosocial Oncology, 3 cr Michael Andrykowski BSC 775 Human Response to Stress, 3 cr John F. Wilson BSC 776 BSC 777 Seminar in Dependency Behavior, 3 cr (ANT/PSY/ SOC 776) Seminar in Mental Illness Concepts, Research and Policy, 3 cr (SOC 777) Thomas H. Kelly Eugene B. Gallagher BSC 778 Behavioral Factors in Selected Diseases, 3 cr H. Jean C. Wiese BSC 779 Behavioral Factors in Death and Dying, 3 cr Thomas F. Garrity BSC 782 Women's Health and Aging, 3 cr (GRN 782) Nancy E. Schoenberg BSC 785 Comparative Health Care Systems, 3 cr (GRN 782) Eugene B. Gallagher Pending Psychology in Aging Joseph E. Gaugler BSC 790 Research in Medical Behavioral Science, 1-6 cr Faculty Substitutions for Elective courses may be permitted with the approval of the Director of Graduate Studies.

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