EMPEROR'S COLLEGE MTOM COURSE SYLLABUS PUBLIC HEALTH

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1 COURSE DESCRIPTION This course presents an introduction to public health and epidemiology, including the distribution and correlates of illness in the population and current efforts to prevent and control risk factors that contribute to morbidity and mortality. Additional topics include public health issues that face the primary care provider including TCM practitioners and others. LEARNING OBJECTIVES By the end of this course, the student will be able to: identify the basic principles of public health describe social and behavioral determinants of health and understand how health outcomes are measured provide examples of current public health issues and concerns differentiate between public health and medicine and how the two disciplines can work together select and apply appropriate theories to public health and TCM practice describe how public health principles can affect TCM practice incorporate health communication & education and promotion principles in TCM practice COURSE PREREQUISITIES REQUIRED TEXTS The assigned readings for this course are listed in the Course Outline section of this syllabus. Some readings may be listed as Recommended to provide you with further information and references. All readings are available to you through the Library Reference desk on either CD (to be used on the Library computers) or notebooks containing hard copies. RECOMMENDED TEXTS COURSE REQUIREMENTS Class attendance and participation: 15% Weekly Reaction Papers (5 total): 85% *please see special notes for details on the course requirements* Absence Policy: Separate from individual course requirements, ECTOM Students must attend no less than 80% of course hours to pass that class. Students who miss more than 2 classes in a 10 week course (1 class in a 7 week course) will earn an F in that course. Any two occurrences of late arrivals or early departures, of 15 minutes or more, will constitute as 1 absence. GRADING SCALE: % A, 89-80% B, 79-70% C, 69% and below F SPECIAL NOTES Grades

2 This course will be graded as Pass/Fail. To pass this course, students must have no more than 2 absences in this 10-week course and must earn at least a 70% on all assignments. Late arrivals or early departures of 15 minutes or more are the equivalent of one-half absence and will be computed in the absences of all students per this Absence policy. Class attendance and participation (15%) The success of this course and your learning the material will be based on your attendance and participation in class discussions. This course can be fun and enjoyable if every student comes into each class session, ready to discuss the material, express opinions, share personal experiences, and raise thoughtful questions. Weekly Reaction Papers (Total 85%) These short papers (2 to 3 pages typed, double spaced, 11 or 12 size font) give you the opportunity to express your opinions or personal experiences and react to the class lectures and readings assigned for the week. To help guide your papers, a different question or assignment related to the week s class lecture and readings is provided in the Course Outline section of this syllabus (a total of 9). Your papers must include a response to the week s question. You have the choice to select 5 out of the 9 weeks to turn in an assignment for a grade. All assignments are due in class the following week. For example, if you choose to react to Week 1 s lecture and readings, you must turn in the reaction paper during class of Week 2. Late papers will not be accepted. There is no extra-credit available in this course. Each student must submit 5 assignments to be eligible for a passing grade in this course CLASS ONE What is Public Health? Introduction to discipline Public Health and CAM Institute of Medicine, National Academy of Sciences. Summary and recommendations. In The Future of Public Health. Washington, DC: National Academy Press, 1988, pages Burke, A., Upchurch, D. M., Dye, C., & Chyu, L. (2006). Acupuncture use in the United States: Findings from the National Health Interview Survey. Journal of Alternative and Complementary Medicine, 12(7), Barnes, P. M., Powell-Griner, E., McFann, K., & Nahin, R. L. (2004). Complementary and alternative medicine use among adults: United States, Advance data from vital and health statistics; no.343. Hyattsville, Maryland: National Center for Health Statistics Week 1 Assignment (Due Week 2): What is your understanding of public health from the lecture and/or readings and how can public health be related to TCM? CLASS TWO Social and Behavioral Determinants of Health Health and illness Measuring health outcomes and health status Sorlie, P. D., E. Backlund, et al. (1995). U.S. Mortality by Economic, Demographic, and Social Characteristics - the National Longitudinal Mortality Study. American Journal of Public Health 85(7): U.S. Department of Health and Human Services. Healthy People nd ed. With Understanding and Improving Health and Objectives for Improving Health. 2 vols. Washington, DC: U.S. Government Printing Office, November 2000 Read pages Week 2 Assignment (Due Week 3): Choose one of this week s readings for a critique and provide your opinions or reaction to the reading.

3 CLASS THREE Public Health Interventions Health Education and Promotion Individual vs. community/population interventions Minkler, M. (1989). Health-Education, Health Promotion and the Open Society - an Historical-Perspective. Health Education Quarterly, 16(1): McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An Ecological Perspective on Health Promotion Programs. Health Education Quarterly, 15(4), Hsiao, A. F., Wong, M. D., Goldstein, M. S., Yu, H. J., Andersen, R. M., Brown, E. R., et al. (2006). Variation in complementary and alternative medicine (CAM) use across racial/ethnic groups and the development of ethnic-specific measures of CAM use. Journal of Alternative and Complementary Medicine, 12(3), Week 3 Assignment (Due Week 4): Describe how TCM could be used in health education and promotion. CLASS FOUR Theories Why theories are important Theories, focusing on those that affect the individual (e.g., Health Belief Model, Social Cognitive Theory, Stages of Change Also include Ecological Framework U.S. Department of Health and Human Services, National Cancer Institute, Theory at a Glance: A Guide for Health promotion Practice (2nd Edition). Read: Part 1, pages 3-7 Part 2, pages 9-22 (stop at end of Social Cognitive Theory section) Lorenc, A., Ilan-Clarke, Y., Robinson, N., & Blair, M. (2009). How parents choose to use CAM : A systematic review of theoretical models. BMC Complementary and Alternative Medicine, 9(9). Available: com/ /9/9. Week 4 Assignment (Due Week 5): How can theories, in general, be relevant or be applicable to TCM clinical practice? You can also select a single theory from the readings (e.g., health belief model) to discuss its potential relevance to TCM practice. CLASS FIVE Health Communication Health and the Media Media Effects Kaiser Family Foundation. (2004). Entertainment education and health in the United States, [Issue Brief]. Available: [2007, February 28]. Kaiser Family Foundation (2008). Television as a Health Educator: A Case Study of Grey s Anatomy. [Report] Available: [2009, August 31].

4 Week 5 Assignment (Due Week 6): Take note of any public health-related news item or health messages that appear in the media (e.g., television news or entertainment program, newspaper, radio, advertisements, etc.) and discuss any reactions you may have to the message (e.g., is the message clear, memorable, too short?) CLASS SIX Epidemiology and Public Health Importance Principles/Methods Limitations Aschengrau, A., & Seage, G. R. (2003). The approach and evolution of epidemiology. In Essentials of Epidemiology in Public Health (pp. 1-32): Jones and Bartlett. Manek, N. J., & MacGregor, A. J. (2005). Epidemiology of back disorders: prevalence, risk factors, and prognosis. Current Opinion in Rheumatology, 17(2), Aschengrau, A., & Seage, G. R. (2003). Overview of epidemiologic study designs. In Essentials of Epidemiology in Public Health (pp ): Jones and Bartlett. Week 6 Assignment (Due Week 7): Choose one of this week s readings for a critique and provide your opinions or reaction to the reading. CLASS SEVEN Health Services Structure of US Medical System Acceptance of Complementary and Alternative Medicine in current US Health care system Cleary-Guida, M. B., Okvat, H. A., Oz, M. C., & Ting, W. (2001). A regional survey of health insurance coverage for complementary and alternative medicine: Current status and future ramifications. Journal of Alternative and Complementary Medicine, 7(3), Devitt, M. (2005). Report: Insurance coverage for acupuncture on the rise. Retrieved March 7, 2007, from acupuncturetoday.com/mpacms/at/article.php?id=30006&mercurysid=3465a6e6cf880028c44c16ddf68e96b5 National Committee for Quality Assurance. (2006). The State of Health Care Quality 2006: Executive Summary. Washington, D.C. NBC News story on State of Health Care (Windows Media Video format): SOHC_2006.htm Week 7 Assignment (Due Week 8): Choose one of this week s readings for a critique and provide your opinions or reaction to the reading. CLASS EIGHT Health Services (Con t) Herman, P. M., D'Huyvetter, K., & Mohler, J. (2006). Are health services research methods a match for CAM? Alternative Therapies in Health and Medicine, 12(3),

5 Pelletier, K. R., & Astin, J. A. (2002). Integration and reimbursement of complementary and alternative medicine by managed care and insurance providers: 2000 update and cohort analysis. Alternative Therapies in Health and Medicine, 8(1), Week 8 Assignment (Due Week 9): Describe what health services concerns there may be for TCM practice (e.g., insurance coverage, quality control of services). CLASS NINE Environmental Health Overview of Environmental topics (e.g., clean air, water, hazardous wastes, food-borne illnesses) Vector transmission Healthy People 2010 U.S. Department of Health and Human Services. Healthy People Environmental Health. Read Goals, Overview, and Interim Progress sections. Week 9 Assignment (Due Week 10): Comment on how environmental health may or may not be important to you. Do you have concerns for a particular environmental health issue? CLASS TEN Current and Future topics of Public Health Tobacco usage, Cardiovascular Disease, Bioterrorism response and natural disasters Challenges for the future Yeh, G. Y., Davis, R. B., & Phillips, R. S. (2006). Use of complementary therapies in patients with cardiovascular disease. American Journal of Cardiology, 98(5), Meier, P.C. & Rogers, C. (2007). The need for traditional Chinese medicine morbidity research. Complementary Therapies in Medicine, 15, Giordano, J., Garcia, M. K., Boatwright, D., & Klein, K. (2003). Complementary and alternative medicine in mainstream public health: A role for research in fostering integration. Journal of Alternative and Complementary Medicine, 9(3), CLASS ELEVEN REFERENCE MATERIAL FACULTY INFO clang@ucla.edu

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