Expanding Interprofessional Health Education Through Dual Degree Programs Strategies & Articulation Agreements

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1 Expanding Interprofessional Health Education Through Dual Degree Programs Strategies & Articulation Agreements Rob Simmons, DrPH, MPH, MCHES, CPH MPH Program Director Associate Professor Thomas Jefferson University, School of Population Health APTR Conference, March 16, 2015

2 I have no financial relationships to disclose Rob Simmons

3 Opening Questions How many of you have presented/discussed dual degree programs with your public health program and directors of other health and social science graduate programs at your university or at another universities? How many of you have dual degree programs with articulation agreements with other programs at your university or other universities and your public health program? How many of you have presented/discussed dual degree programs with undergraduate health advisors at your university or other universities?

4 Objectives List three benefits for developing collaborative program relationships with one s MPH program and other graduate programs in the health and social service professions Discuss key steps in developing affiliation agreements for dual degree programs with public health Through the process of communicating with directors of other graduate programs in the health and social science professions and with undergraduate health advisors

5 What is Public Health? Public Health is an interdisciplinary field of study and practice with a primary goal to prevent illness, disease, and injury and to promote and protect health while supporting human rights and social justice. Public Health is what we, as a society, do collectively to assure the conditions for people to be healthy. Institute of Medicine, The Future of Public Health, 1988, Wash. DC, The National Academies Press.

6 What is Public Health? Resources and videos, Impact, Careers - Global Health is Public Health Slide Show bb5yg&index=4 This is Public Health 3 minutes This is Public Health Cause & Effect 3 ½ minutes ROI and Public Health, 2013 National Public Health Week - 2 minutes

7

8 21 st Century Public Health Issues Global Health Environmental Health Issues, Global Warming Infectious Disease Prevention and Control HIV/AIDS, Avian Flu, Ebola, H1N1, etc. Chronic Disease Prevention, Risk Factors, Obesity Maternal and Child Health Health of our Aging Population Health Communication, Health Literacy Health Inequities and Disparities Quality and Safety, Access to Health Care Disaster Planning, Bioterrorism and Risk Communication

9

10 Where is Public Health Practiced? Federal, state and local public health agencies Health centers and hospitals, private practice Non-governmental health organizations (NGOs) including voluntary health organizations and private foundations Schools and universities Professional health agencies Private industry including health insurance and pharmaceutical companies Health policy and advocacy organizations Global health organizations

11 MPH is ideal for: Individuals with a strong interest in public health, health inequities, and social justice who are interested in an advanced degree in public health Individuals currently working in public health and government or regulatory agencies Physicians, nurses, social workers, lawyers, pharmacists, other health professionals wishing to expand their career opportunities Individuals considering future academic preparation in public health at the doctoral level

12 Public Health Practice Attitudes and Skills Passion to improve the health of the public, to make a difference, to be an advocate for health Interest to work with diverse populations and in a variety of environments Sensitivity to community, social, and cultural needs and interests Humility in working with diverse populations and communities Being asset driven and not solely deficit driven Comfort working across disciplines in teams and groups Strong analytical skills epidemiology, statistics, mapping Qualitative as well as quantitative research/evaluation Strong writing skills policies, grants, reports

13 University Public Health Education Undergraduate Public Health Majors and Minors The Educated Citizen in Public Health (AAC&U) MPH/MSPH Standard graduate masters degree in public health 1-2 years full-time, 2-4 years part-time DrPH Professional doctorate degree Ph.D. Academic doctorate degree

14 The Expanded Focus of Public Health Increasing emphasis on the root causes of poor health and disease, the Social Determinants of Health Michael Marmot Whitehall Study, UK, 1990 s Differences in health and life expectancy follow the same social gradient as wealth and social class Education Income Environment Health Care Access Outcomes mortality, morbidity, behavioral risk factors Social Determinants of Health, What Doctors Can Do? BMA, 2011 Health Disparities and Inequalities Report, US, 2011, MMWR, Supplement, Vol. 60 WHO Conference on Social Determinants of Health, Rio, Oct. 2011

15 Sample MPH Capstone Project Topics Attitudes, Behavior, and Barriers to Eating Healthy Across Race in Four Philadelphia Neighborhoods The Green Pursuit: Seeking Grants to Fund the Urban Farming and Environmental Health Education Program The Role of African-American Churches in Addressing HIV/AIDS in Philadelphia Functional Health Literacy and Diabetes Self-Care Adherence Using Community-Based Participatory Research to Maximize Volunteerism in Youth Shelters

16 Growth of Graduate Degrees in Health Expanding role of health professions medicine, nursing, pharmacy, OT, PT, public health Expanding role of other professions social work, law, public and healthcare administration Cross-disciplinary work (teams) Interdisciplinary/Multi-disciplinary training (JCIPE at TJU) Synergy of health, social, policy professions Social justice, social welfare, human rights, population health

17 Advantages of Multiple Health-Related Graduate Degrees Career/Work flexibility Clinical, policy, community, academic, combinations Competitive Advantage Dual Degree Programs transfer credits

18 Movement of Dual Degrees with Public Health MD or DO/MPH History Welch-Rose Report, 1915 creating the first school of public health at Johns Hopkins, the medical model Tremendous expansion of MD/MPH and DO/MPH degrees over the past 20 years Association of American Medical Colleges Regional Medicine- Public Health Education Centers Population Health Competencies for Medical Students MCAT Changes 2015 behavioral, social sciences, interprofessional foci Gebbie, K., Rosenstock, L. & Hernandez, L. M. (Eds.) (2003) Who will keep the public healthy? Educating public health professionals for the 21st century. Institute of Medicine Washington, D.C. : National Academies Press.

19 Public Health Competencies for Medical Students Formation of Regional Medicine-Public Health Education Centers (RMPHEC) AAMC Assess the health status of populations using available data... Discuss the role of socioeconomic, environmental, cultural, and other population-level determinants of health... Apply primary and secondary prevention strategies... Identify community assets and resources... Explain how community-engagement strategies may be used... Participate in population health improvement strategies... Discuss the ethical implications... Maeshiro R, Johnson I, Koo D, et al. Medical Education for a Healthier Population: Reflections on the Flexner Report From a Public Health Perspective. Academic Medicine, 2010; 85(2):p. 215.

20 What Might MD/MPH, DO/MPH Leaders Do? Direct a government health program at the international, national or state level Manage a community health care network Direct a clinical department addressing key community health needs Coordinate a major public health or health care research initiative Develop health policies and professional guidelines Teach and conduct research in preventive medicine at a university... while maintaining clinical practice

21 Dual Degrees Public Health and Medicine MD/MPH, DO/MPH Most common - 5 year program MPH after 2-3 years of medical school Some accelerated 4 4 1/2 year programs Advantages transfer credits or course exchanges Other options: MPH before medical school glide year Post residency 2-3 year research program with MPH Physician going back to school for an MPH Academic Medicine, Volume 83(4) pgs April, 2008

22 Dual Degrees Public Health and Nursing MSN/MPH Options - 3 year program full time or 4-5 years parttime, MSN followed by MPH part-time Integrates advanced practice nursing with public health research and practice Advantages transfer credits or course exchanges Options/tracks Health care systems Community nursing Clinical practice, Advanced practice nursing

23 Dual Degrees Public Health and Law JD/MPH Most common - 4 year program full time, MPH after 1 st or 2 nd year of law school Integrates public health policy, law, and advocacy Advantages transfer credits or course exchanges Options/tracks Various aspect of public health law and policy

24 Dual Degrees Public Health and Social Work MSW/MPH, MSS/MPH Two perspectives, one mission* Public Health Social Workers community-based work to develop policies and prevention at a population level Most common - 3 year full time program, 4-5 years part-time Integrates social justice, social welfare, community practice, prevention-oriented clinical practice Advantages transfer credits or course exchanges Options/tracks Community practice, law and public policy, clinical practice * Van Pelt, J., MSW/MPH, Social Work Today, 2009, Vol. 9 (1), p. 28

25 Dual Degrees Public Health and Pharmacy PharmD/MPH Expanded role of pharmacists as health educators and advocates for patients and in the community Integrates medication education and education about preventive health clinical guidelines into the healthcare environment Options - five year full-time program, three years of PharmD school, one year MPH, final year of PharmD completing MPH culminating project in last year completion of MPH part-time after four years of PharmD program MPH transfer credits for pharmacy education courses and internship experiences

26 Movement of Dual Degrees with Public Health Other Degrees Other MA or MS degrees and MPH MBA/MPH OT/MPH, PT? Family Counseling? MHA and Public Health Management MPA and Public Health Policy Others

27 Common Characteristics of Public Health Dual Degree Programs Articulation Agreements between Univ. Connections across schools, universities Faculty, Admissions, Financial Aid, Career Centers, Marketing Tailored practice, clerkship experiences Focused masters research projects Shared faculty, teaching, research

28 Articulation Agreements Priority Admission Reciprocity for MPH Students Transfer credits (typically electives) Designated Course Articulation side by side Completion of MPH is one academic year Designated scholarship(s) Co-Marketing, co-branding, websites

29 Information for Undergraduate Students About Multiple Graduate Degrees Bridge between Natural and Social Sciences Writing skills Critical thinking skills Paid or volunteer experience preferred but not required Decision often does not have to be made in first year Can complete one degree first if preferred

30 Questions to Ask Students Considering a Graduate Degree in the Health/Social Sciences Have you considered your personal and professional interests and skills? Where they might fit in a specific graduate health and social science field? Have you thought about, researched, and discussed the synergy of various health professions and careers with other professionals (clinical, academic, research, community)? Have you considered multiple graduate health degrees in your career path, either dual degree programs or multiple degrees taken at different times?

31 Resources for Dual Degrees with Public Health Public Health: APHA, CEPH, ASPH, APTR, CDC, ASTHO, NACCHO, RWJF, California Endowment, Public Health Institute Medicine and Public Health: AAMC, IOM Nursing and Public Health: Public Health Nursing, APHA Nursing Section s_programs.html Social Work and Public Health: NASW, APHA Social Work Section

32 Resources for Dual Degrees with Public Health Law and Public Health: Mitchell College Public Health Law Center, RWJF Public Health Law Research, Pharmacy and Public Health: American Pharmacist Association, _Health2&Template=/TaggedPage/TaggedPageDisplay.cfm&T PLID=87&ContentID=11973, Others?

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