Medical Toxicology and the Masters in Public Health Degree

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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

San Diego California Poison Control Center *Joshua G Schier, MD MPH FACMT Team Lead,

2 Agenda Job opportunity overview MPH program types Finding the right program Examples of speci!c Med Tox MPH job opportunities CDC s Epidemic Intelligence Service Program

3 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?

4 Med Tox and the MPH Having public health credentials and speaking the language helps!

5 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)

or nongovernmental organization (NGO) Leadership role in a hospital or healthcare system

6 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

reason Skill sets Speaking the language Data analysis skills (SAS, SPSS, etc ) Understanding study design and

7 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

8 Job Opportunities Local and state health departments Epidemiology Environmental health Occupational health State toxicologist Emergency preparedness Other

9 Job Opportunities Various private public health organizations Various public health NGOs (Non-governmental organizations)

10 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

Administration Social and behavioral sciences Traditional MPH

11 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

Leadership & management Public health nutrition Forced migration and health Aging and

12 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!nish 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

Part-time " Common themes include X number of credit hours (probably around 40 or so for most

13 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!nish 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

14 Finding the right program

15 Finding the right program

16 Finding the right program

17 Finding the right program

18 Finding the right program

19 Finding the right program

20 Finding the right program 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

or department would partially or fully support

21 Local/State Examples of Jobs for the Med Tox MPH

22 Examples of Jobs for the Med Tox MPH 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 signi!cance 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):57-61.

23 Examples of Jobs for the Med Tox MPH 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

24 Examples of Jobs for the Med Tox MPH! 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)

25 Examples of Jobs for the Med Tox MPH

26 Examples of Jobs for the Med Tox MPH 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)

27 Examples of Jobs for the Med Tox MPH! 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

28 Examples of Jobs for the Med Tox MPH 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

29 Examples of Jobs for the Med Tox MPH Paulozzui L. Prescription drug ovedoses: A review. Journal of Safety Research 43 (2012)

30 Examples of Jobs for the Med Tox MPH Centers for Disease Control and Prevention Medication Safety Use vs abuse Pediatric sub-program

31 Examples of Jobs for the Med Tox MPH Centers for Disease Control and Prevention Environmental Health Laboratory Science

32 Examples of Jobs for the Med Tox MPH Food and Drug Administration Of!ce of Surveillance and Epidemiology Multiple divisions Safety issues and pharmacovigilance

33 Examples of Jobs for the Med Tox MPH FDA Center for Drug Evaluation and Research Of!ce of Generic Drugs Safety & ef!cacy of generic is not signi!cantly different than that of the RLD Medical Of!cers

34 Practical Training Alternative Practical training programs (CDC) Inside_the_Outbreaks_The_Elite_Medical_Detectives_of_the_Epidemic_Int elligence_service_by_mark_pendergrast

35 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

36 Contact Information Stephen Munday, MD MPH W: Josh Schier, MD MPH W:

Public Health and MPH Roadmap for PLME and Medical Students November 2007

Public Health and MPH Roadmap for PLME and Medical Students November 2007 Frequently Asked Questions Q. What are the benefits of getting an MPH? A. At Brown, the MPH program prepares students for careers