1. The Educated Citizen and Public Health Council of Colleges of Arts and Sciences November 10, 2007 Richard Riegelman M.D., Ph.D. Professor and Founding Dean George Washington University School of Public Health and Health Services

2. Institute of Medicine (IOM) Recommendations* “Public Health is an essential part of the training of citizens” “Public Health is an essential part of the training of citizens” “…all undergraduates should have access to education in public health” “…all undergraduates should have access to education in public health” * Gebbie K, Rosenstock L, Hernandez LM. Who will keep the public healthy? Educating public health professionals for the 21st century. Washington DC: National Academy Press; 2003: 144.

3. What is Public Health? Public Health perceived to be about poor sanitation and poor people – and it is Public Health perceived to be about poor sanitation and poor people – and it is Public Health is more generally about Public Health is more generally about -What makes us sick? -What keeps us healthy? -And what we can do TOGETHER about it Our common concerns and Our vulnerable populations

4. Common Health Concerns Historically: Control of communicable diseases, environmental contamination, product safety Historically: Control of communicable diseases, environmental contamination, product safety Emerging: Cost of health care, disaster prevention and management, climate change Emerging: Cost of health care, disaster prevention and management, climate change

5. Vulnerable Populations Historically: Occupational, maternal and child, persons with disabilities Historically: Occupational, maternal and child, persons with disabilities Emerging: Frail elderly, immune suppressed, uninsured Emerging: Frail elderly, immune suppressed, uninsured

6. Public Health and Daily Living Sanitation, refrigeration, food and drug safety Sanitation, refrigeration, food and drug safety Tobacco control, highway safety, product safety Tobacco control, highway safety, product safety Indoor ventilation, to public defibrillators, to safety of the blood supply Indoor ventilation, to public defibrillators, to safety of the blood supply

7. Evidence-Based Public Health Problem- Describe the Problem Problem- Describe the Problem Cause- Identify risk factors and etiology Cause- Identify risk factors and etiology Interventions- Evidence-based recommendations Interventions- Evidence-based recommendations Interventions- When, Who and How Interventions- When, Who and How

8. Consensus Conference on Undergraduate Public Health Education Sponsors Sponsors Association for Prevention Teaching and Research (APTR) Association for Prevention Teaching and Research (APTR) Association of Schools of Public Health (ASPH) Association of Schools of Public Health (ASPH) Council of Colleges of Arts and Sciences (CCAS) Council of Colleges of Arts and Sciences (CCAS) Participants Participants Clinical health professions education associations Clinical health professions education associations including medicine, nursing, pharmacy including medicine, nursing, pharmacy Association of American Colleges and Universities (AAC&U) Association of American Colleges and Universities (AAC&U) Centers for Disease Control and Prevention (CDC) Centers for Disease Control and Prevention (CDC)

9. Consensus Conference Overall Goals Aim to develop an educated citizenry Aim to develop an educated citizenry Introduce students to a range of career options Introduce students to a range of career options Provide experiential learning in health e.g. service learning in local or global community, community based research Provide experiential learning in health e.g. service learning in local or global community, community based research

10. Consensus Conference Recommendations- Curriculum All colleges and universities should offer core courses e.g. “Public Health 101”, “Epidemiology 101” and “Global Health 101” All colleges and universities should offer core courses e.g. “Public Health 101”, “Epidemiology 101” and “Global Health 101” Core courses should be part of general education and fulfill distribution requirements based on recommended learning outcomes Core courses should be part of general education and fulfill distribution requirements based on recommended learning outcomes

11. Consensus Conference Minors Minors should build upon core curriculum Minors should build upon core curriculum Minors should include courses that build upon institutional interest and strengths Minors should include courses that build upon institutional interest and strengths Minors should include experiential learning e.g. service-learning Minors should include experiential learning e.g. service-learning

12. Public Health 101 Designed to take a big picture population health approach – interdisciplinary, systems thinking Designed to take a big picture population health approach – interdisciplinary, systems thinking Comprehensive- Include the health care and public health systems Comprehensive- Include the health care and public health systems NOT personal health and wellness NOT personal health and wellness

13. Epidemiology 101: A way of thinking Designed to teach the scientific method preparing students to read the research as well as the newspaper Designed to teach the scientific method preparing students to read the research as well as the newspaper Focused on etiology and effectiveness with only modest use of mathematics Focused on etiology and effectiveness with only modest use of mathematics Option for “epidemiology laboratory” with applications of evidence-based thinking Option for “epidemiology laboratory” with applications of evidence-based thinking

14. Global Health 101 Added to core course recommendations based on interest of arts and sciences institutions- global learning distribution requirement in majority of institutions Added to core course recommendations based on interest of arts and sciences institutions- global learning distribution requirement in majority of institutions Extremely popular courses-touches the passion and the purpose of this generation Extremely popular courses-touches the passion and the purpose of this generation

15. Global Health 101 Focused on how economics and development affect health and what works to improve health- social justice Focused on how economics and development affect health and what works to improve health- social justice Includes health systems in range of developed and developing countries Includes health systems in range of developed and developing countries Include an evidence-based public health emphasis shared by Public Health 101 and Epidemiology 101 Include an evidence-based public health emphasis shared by Public Health 101 and Epidemiology 101

16. “Launch” Undergraduate Public Health Education MMWR reporting “essential findings” of Consensus Conference available at www.cdc.gov/mmwr MMWR reporting “essential findings” of Consensus Conference available at www.cdc.gov/mmwr www.cdc.gov/mmwr CDC Podcast with Julie Gerberding available at www.cdc.gov/podcast CDC Podcast with Julie Gerberding available at www.cdc.gov/podcastwww.cdc.gov/podcast Publication by Council of Colleges of Arts and Sciences available at www.ccas.net Publication by Council of Colleges of Arts and Sciences available at www.ccas.netwww.ccas.net

17. Presentations American Association of Colleges of Nursing (AACN) American Association of Colleges of Nursing (AACN) Association of Schools of Public Health (ASPH) Association of Schools of Public Health (ASPH) American Public Health Association (APHA) American Public Health Association (APHA) Association of American Medical Colleges (AAMC) Association of American Medical Colleges (AAMC) Council of Colleges of Arts and Sciences (CCAS) Council of Colleges of Arts and Sciences (CCAS) Association of American Colleges and Universities (AAC&U) Association of American Colleges and Universities (AAC&U) Association for Prevention Teaching and Research (APTR) Association for Prevention Teaching and Research (APTR)

18. Support for Implementation Faculty Development Program Faculty Development Program Curriculum Guide Curriculum Guide Prevention Education Resource Center (PERC) Prevention Education Resource Center (PERC) Faculty web site, Interest Group, List Serve Faculty web site, Interest Group, List Serve All this and more at www.teachpublichealth.org www.teachpublichealth.org

19. Faculty Development Program Pilot effort July 2007 over 75 Arts and Sciences Faculty Pilot effort July 2007 over 75 Arts and Sciences Faculty February 22 Undergraduate Public Health Day as part of APTR national meeting February 22 Undergraduate Public Health Day as part of APTR national meeting July 14-15, 2008 expanded Institute focused on academic Minors. Choice of seminars on core courses, minors, service-learning, innovative teaching, administrative issues etc. July 14-15, 2008 expanded Institute focused on academic Minors. Choice of seminars on core courses, minors, service-learning, innovative teaching, administrative issues etc.

20. Faculty Development Institute July 14 & 15, 2008 Focused on institutions planning Minors with and without graduate public health Focused on institutions planning Minors with and without graduate public health RFA to partially support Teams- three faculty including public health practitioner RFA to partially support Teams- three faculty including public health practitioner Applications due February 27 – see Applications due February 27 – see www.aacu.orgwww.aacu.org under science and health www.aacu.org

21. Curriculum Guide Version 1.0 available for review and feedback at www.ccas.net Version 1.0 available for review and feedback at www.ccas.netwww.ccas.net Includes curriculum frameworks, learning outcomes and “enduring understandings” for core courses Includes curriculum frameworks, learning outcomes and “enduring understandings” for core courses Includes sections on service-learning, student assessment, and innovative teaching methods Includes sections on service-learning, student assessment, and innovative teaching methods

22. www.teachpublichealth.org Designed by APTR as web site for all those interested in teaching undergraduate public health Designed by APTR as web site for all those interested in teaching undergraduate public health Links to PERC, faculty development, undergraduate public health day, curriculum guide, podcast, and more Links to PERC, faculty development, undergraduate public health day, curriculum guide, podcast, and more Includes List Serve and information on Interest Group Includes List Serve and information on Interest Group

23. Contributions of A&S to Public Health Social Sciences including economics, public policy, anthropology etc. Social Sciences including economics, public policy, anthropology etc. Sciences & mathematics including biology, chemistry/toxicology, statistics, ecology etc. Sciences & mathematics including biology, chemistry/toxicology, statistics, ecology etc. Humanities including literature, film, communications & writing skills etc. Humanities including literature, film, communications & writing skills etc.

24. Potential Contributions of Public Health Population and Global Perspective Population and Global Perspective Interdisciplinary, systems thinking, ecological orientation Interdisciplinary, systems thinking, ecological orientation Community orientation and community connections Community orientation and community connections Generic pre-professional education without narrow professional focus Generic pre-professional education without narrow professional focus Teaches methods for life-long learning Teaches methods for life-long learning