Northwestern University
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  Department of Preventive Medicine  
 

Curriculum

Ten courses (8 units of classroom work) and two units comprising a mentored clinical research project are required of all degree candidates.

PUB HLTH 301 Behavior, Society and Health (1)
Fall 2007 Syllabus

The interplay of social structure, technology, culture, and demography on patterns of health, illness, and health behavior. Application of theories of behavioral change for solving public health problems, including stages of change, relapse prevention, social advertising, and social marketing methods for use in primary care and community settings.

PUB HLTH 302 Introduction to Biostatistics (1)
Fall 2007 Syllabus (Section 20)
Fall 2007 Syllabus (Section 21)

The course focuses on the understanding of the concepts of descriptive and inferential statistics and the application of statistical methods in the medical and health fields.  The topics include descriptive statistics, basic probability concepts, probability distributions, estimation, hypothesis testing, correlation, and simple linear regression.

CLIN PSY 426 Research Methods I (1)
Fall 2005 Syllabus

Introduction to statistical inference, focusing on single-variable research applications in clinical psychology. Topics include exploratory data analysis, probability, and basic statistical tests such as t-test, F-test, chi-square, and nonparametrics. Prerequisite: This course may be substituted for PH 302 Intro to Biostatistics. Prior undergraduate introductory statistics course is recommended, but not required. This course proceeds at a more rapid pace than the other section (PH 302) and is recommended for students that have an affinity for solving math problems.

CLIN PSY 427 Research Methods II (1)
Winter 2007 Syllabus

Research design in clinical research. Analysis of variance and multivariate statistical models. Fundamentals of data analysis by computer, using Statistical Package for the Social Sciences (SPSS).

PUB HLTH 304 Introduction to Epidemiology (1)
Winter 2008 Syllabus

Introduction to epidemiology and its uses. Measures of disease occurrence, common sources and types of data, important study designs and sources of error in epidemiologic studies, and epidemiologic methods. (The Medical School course MDM-2 may be substituted for this course.)

PUB HLTH 390 International Public Health I (1)
Fall 2007 Syllabus

Introduction to major health problems in the developing world and approaches to their solution. Students will learn about research and intervention strategies, donor policies and about major players in international health

PUB HLTH 413 Public Health Nutrition (1)
Winter 2008 Syllabus

Introduction to nutrition from the perspective of the community rather than the individual. Includes the scientific basis for nutritional requirements and recommendations, nutrition through the life span, and the role of nutrition in health promotion and disease prevention.

PUB HLTH 415 Health Promotion
Fall 2007 Syllabus

The purpose of this course is to help prepare health professionals as leaders in the field of disease prevention and health promotion (DP/HP). Students will learn the value of and barriers to DP/HP, how to identify and use federal public health data sets, factors that influence personal health decisions, preventive interventions directed at individuals (clinical settings) and populations (community settings), strategies for using population health principles to integrate DP/HP into routine medical and public health practice, and the organization of federal agencies that fund DP/HP activities. Special attention will be given to understanding the causes and solutions of racial/ethnic disparities, the role of low health literacy in preventive interventions, and strategies for addressing the unique health needs of adolescents. Class work will involve readings from the print and web-based literature, interactive discussions, and exercises involving data gathering and analysis from federal web sites.

 

PUB HLTH 421  Intermediate Biostatistics (1)
Winter 2008 Syllabus

This course builds upon the material learned in Introduction to Biostatistics. Specifically, the course will focus on multivariate methods of analysis for epidemiologic and clinical studies including correlation, linear regression, logistic regression, Cox proportional hazards regression, and lifetable analysis.

PUB HLTH 422 Intermediate Epidemiology (1)
Fall 2007 Syllabus

This course is designed to familiarize students interested in public health and clinical epidemiology with a greater depth of knowledge in observational epidemiologic methods, and classical methods of statistical analysis applied to observational epidemiologic studies. The material presented in this course will build upon methods presented in Introduction to Epidemiology or Medical Decision Making II. Specifically, this course will focus on the design, conduct, and interpretation of observational studies in human populations including ecologic and migrant studies, case-control studies and cohort studies. Moreover, key issues related to the validity of measures of exposure and disease, and sources of potential errors in interpreting epidemiologic studies will be addressed. Prerequisites: PH 304 Introduction to Epidemiology (or Medical Decision Making II) and PH 302 Introduction to Biostatistics. Student MUST receive permission from Instructors if the two courses listed above have not been completed.

PUB HLTH 431 Decision Analysis and Models of Medical Decision Making (1)
Fall 2007 Syllabus

Quantitative techniques intended to inform decision makers at the bedside as well as at the policy-making level. Topics include probability, Bayes' theorem, sensitivity and specificity of diagnostic tests, Bayesian decision analysis, utility assessment, cost-effectiveness analysis, and expert systems. (The Medical School course MDM-3 may be substituted for this course.)

PUB HLTH 433 Health Economics and Healthcare Financing (1)
Fall 2007 Syllabus

In this class, we will examine selected topics in health economics that have major implications for health delivery, healthcare financing and clinical and public health research. Essential economic theories and methods for exploring each topic will be discussed along with examples drawn from the existing research literature of the application of these theories and methods. In addition, existing empirical research will be examined and assessed. The specific topics to be examined include: consumer behavior and health demand with a special focus on the analysis of secondary data; principles of price and quality competition; principles of health insurance; and methods for economic evaluations. Students will develop a good working understanding of economic theories and methods specific to these issues examined through this course and will also learn how to apply these to research problems.

PUB HLTH 435 Design and Analysis Strategies in Health Services Research (1)
Spring 2007 Syllabus 

Broad overview of health services research, including an introduction to research methodologies unique to the field. Includes a historical retrospective of economic and policy issues leading to the emergence of health services research as a distinct discipline. Class topics include small-area variations, medical effectiveness, outcomes research and case-mix adjustments for outcomes research, measuring quality of care, continuous quality improvement, guideline development, and technology assessment.

PUB HLTH 436 Public Health Law (1)
Summer 2007 Syllabus

Overview of law and legal system, terminology in legal writing, state and federal court systems. Learn basic legal scholarship to help in researching public health issues in judicial and legislative source materials. Prerequisite: Pub Hlth 304 Introduction to Epidemiology (or MDM II) or permission of instructor.

Pub Hlth 437 Applied Data Analysis
Summer 2007 Syllabus

This course is designed to provide hands-on experience in the design and analysis of epidemiologic studies, with emphasis on applying methodology learned in Intermediate Biostatistics/Epidemiology or equivalent coursework. Through independent projects and class exercises, students will learn the practical aspects of conducting research from defining a statistically testable hypothesis to building a database and generating results. A brief review of biostatistical methods will be provided in the context of appropriate statistical tests to address given statistical questions, however the focus of the course is not on biostatistical methodology as students are expected to have adequate preparation. The centerpiece of the course is the independent project. MPH students are encouraged to bring ideas for their Culminating Experience to the course so that they can further develop and refine their research plan. However, students are also invited to develop a "hypothetical" or future study, as the emphasis of the course is in developing the skills necessary to conduct an independent research procjet in a range of settings (e.g., academia, industry, public health agencies). During this process, students will be taught to use current technology to build databases, questionnaires, and conduct data analyses. The target audience for this course is advanced MPH and MSCI students and postdoctoral fellows. Prerequisites: Pub Hlth 302 Introduction to Biostatistics and Pub Hlth 304 Introduction to Epidemiology, with Intermediate Biostatistics/Epidemiology desired, but not required.

Pub Hlth 438 Survey Design & Methodology
Summer 2007 Syllabus

This course will focus on methodological issues regarding the design, implementation, analysis, and interpretation of surveys and questionnaires in public health research. Various types of self-report data will be discussed, including knowledge, attitudes, behaviors, and patient-reported outcomes such as general health status, pain, fatigue, etc. Design issues will include wording of items and response scales, multilingual translations, sampling, timing of assessments, and respondent and staff burden. Implementation issues will include formatting and layout, methods of administration (paper-and-pencil, interviews, computer-based), interviewer training and participant recruitment. Analysis issues will include psychometric measurement properties (dimensionality, scoring, reliability, validity), cross-sectional and longitudinal analytic models and techniques, missing data, and clinical significance. Interpretive issues will include guidelines for reports and manuscripts, and internal and external validity. This course will primarily focus on study designs using nonprobability sampling, e.g., convenience samples recruited at selected clinics/sites. A brief overview will be provided regarding probability sampling, that is, studies where each element in the population of interest has a measurable chance of selection. This course will emphasize hands-on experience in the design, administration, analysis and interpretation of survey data from public health research studies. Prerequisites: Pub Hlth 302 Introduction to Biostatistics and Pub Hlth 304 Introduction to Epidemiology.

Pub Hlth 439 Qualitative Research Methods (1)
Spring 2007 Syllabus

Qualitative research involves the use of multiple methods to explore social interactions in natural settings. The focus of qualitative research is usually on the underlying meanings of human behaviors, beliefs, attitudes, etc., from the research participant's own view, and in his/her own words, sometimes referred to as an ?mic? perspective. Data collection activities can include first-person accounts, life history narratives, life history calendars, visual or documentary records, semi-structured and open-ended interviews, informal and formal observations, as well as other biographical and autobiographical materials. Through triangulation of methods, the researcher attempts to make sense of and interpret phenomena in terms of the meanings people bring to them. Essentially, qualitative research deals with words, spoken and written. This course will focus on qualitative research methods and will include investigation of issues related to research design, sampling, data management, analysis and report writing. Methods covered will include unstructured, semi-structured, and structured interviewing, writing and using field notes, cognitive interviewing for survey construction, group interview methodologies, participant observation, cognitive tasks such as decision modeling, domain analysis and the use of mapping techniques in qualitative research. Questions of reliability and validity in qualitative research will be addressed. Data analytic procedures will include thematic analyses and code development, consensus and network analyses, and an overview of qualitative data management programs. We will also explore the relationships between qualitative and quantitative research, and the use of multiple methods in the research setting. Ethical issues related to face to face work with research participants will be addressed. Examples of research and evaluation studies using qualitative methods will be reviewed. The course will emphasize hands-on work with qualitative data and students are encouraged to come with a data set in hand.

PUB HLTH 441 Ethical Issues in Clinical Research (.5)

Debate and discussion of ethical issues surrounding clinical research studies, including merits of research proposals, both historical and contemporary, from the perspective of an institutional review board (IRB) charged with the protection of research subjects. Issues considered include research studies involving prospective cohorts, studies of vulnerable populations, clinical trials, and use of genetic data in epidemiologic research studies.

PUB HLTH 444 Advanced Decision Analysis (1)
Winter 2008 Syllabus

This course covers advanced decision-analytic methods useful in medical decision modeling.  Included are the probabilistic theory of hazard rates and modeling of age-dependent mortality, Markov modeling, stochastic tree modeling, techniques for multi-way sensitivity analysis such as probabilistic sensitivity analysis and information-value analysis, the use of spreadsheets for Markov models, and software for stochastic tree modeling.  Medical decision-analytic literature is reviewed and theoretical underpinnings of models are explored.  A project using decision analysis software is required.  Prerequisite: PUB HLTH 431 or equivalent.

PUB HLTH 445 Writing and Peer Reviewing for Publication (.5)
Winter 2008 Syllabus

Hands-on advanced course in writing for publication in the medical science journals how to be a successful peer reviewer; not a course in basic writing.  The student will be expected to prepare an article through 2 peer review cycles to be ready to submit to a journal.  Uses real world practices.  Prerequisite:  PUB HLTH 304 and PUB HLTH 302.

CLIN SCI 301 Topics in Molecular Medicine (1)
Summer 2007 Syllabus

This course is designed to introduce students to concepts related to the molecular pathogenesis, diagnosis and treatment of disease.  Topics to be covered include:  an introduction to the principles of human genetics, including the organization of the human genome, the structure and function of chromosomes and genes, regulation of gene expression, transmission of human genetic disease, and basic genetic techniques; use of transgenic animals as models of human disease, molecular basis of Mendelian (monogenic), mitochondrial, and multifactorial complex diseases; approaches to the study of monogenic and multifactorial diseases; molecular approaches to the prevention, diagnosis, and treatment of diseases; and ethical issues related to genetic studies.  The course includes a series of illustrative case studies in molecular medicine.  Disorders such as Huntington’s disease (autosomal dominant), cystic fibrosis (autosomal recessive), and diabetes mellitus (multifactorial) are discussed to illustrate the application of the basic principles described above to the study of genetic diseases.

Three units of courses are electives.  Students opting for a “translational research” career are encouraged to take the following two elective courses:

CLIN SCI 303 Drug Development Process (1)
Spring 2007 Syllabus

Introduces the rationale for, practical aspects of, and new issues in drug and device development as well as the relevant industry and government policies and regulations. Class topics include: illness targets, unmet medical needs, and the pharmaceutical life cycle; scientific basis of drug development (e.g., drug discovery, pre-clinical drug development, patient studies including clinical pharmacology); protocol and budget preparation; pharmacoeconomics and quality of life; regulatory aspects (FDA, GCP, ICH, QA); pharmacogenetics and information technology; biotechnology and technology transfer; role of academia in drug development.

PUB HLTH 446 Clinical Trials (1)
Spring 2007 Syllabus

Introduction to fundamentals of clinical trials, including design, conduct, analysis and interpretation of trial results. Topics will include commonly used designs, methods for randomization, blinding and sample size determination, choice of controls, collaborative/ multicenter trial requirements and operational issues, data management and data quality issues, interim analysis methods, critical review of clinical trial results, and statistical techniques for analyzing data. Prerequisites: Introduction to Biostatistics (PH302) and Introduction to Epidemiology (PH304).

Students opting for a “clinical epidemiology” career are encouraged to take two of the following courses:

PUB HLTH 524 Cardiovascular Disease Epidemiology (1)
Spring 2007 Syllabus

The course will cover selected topics in cardiovascular disease with critical analysis of the current epidemiologic literature. Students will have the opportunity to study methodological issues, contemporary findings, and recommendations for future research. Prerequisites: PH 302 or CLIN PSY 426 (Introduction to biostatistics) and PH 304 (Introduction to epidemiology)

PUB HLTH 525 Molecular Epidemiology (1)
Spring 2005 Syllabus

This course covers both the major theoretical concepts and practical issues involved in conducting research involving molecular biomarkers in human populations.  Class topics include: the theoretical advantages of biomarkers, criteria for evaluating potential markers, sample collection and storage, laboratory quality control considerations, issues in epidemiologic study design and analysis, ethical/legal concerns, and discussion of specific examples of research involving molecular markers of internal dose, susceptibility, early pathological alteration, and prognosis.  Important barriers in current methods and newly emerging technologies (e.g., proteinomics) are also discussed. 

PUB HLTH 526 Cancer Epidemiology
Spring 2007 Syllabus

The purpose of this course is to review the basic concepts and issues relevant to cancer epidemiology. Specifically, this course will focus on interpreting cancer statistics, and describing the current state of knowledge regarding the etiology and risk factors for the major cancer sites. In addition, issues in research design and interpretation within the context of cancer epidemiology, as well as the molecular and cellular basis of carcinogenesis as it pertains to cancer occurrence in populations will be discussed. The course is appropriate for students who have an introductory knowledge of epidemiology. Previous study of cancer biology is helpful but not required. Prerequisites: • Introduction to Epidemiology – PH 304 (or Medical Decision Making II) • Permission of Instructor for non-MPH or non-MSCI majors

Pub Hlth 527 Cancer Screening: Principles and Practice
Summer 2005 Syllabus

Screening is the early detection of cancer in "healthy" people with the sole goal of improving a person's ultimate outcome. This course provides an overview of the key theoretical principles behind cancer screening, as well as an overview of the pragmatic issues faced in conducting research in this area. The emphasis is on research concepts; this is not a survey of current knowledge on cancer screening. Most discussion will relate to specific examples from the medical literature. The course is appropriate for students who have at least an introductory knowledge of epidemiology (PH 304) and biostatistics (PH 302).

Pub Hlth 528 Behavioral Science in Cancer Prevention and Control (.5)
Fall 2007 Syllabus

The purpose of this course is to review the basic concepts and issues relevant to behavioral science in cancer prevention and control. Specifically this course will introduce the major theoretical models used in behavioral science, provide information on the behavioral risk factors for cancer, briefly review the major behavioral clinical trials in cancer prevention and control, and address measurement issues in behavioral studies. Prerequisites: Introduction to Epidemiology ­ PH 304 (or Medical Decision Making II) and Introduction to Biostatistics ­ PH 302, or Permission of Instructor.

Pub Hlth 529 Chemoprevention of Cancer (.5)
Fall 2007 Syllabus

The purpose of this course is to review the basic concepts and issues relevant to cancer chemoprevention. Specifically, this course will focus on describing the current state of knowledge regarding the molecular pharmacology of therapeutic intervention, targeted to early stages of carcinogenesis, for the major cancer sites. In addition, issues related to the function of a specific target, characteristics of a drug, choice and characteristics of an endpoint biomarker, and research design and interpretation, as they relate to molecular and cellular carcinogenesis, will be discussed. The course is appropriate for students who have an introductory knowledge of epidemiology and statistics. Students should also have an understanding of cancer biology – per approval of the instructor.

Additional elective courses (all other MPH courses and all IGP courses) are offered to students who have received credit for (a) graduate course(s) similar to the required courses of the program and have obtained the program’s consent.  Electives can substitute for up to two units worth of required courses.  In addition, elective courses are available to any student wishing to take more than the required number of courses to graduate.