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Overview of CDC Epidemiology Training Programs

Overview of CDC Epidemiology Training Programs. Denise Koo, MD, MPH Director, Division of Applied PH Training Epidemiology Program Office. Training Programs. Epidemiology elective for med/vet students Applied epidemiology fellowship for medical students (new)

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Overview of CDC Epidemiology Training Programs

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  1. Overview of CDC Epidemiology Training Programs Denise Koo, MD, MPH Director, Division of Applied PH Training Epidemiology Program Office

  2. Training Programs • Epidemiology elective for med/vet students • Applied epidemiology fellowship for medical students (new) • Epidemic Intelligence Service (EIS) • Preventive Medicine Residency/fellowship (PMR)

  3. Workforce Development Programs • Epidemic Intelligence Service (epidemiology) • Preventive Medicine Residency (leadership) • Career Epidemiology Field Officer (CEFO) Program (field experience and emergency preparedness)

  4. Epi elective 3rd/4th year med/vet stdts 6-8 weeks Epi fellowship 3rd/4th year med students 1 year EIS postdoctoral 2 years PMR EIS graduates (MPH +)1 yr practicum CEFO Experienced EIS grads Multi-year Overview of Programs

  5. Successful EIS Training Model • Content • Applied epidemiology • Terrorism preparedness and emergency response • Methods of Training • Structured courses, including case studies • Field exercise • Simulations • Required activities on-the-job (Core Activities of Learning—CALs) • Experiential learning (service learning)

  6. “Even if you’re on the right track, you’ll get run over if you just sit there.” --Will Rogers

  7. Issues • Evidence base for our approach? • Consistency with educational standards? • Current expected (measurable) outcomes? • Responsiveness to changes in public health? • Desired, measurable outcomes?

  8. Evidence-based Approach • Modeled after medical residency, learning by doing • EISOs do outstanding work • EIS meets public health emergency needs • EIS graduates attain high positions in public health • Where’re the data?

  9. Educational Standards (adapted from ACGME) • Stage 1: Apprenticeship • Stage 2: Program = Multiple learners and mentors • Stage 3: Formal learning activities • Stage 4: Educational outcomes • Quality of graduates’ competence to practice, based on scientifically valid, consensus-based measures • Stage 5: Quality of public health practice

  10. Current Expected Outcomes • Completion of CALs • Competent public health epidemiologists? • Balance of CDC and field epidemiologists? • Balance of ID and non-ID epidemiologists? • Impact on public health? • Impact on health care?

  11. Core Activities of Learning(EIS) • Conduct field investigation • Design and interpret epidemiologic analysis • Evaluate public health surveillance system • Submit manuscript • Write MMWR article • Present at EIS Conference • Present (oral) at scientific meeting • Respond to public inquiries

  12. (Selected) Changes in Public Health Practice • Terrorism preparedness • Informatics • Public health law • Global health • Community-based participatory research • Other technology (e.g., genomics) • Integration with health care system

  13. Desired Outcomes • “Public health practitioners who can use epidemiology as a tool” • Competent, consequential epidemiologists • Clearly defined, measurable outcomes • Framework for evolution • Improved (public) health

  14. Priorities for ExistingPrograms • Evaluation: • Recruitment • Assignment Quality • Training and Learning • Overall Programs • Competency definitions

  15. “A good archer is known not by his arrows but by his aim.” --Thomas Fuller

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