PUBLIC HEALTH PROGRAM 2016-2017 Field Study Preceptor Handbook Revised January 2017
COUNTY OF MARIN PUBLIC HEALTH TUC MPH PRECEPTORS
BOLIVIA ETHIOPIA
CDPH SAFE COSMETICS PROGRAM
ORANGE COUNTY HEALTH CARE SERVICES
CAMBODIA
TABLE OF CONTENTS Course Overview.............................................................................................................................. 2 Learning Objectives ......................................................................................................................... 3 Public Health Competencies ............................................................................................................ 4
COMMUNITY HEALTH FIELD STUDY
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Course and Fieldwork Format for MPH Students ........................................................................... 6 Course and Fieldwork Format for Joint MSPAS/MPH Degree Students.......................................... 6 Course and Fieldwork Format for MPH Dual Degree Students ....................................................... 6 Student Field Study Work Schedules ............................................................................................... 7 Community Health Field Study Placement Sites ............................................................................. 8 Student Onboarding Requirements ................................................................................................ 8 Exceptions & Waivers ...................................................................................................................... 8 The Matching Process.................................................................................................................... 12 Placement Policies ......................................................................................................................... 14 Community Health Field Study Placement Planning Timeline ...................................................... 15 During the Public Health Field Study ............................................................................................. 17 Means for Evaluating Student Performance: Public Health Field Study Course Requirements & Student Deliverables .......................................................................................... 18 Field Study Evaluation & Grading .................................................................................................. 22 Field Study Responsibilities ........................................................................................................... 23
GLOBAL HEALTH FIELD STUDY
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Course and Fieldwork Format for MPH Students ......................................................................... 28 Course and Fieldwork Format for MPH Dual Degree Students ..................................................... 28 Course and Fieldwork Format for Joint MSPAS/MPH Degree Students........................................ 28 Student Field Study Work Schedules ............................................................................................. 28 Global Health Field Study Placement Sites .................................................................................... 29 Exceptions & Waivers .................................................................................................................... 30 The Matching Procecss .................................................................................................................. 33 Placement Policies ......................................................................................................................... 33 Global Health Field Study Placement Planning Timeline............................................................... 34 During the Public Health Field Study ............................................................................................. 35 Means for Evaluating Student Performance: Public Health Field Study Course Requirements & Student Deliverables .......................................................................................... 37 Field Study Evaluation & Grading .................................................................................................. 41 Field Study Responsibilities ........................................................................................................... 42
APPENDIX
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Course Title: Public Health Field Study Course No./CRN: PBHC 600-2 (2 Units) PBHC 600-4 (4 Units) PBHC 600-6 (6 Units) PBHC 600A: (Continuation Course (0 Units) Faculty: Assistant Professor & Field Study Coordinator, Nemesia Kelly, MPH Office Phone: 707-638-5827 Cell Phone: 707-731-7436 Fax: 707-638-5871 Office: Wilderman Hall 403
Email:
[email protected] Office Hours: Wednesdays: 12 - 2:30 p.m. & Thursdays: 2:30 - 4 p.m. Course Location: Affiliated Community & Global Health Field Study Placement Sites
COURSE OVERVIEW
The Public Health Field Study is required for all MPH students. As part of the Master of Public Health (MPH) Culminating Experience, the Field Study is a structured and practical experience in a professional public health setting which allows the student to apply and integrate the knowledge and skills acquired during the didactic period into public health practice. The Field Study is an also an opportunity for students to explore public health careers, cultivate their public health skills, and to develop their professional goals and contacts for future employment through networking. It allows them to apply their academic knowledge to “real world” situations, projects or tasks and make meaningful contributions to a public health organization. Clinical experience involving individual patient care or health facility administration is not considered relevant public health experience.
Course Prerequisites: To be eligible to begin the Public Health Field Study, students must have completed all MPH core and track-required courses. In addition, all new students are required to complete the online courses listed below through Blackboard, effective Fall 2015, as part of the Annual PH Program Orientation Blackboard Organization for New Students. Effective Fall 2016, these online course prerequisites are required for all students (new and continuing). Students who entered the Program prior to Summer or Fall 2015 must complete these prerequisites via the following format: o o o
Online Training Course on Professionalism for MPH Students provided by TRAIN.org Cultural Diversity, Health Disparities, and PH Online Training provided by TRAIN.org Unite for Sight’s Cultural Competency Online Course - Global Health Track Students ONLY
Students who are solely pursuing the MPH degree are required to enroll in PBHC 600-4 or 6: Public Health Field Experience (4 or 6 units) and complete the Field Study over a 10 to 12-week period.
Part-time MPH students may complete part-time field study placements and are required to complete a minimum of 20 field study hour per week over the course of two semesters. 2
DO (Doctor of Osteopathic Medicine)/MPH) and (PharmD (Doctor of Pharmacy)/MPH) dual degree and Joint Master of Science in Physician Assistant Studies (MSPAS/MPH) students must enroll in PBHC 600-2 or 4 (2 or 4 units) and complete the Field Study over a 6-week period. (Two (2) units are transferred from the College of Osteopathic Medicine (COM), College of Pharmacy, (COP) and PA Program curricula towards the Field Study for MPH dual and joint degree students.)
As a working partnership between the Program and the public health practice organization, this course provides a public health fieldwork experience for all MPH students. The students' work in the field study projects should be valued by the organization and contribute to meeting the organization's goals or mission. Field study projects must also address a public health issue and student participation should contribute to strategic resolutions.
Students enrolled in either the in the Community Health or Global Health tracks conduct their field studies under the guidance and supervision of preceptors at affiliated public health field study organizations that serve as field study placement sites. Community Health field study sites include, but are not limited to: county health departments, state and federal health agencies, community health organizations, hospitals, clinics, managed care organizations, academic institutions, philanthropic and voluntary health agencies, and non-profit organizations. Global Health Track students conduct their field studies at sites in Bolivia, Cambodia, and Ethiopia under the guidance of course coordinators and preceptors at public health institutions, universities, ministries of health, non-governmental organizations, and United Nations agencies.
The practical skills and the knowledge gained in field work at public health practice agencies/organization are essential to students’ academic and professional growth, preparing them for a professional career in the field of public health. Students are encouraged to maximize and take full advantage of the field study experience as it can help place them on the path to obtaining jobs and building careers in the field of Public Health.
LEARNING OBJECTIVES Through the field study, students MPH students will be able to: 1. Integrate public health theory, knowledge and skills in a practice setting; 2. Complete a defined project(s) in an area of public health practice including core public health functions such as a needs assessment, program plan, program evaluation, policy development, educational campaign, applied research project; 3. Exhibit proficiency in at least one of the following areas: program planning, needs assessment and data gathering, program implementation, applied research, program evaluation, policy analysis, or data analysis under the guidance of an experienced preceptor; 4. Demonstrate competence in a public health practice setting; and 5. Demonstrate leadership, teamwork, communication skills, and creativity in the development of a public health practice activity. The Public Health Field Study will involve: 3
a) Participation in “project-oriented” work in a public health setting. Examples of appropriate tasks may include the following, but are not limited to involvement in: Developing, implementing and or evaluating health promotion programs for specific population(s); Conducting research on a public health issue of interest (e.g., study and assessment instrument design, data collection, data entry, analysis, and assessment of findings; Conducting policy analysis or advocacy related to a public health issue; Conducting a community needs assessment; Coalition building and coordination of resources; Developing, pre-testing and evaluation of curriculum and or health education materials; Contributing to the development of grant proposals; Communicating health education needs and information to policy makers and the public b) Development of a Scope of Work to implement the selected project; c) Presentation of project findings in a field study summary report that addresses a health issue of the community and contributes in resolving practical health problems.
PUBLIC HEALTH COMPETENCIES For their field study projects, students are required to identify at least three to five (3-5) corresponding core public health competencies (one from each core area- Biostatistics, Epidemiology, Environmental Health Science, Health Policy and Management, and Social and Behavioral Sciences, one (1) cross-cutting competency, and three (3) corresponding Community Health Track or Global Health Track competencies. Competencies should be identified as a collaborative process between students and preceptors by identifying and selecting the competencies that will be addressed through the field study and objectives of the Scope of Work as indicated on the Competency Inventory Form. See Appendix or visit http://cehs.tu.edu/publichealth/curriculum/competencies.html for a full listing of the Program’s competencies.
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COMMUNITY HEALTH FIELD STUDY
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COURSE AND FIELDWORK FORMAT FOR MPH STUDENTS Full-time Field Study Option: MPH students who seek full-time community health field study placements are expected to complete 30-40 field study hours per week over a 12-week period (equivalent to 400+ hours) from mid-May to the first week in August during the summer academic session of Year 1. Placements must be conducted at an appropriate public health field study placement site under the guidance and supervision of a field study preceptor. (Clinical experience involving individual patient care or health facility administration is not considered relevant public health experience.) Part-time Field Study Option: This option is available to MPH students enrolled in the Community Health Track who need to maintain employment while enrolled in the Field Study course, and who are unable to complete a more than 20 field study hours per week. Part-time field study student interns may extend a field study to be completed over the course of two (2) semesters/academic sessions, in which they are expected to complete a minimum of 20 field study hours per week. After initial enrollment in the Public Health Field Study and partially their completing field study hours, part-time MPH student interns will receive a grade of INC (Incomplete) and will be required to register for the 0-Unit PBHC 600A Field Study Continuation course in the following semester in order to continue the Public Health Field Study. By enrolling in this zero-credit course, students will maintain "active MPH student status" while completing their field study. If a student does not complete the remainder of field study hours within their first semester of PBHC 600A, they will be required to register for PBHC 600A for a second time for the following semester. Once the student’s field study has been successfully completed, the student’s grade of INC will be changed to P (Pass).
COURSE AND FIELDWORK FORMAT FOR JOINT MSPAS/MPH STUDENTS Joint MSPAS/MPH students enrolled in the Community Health Track are expected to complete 30-40 field study hours per week over a 6-week period during the spring semester of Year 3 in the PA Program. Joint students must conduct the Field Study at an appropriate public health field study placement site under the guidance and supervision of a field study preceptor. (Clinical experience involving individual patient care or health facility administration is not considered relevant public health experience.)
COURSE AND FIELDWORK FORMAT FOR MPH DUAL DEGREE STUDENTS MPH Dual Degree (DO/MPH & PharmD/MPH) students enrolled in the Community Health Track are expected to complete 30-40 field study hours per week over a 6-week period during a semester or academic session at an appropriate public health field study placement site under the guidance and supervision of a field study preceptor. (Clinical experience involving individual patient care or health facility administration is not considered relevant public health experience.) DO/MPH Dual Degree students: These students have a unique opportunity to utilize the field experience to satisfy two different courses in the two colleges in which they are concurrently enrolled: the TUC CEHS Public Health Field Study and College of Osteopathic Medicine (COM) DO Program Research Elective Rotation. Students who pursue this opportunity are required to submit a Research Elective Rotation 6
application and proposal, including the CV and/or resume of their assigned Public Health Field Study preceptor, as supporting documentation to the COM Clinical Education Department. Upon obtaining acceptance for field study placements, DO/MPH students routinely request CV and/or resumes from their assigned field study preceptors. If you agree to mentor a dual degree student as a field study intern, please provide your CV and/or resume as supporting documentation for their Research Elective Rotation application/proposal. Part-time Field Study Option: MPH Dual degree (DO/MPH and PharmD/MPH) students enrolled in the Community Health Track may extend a field study to be completed over the course of two (2) academic semesters/academic sessions, in which they are expected to complete a minimum of 20 hours per week. After initial enrollment in the Public Health Field Study and partially their completing field study hours, students will receive a grade of INC (Incomplete) and are required to register for the PBHC 600A Field Study Continuation 0-Unit course in the following semester in order to continue the Public Health Field Study. By enrolling in this zero-credit course, students will maintain "active MPH student status" while completing their field study placement.
STUDENT FIELD STUDY WORK SCHEDULES Typically, students are allowed to work up to a maximum of 8 hours per day in their field study placements. However, if a field study placement site utilizes a 10/40 work schedule, students may work up to a maximum of 10-hour days per week during their field study placements (three (3) days for MPH dual/joint degree students, and 4 days for MPH students). All field study work must be conducted on-site under the supervision of the field study preceptor. Students are not allowed to telecommute or work from home during the Field Study as working from home is not an acceptable form of professional conduct for the MPH field experience. Students may only work outside their placement site when attending off-site meetings, trainings, or events sponsored by or affiliated with the placement site. Specific work schedules are negotiated between the preceptor and the student. All affiliated field study placement sites typically operate during normal business hours between Monday through Friday (8 a.m. to 5 p.m.); however, on occasion, students are requested by their preceptors to participate in special weekend (Saturdays and Sundays) events (e.g., meetings, or trainings sponsored by/affiliated with the placement site) as part of their field study projects. Students must receive approval from their preceptors in order to complete field work hours on weekends at such events. Moreover, students are not permitted to complete field study hours on weekends by telecommuting or conducting field work from home. If there is field work that cannot be completed on site during a nationally observed holiday, that field work must resume on site on the next available work day during normal business hours.
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COMMUNITY HEALTH FIELD STUDY PLACEMENTS SITES TUC and the Public Health Program have successfully developed a network of placement sites via collaborations with local organizations engaged in public health activities that provide its Community Health track students many placement sites from which to gain field experience. Students conduct their field studies under the guidance of site preceptors and course coordinators at affiliated public health organizations, including but not limited to: county health departments, state and federal health agencies, community health organizations, hospitals, clinics, managed care organizations, academic institutions, philanthropic and voluntary health agencies, and non-profit organizations. To view the TUC Network of Community Health Field Study Placement Sites, please visit http://cehs.tu.edu/publichealth/culminatingexperience/chfieldstudysites.html or see Appendix. STUDENT INTERN ONBOARDING REQUIREMENTS: The Program ensures that all student interns fulfill certain agency clearance or onboarding requirements prior to beginning their field study placements, which may include completion of forms/paperwork, health and immunization documentation/screening, security scans/background checks, and drug testing/toxicology screenings. TUC processes background checks for its students. In addition, all dual and joint students are required to satisfy requirements (health and immunization documentation/screening, security scans/background checks, and drug testing/toxicology screenings) routinely prior to beginning rotations for their clinical programs.
EXCEPTIONS & WAIVERS Application for Placements at Unaffiliated Community Health Field Study Sites: This application is for students who wish to independently develop their own field study placements at sites outside the TUC Network of Community Health Field Study Placement Sites. Motivated students may receive approval for exceptions to conduct field study placements at unaffiliated field study sites (alternative public health agencies or organizations outside the existing TUC Network). Requests for these exceptions must be submitted through an application process which evaluates and determines whether unaffiliated sites and their field study project proposals qualify for approval. Applications are considered on an individual basis and reviewed by the Program Director and Field Study Coordinator. Students may contact unaffiliated sites to inquire about potential field study placement opportunities. Approval Criteria: The prospective site must meet the Program’s criteria in order to be approved as a field study site. Further, TUC and the Public Health Program must also meet the criteria of the proposed site required for affiliation, partnership, and/or collaboration. Field Study Site Eligibility Criteria: 1. The proposed field study placement and/or site must be within appropriate public health practice agencies or organizations that: Provide public health related planning, research and/or services; 8
Have one or more staff on site with a graduate credential in public health or equivalent professional experience and education who will serve as a designated preceptor; Offer opportunities for students to be exposed to a variety of organizational departments and individuals, functions and or tasks; Offer responsibilities to students that are relevant and appropriate to the their individual field study learning goals and professional development; Provide necessary access to data and program materials for students to conduct their projects; Have adequate organizational support for students to successfully complete field study activities; Provide direct and regular supervision for students throughout the placement; Permit MPH students to complete 30-40 field study hours per week over a minimum of 12 weeks and MPH dual or joint students to complete 30-40 field study hours per week over a 6week period Preceptors must submit an Online Registration for New MPH Field Study Placement Sites at https://www.surveymonkey.com/s/TUCPHFieldStudySiteRegistration by specified deadlines. Student Requirements: 1. Students who identify potential public health practice entities as prospective Community Health field study sites are advised to review the following sections which can be found at the Field Study webpage or in the Student and Preceptor Field Study Handbooks (available online at http://cehs.tu.edu/publichealth/culminatingexperience/phfieldstudy.html): a. b. c. d.
Course Overview Learning Objectives Public Health Competencies Public Health Field Study Site Responsibilities
2. Students are required to provide the following important web links to their proposed preceptors/sites which can be found at online at http://cehs.tu.edu/publichealth/culminatingexperience/forpreceptors_sites.html: a. Public Health Program Brochure and our invitation to Prospective Field Study Sites to develop a partnership with TUC to provide essential program information b. Guidelines for Public Health Field Study Sites & Preceptors, Field Study Overview & Placement Planning Timeline, and Field Study Preceptor Handbook to ensure that proposed sites and preceptors are aware of the required course learning objectives the Program’s approval criteria 9
for Community Health field study placement sites and preceptors, the placement planning timeline, and the field study responsibilities for students, preceptors, sites, and the Program c. The web link for Online Registration for New MPH Field Study Placement Sites for proposed sites and preceptors to post their site/preceptor information, proposed field study placement projects, available course learning objectives, research opportunities, and student and onboarding requirements 3. Students are required to review the Approval Criteria for Placement at Unaffiliated Community Health Field Study Sites and submit an Application for Placement at Unaffiliated Community Health Field Study Sites by specified deadlines posted online at http://cehs.tu.edu/publichealth/culminatingexperience/chfieldstudy.html. Application approval criteria the Application, are available online at http://cehs.tu.edu/publichealth/culminatingexperience/exceptions_waivers.html and in the Appendix. Student-Initiated Placements at Affiliated Community Health Field Study Sites: This application is for students who wish to independently develop their own field study placements at sites within the TUC Network of Community Health Field Study Placement Sites. Motivated students may receive approval for exceptions to conduct field study placements in new departments, divisions, or offices at existing affiliated Community Health field study placement sites under the supervision of new first-time preceptors. Applications are considered on an individual basis and reviewed by the Program Director and Field Study Coordinator. Students may contact unaffiliated sites to inquire about potential field study placement opportunities. Application approval criteria the Application are available online at http://cehs.tu.edu/publichealth/culminatingexperience/exceptions_waivers.html and in the Appendix. Formal Requests to Apply Current Professional Public Health Employment to the Community Health Field Study: Independent MPH students who are currently employed at local public health practice agencies and organizations (for less than three continuous years) while enrolled in the Public Health Program may be permitted to apply their current professional public health employment towards the Public Health Field Study. The agency/organization must approved by the Public Health Program as an appropriate field study site and the projects to which the student employee is assigned must provide a Scope of Work that meets the criteria of the Public Health Program. (To view the qualifications required by agencies/organizations to become approved field study sites, please see the Guidelines for Public Health Field Study Sites and Preceptors online at http://cehs.tu.edu/publichealth/culminatingexperience/forpreceptors_sites.html.) Students are required to submit a formal request to the Field Study Coordinator for approval to apply their current professional public health employment towards the Public Health Field Study. All requests are subject to review by committee and must be approved by the Program Director and Field Study Coordinator. Application approval criteria the Application are available online at http://cehs.tu.edu/publichealth/culminatingexperience/exceptions_waivers.html and in the Appendix. Paid Internships: The Public Health Program does not manage paid internships. Our network of field study placements sites currently offers non-paid field work experience for MPH students. Students who are interested in paid internships are strongly encouraged to seek out paid internships at public health practice agencies/organizations independently. Seeking paid internship is similar to searching for jobs or positions at 10
public health practice entities. Frequently, the Public Health Program receives information regarding paid internships which it disseminates via students listserves and posts online at its Jobs, Training Fellowship and Scholarship webpage (http://cehs.tu.edu/publichealth/careers/internshipsfellowships.html). Students who wish to apply a paid internship to the Public Health Field Study for academic credit, must have completed all core and track-required courses prior to beginning their paid internship. Requests for paid internships to satisfy the Field Study must be approved by the Program. In addition, paid internships selected for the field study course must permit MPH students to complete 30-40 field study hours per week over a minimum of 12 weeks and MPH dual or joint students to complete 30-40 field study hours per week over a 6-week period. Students who wish to apply a paid internship to the Public Health Field Study for academic credit must submit a formal request to the Public Health Program at least one month prior to the planned field study/internship start date. Application approval criteria the Application are available online at http://cehs.tu.edu/publichealth/culminatingexperience/exceptions_waivers.html and in the Appendix. The Field Study Waiver (Criterion I): MPH students who can verify previous public health employment of three years of continuous, paid, public health employment prior to enrollment in the MPH program may be eligible for a waiver that would allow them to complete 30-40 field study hours per week over the course of 6 weeks reduced from 12 weeks. (Clinical experience involving individual patient care or health facility administration is not considered relevant public health experience.) Relevant public health experience must include involvement in at least one of the following activities: Assessing, monitoring, or conducting surveillance of health conditions or delivery of services in a population; Establishing public health objectives and priorities; Conducting basic or applied research on population-based health problems including the behavioral, biological or environmental risk factors; or Designing, implementing and/or evaluating policies and/or intervention strategies/programs. To apply for this waiver, students are required to submit a separate 2-3 page (single-spaced) narrative describing relevant public health work experience, including: • • • •
Description of specific duties performed; Discussion of the impact or relevance of the experience to public health, highlighting knowledge, theories and concepts covered in MPH coursework; List of skills/competencies gained in the experience (see MPH general and track specific competencies specified in the MPH Learning Outcome Inventory; and Reference/contact person (preferably someone who supervised you) so that employment/involvement with the agency can be verified. 11
In addition, students are required to submit an Application for the Field Study Waiver (Criterion I). Application approval criteria the Application are available online at http://cehs.tu.edu/publichealth/culminatingexperience/exceptions_waivers.html and in the Appendix. Applications are due at least 4 weeks prior to registration in the Public Health Field Study. Applications are subject to review by committee and all waivers must be approved by the Program Director and Field Study Coordinator. Students will be contacted by the Field Study Coordinator within two to three weeks with a decision. Decisions of the Committee are final. Upon approval of this waiver, students will register for the Field Study for 4 or 6 units and will be approved for a 6-week waiver for the Field Study. If students who receive this waiver elect to complete a longer field study placement between 7-12 weeks, they are expected to dedicate a minimum of 20 hours per week over the course of one semester or academic session. The Field Study Waiver (Criterion II): The Field Study Waiver (Criterion II): Independent MPH students who have completed all MPH core and track-required courses and who can verify enrollment in any nonTUC (outside of TUC) accredited four-year medical or pharmacy school, or Master of Science in Physician Assistant Studies program via official transcripts, may be eligible for a field study 6-week field study waiver. Students who receive approved waivers are required to complete 30-40 field study hours per week over the course of 6 weeks. To apply for this waiver, students shall provide an official copy of their transcripts verifying enrollment in a non-TUC accredited four-year medical or pharmacy school, or Master of Science in Physician Assistant Studies program to the Public Health Program. In addition, students are required to submit an Application for the Field Study Waiver (Criterion II). Application approval criteria the Application are available online at http://cehs.tu.edu/publichealth/culminatingexperience/exceptions_waivers.html and in the Appendix. Applications are due at least 4 weeks prior to registration in the Public Health Field Study. All applications are subject to review by committee. All waivers must be approved by the Program Director and Field Study Coordinator. Students will be contacted by the Field Study Coordinator within two to three weeks with a decision. Decisions of the review committee are final. Upon approval of this waiver, students will register for the Field Study for 4 or 6 units and will be approved for a 6-week waiver for the Field Study. MPH students who receive this waiver and elect to devote 30-40 field study hours per week toward their field study placements are required to complete the Field Study within a minimum of 6 consecutive weeks. If students who receive this waiver elect to complete a longer field study placement between 7-12 weeks, they are expected to dedicate a minimum of 20 hours per week over the course of one semester or academic session.
THE MATCHING PROCESS Step 1.The Field Study Coordinator will work to facilitate the placement process by matching the student’s skills, qualifications, public health interests, and geographic location preference (within the TUC Network) with the requirements of existing affiliated placement sites. Student curriculum vitae (C.V.) or resumes are an essential part of this process. Field study preceptors require student C.V.s and/or resumes to consider evaluate students who are recommended for available placement opportunities within their respective 12
agencies or organizations. Preceptors review students’ experience, skills, qualifications, public health interests relevant to available field study projects. Another important factor in the matching process is field study placement and site availability at our partnering organizations. Program or project funding cycles, appropriate number of staff, time of year, and availability of physical space to accommodate student interns, all determine whether or not a placement site will have available field study opportunities for students. Due to these factors, placement sites are limited and students may not be assigned to their top-ranked sites. TUC is unable to guarantee field study placements. Additionally, it is important to remember that field study projects evolve continuously over time as public health campaigns, interventions, research studies, programs, projects and funding cycles begin and end, and as site administrative or staffing priorities change over time. Students typically will know the subject area of a field study project based on a placement site’s mission and goals, but do not usually find out what their specific field study projects entail until they meet with their prospective preceptors or site administrators. Step 2. Once a match has been made, an official field study placement recommendation letter is emailed to the student and preceptor based on the student’s skills, qualifications, public health interests. The official placement recommendation letter and email communication to the student will clearly state that it is the responsibility of the student to contact the site preceptor or coordinator to confirm, secure, and finalize their placement. (The Field Study Coordinator will ensure that the student has completed a Signed Student Code of Conduct before the student is instructed to contact their potential preceptor.) It is important to note that a placement recommendation from the Field Study Coordinator does not necessarily guarantee a placement. In most cases, students are required to interview with the site preceptor or coordinator to secure their field study placements and preceptors make final decisions to accept a student for a placement post interview. The Program recommends that student utilize the Helpful Tips for Interviews with Potential Public Health Field Study Preceptors (see Appendix). In addition, the email correspondence will emphasize that the placement site may require agency clearance or student onboarding requirements, such as security scans or drug testing and direct students to ensure that all preliminary requirements are satisfied one (1) to two (2) months prior to the field study start date. Placement recommendation letters provide details on the course and fieldwork format and includes information and instructions for completing the field study deliverables, as well as a placement confirmation form to be completed and submitted by the student. Step 3. Once the student field study placement has been confirmed by the preceptor/site, a contractual agreement or memorandum of understanding (MOU) or a Short Affiliation Letter of Agreement with TUC will be prepared by the Field Study Coordinator to be signed by the two parties: The program/university and the placement site agency/organization. In some cases, a third party signature is required of the student as part of the public health field study agreement. Step 4. Once the student field study placement has been confirmed by the preceptor/site, students and preceptors must sign the Emergency Protocol Statement of Understanding prior to the start of the field study placement. The Community Health Field Study Emergency Protocol has been designed to prepare for 13
and facilitate rapid response to emergencies which may arise during the Field Study. Although no single plan or protocol can address all contingencies, Touro University California (TUC) recognizes the importance of establishing, in advance, policies and procedures to safeguard the welfare of students during their field study placements at affiliated community health field study sites. The procedures set forth are to be followed by the all students in community health field study placements sponsored by TUC. It is the responsibility of the Field Study Coordinator to follow the procedures outlined below and educate all field study students, preceptors, and site coordinators or administrators about these procedures through preceptor orientation. Please see Appendix for the Emergency Protocol and Incident Report Form.
PLACEMENT POLICIES 1) Students are required to notify the Field Study Coordinator immediately if they become aware of any changes, issues, or problems that may delay or interrupt their field study placement. If for some reason a student is not accepted for a recommended field study placement or is unable to begin a recommended placement or continue a confirmed placement due to events or circumstances beyond their control, the Field Study Coordinator will assist the student in finding an alternative placement based on site availability, the student’s experience/qualifications, and location preference. 2) If a student declines to accept a recommended field study placement well before the placement start date due to changes in their public health interests or preference in placement site or geographical location, the Field Study Coordinator will assist the student in securing up to a maximum of one (1) additional field study placement. 3) If a student fails to follow up on a second recommended placement, he/she will be responsible for independently securing their own field study placement at another site by completing the application process detailed in the EXECEPTIONS section of this handbook. Further, if there is any indication that the student has committed a breach of professionalism resulting in a failed placement, the student may be placed on academic probation and sent to the Academic Probation Committee. 4) Cancellation requests for any confirmed field study placement initiated either by the Field Study Coordinator or the Student must be submitted to the Field Study Coordinator no later than 5 weeks prior to the student’s intended field study start date. There is no guarantee that requests to cancel confirmed placements received after the 5-week cutoff will be approved. Students must be aware that cancellations can be extremely disruptive to the field study placement process and to the existing partnerships between the Public Health Program and field study placement sites and preceptors. Failure to comply with designated deadlines may result in a delay in a student’s graduation. Again, if there is any indication that the student has committed a breach of professionalism resulting in a failed placement, the student may be placed on academic probation and sent to the Academic Probation Committee. 5) If a student chooses not to begin his/her confirmed field study placement that has been initiated either by the Field Study Coordinator or the Student, or ceases conducting his/her field study after beginning a placement that has been initiated either by the Field Study Coordinator or the Student, and 14
his/her actions constitute a breach of professionalism, the student may not be eligible for a second placement recommendation from the Field Study Coordinator during that same semester or in subsequent semesters. Further, in such cases, students will be sent to the Academic Probation Committee. This policy applies to placements that have been initiated and confirmed either by the Field Study Coordinator or the Student. 6) With the exception of dual appointees at TUC and Solano County (e.g., Outpatient Clinic Instructor, Joy Dugan, Dr. Jay Shubrook), TUC faculty cannot serve as field study preceptors.
Community Health Field Study Placement Planning Timeline The following timeline describes the placement planning process.
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Community Health Field Study Placement Planning Timeline MPH Students (12 Weeks)
Placement Terms/Start & End Dates Field Study Orientation Students Submit Field Study Planning Forms, cover letters, C.V.s/Resumes To Field Study Coordinator New Field Study Site Registration (Requests for Placement @Unaffiliated Sites) Field Study Coordinator Reminds Preceptors/Sites to Post Available Field Study Opportunities Matching Process Begins Field Study Coordinator Confirms Field Study Placement Opportunities Placement Terms/Start & End Dates
Field Study Orientation Students Submit Field Study Planning Forms, cover letters, C.V.s/Resumes To Field Study Coordinator New Field Study Site Registration (Requests for Placement @Unaffiliated Sites)
Summer May 15 - August 4 (12 consecutive weeks)
Fall August 1/Sept. 11* - December 8 (minimum 12 consecutive weeks)
Spring January 8* – April 27 (minimum 12 consecutive weeks)
February February 15
July May 1
November October 1
February 15
May 1
October 1
February
May
October
February - March May 3-6 weeks prior to 3-6 weeks prior to general field study start dates general field study start dates DO/MPH & PharmD/MPH Dual Degree Students (6 Weeks) May 15/June 5 - August 4** AVAILABLE FOR PHARMD/MPH (minimum 6 consecutive weeks; DUAL DEGREE STUDENTS ONLY* August 14/Sept. 11* - December 8 Variable start/end dates) (minimum 6 consecutive weeks; Variable start/end dates) February July February 15 May 1
February 15
May 1
16
October 3-6 weeks prior to general field study start dates January 8* – April 27 (minimum 6 consecutive weeks; Variable start/end dates) November October 1
October 1
Field Study Coordinator Reminds Preceptors/Sites to Post Available Field Study Opportunities Matching Process Begins Field Study Coordinator Confirms Field Study Placement Opportunities Placement Terms/Start & End Dates Field Study Orientation Students Submit Field Study Planning Forms, cover letters, C.V.s/Resumes To Field Study Coordinator New Field Study Site Registration (Requests for Placement @Unaffiliated Sites) Field Study Coordinator Reminds Preceptors/Sites to Post Available Field Study Opportunities Matching Process Begins Field Study Coordinator Confirms Field Study Placement Opportunities
Community Health Field Study Placement Planning Timeline February
May
February - March May 3-6 weeks prior to 3-6 weeks prior to field study start date field study start date Joint MSPAS/MPH Students (6 Weeks) February 19 – March 30 (minimum 6 consecutive weeks) August 16 (tentative) October 1
October October 3-6 weeks prior to field study start date
October 1 October October 3-6 weeks prior to field study start date
*The Field Study in the fall semesters is available to PharmD/MPH dual degree students ONLY. Registration for the Field Study course in the fall semesters is not permitted for DO/MPH dual degree students in Y3 or Y4. Third and fourth-year DO/MPH students may only register for the Field Study course in either the PH Program spring semesters or summer academic sessions. **Tentative dates: Please note that these are general start dates for the field study. Start dates for student field study placements may vary for each student.
DURING THE PUBLIC HEALTH FIELD STUDY PLACEMENT The preceptor supervises the student’s onsite performance. Communication is an important aspect of a successful placement. It is expected that both the student and preceptor will contact the Field Study Coordinator at any time when questions, changes, issues, or problems arise. The Field Study Coordinator will also conduct a site visit to evaluate the student’s progress near the midpoint of the placement. 17
MEANS FOR EVALUATING STUDENT PERFORMANCE: PUBLIC HEALTH FIELD STUDY COURSE REQUIREMENTS & STUDENT DELIVERABLES All documents, forms, and instructions required for completing all field study deliverables listed below, including the MPH Student Field Study Handbook, are available in the Appendix or on Blackboard. Students are expected to complete the following required course deliverables. IMPORTANT: Group work is unacceptable. Although, two or more students can be placed simultaneously at the same site and with the same preceptor; each student is ultimately responsible for completing and submitting his/her own work. 1. Scope of Work:* The scope of work provides the framework for the field study, by ensuring that the student and preceptor have a clear understanding of this planned experience. Students must work with their preceptors to generate a Scope of Work that describes a set of measurable objectives, activities, a timeline, and outcome indicators for each objective: a. For instructions for completing the Scope of Work see Blackboard or Appendix. b. Although, this is a collaborative process between student and preceptor, it is the ultimately the responsibility of the student to compose the Scope of Work. c. When submitting your scope of work via Blackboard as an attachment, please remember to name the file appropriately with your first/last name (e.g., Jane_Smith_Scope of Work). d. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. e. (Due one week after the placement start date via Blackboard) 2. Competency Inventory Form:* This form ensures the integration of didactic coursework with public health practice. Students are required to identify at least three to five (3-5) corresponding core public health competencies (one from each core area), one (1) corresponding cross-cutting competency, and three (3) corresponding track competencies (Community Health or Global health): a. Competencies should be identified as a collaborative process between students and preceptors. In order to complete this process, the preceptor and student identify and select the competencies that will be addressed through the field study. b. Although, this is a collaborative process between student and preceptor, it is the ultimately the responsibility of the student to compose the Competency Inventory. b. Students will be evaluated to determine their level of mastery of the selected competencies upon the completion of the field study (see Appendix). c. When submitting your competency inventory via Blackboard as an attachment, please remember to name the file appropriately with your first/last name (e.g., Jane_Smith_Competency Inventory). d. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. e. (Due one week after the placement start date via Blackboard) 3. Field Study Contract:* This contract must be signed by the preceptor and the student acknowledging an agreement for the student to work and complete agreed upon objectives as negotiated between the student and preceptor. a. When submitting your field study contract via Blackboard as an attachment, please 18
remember to name the file appropriately with your first/last name (e.g., John_Smith_Field Study Contract). b. (Due one week after the placement start date via Blackboard) c. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. 4. Field Study Site Visit:* The site visit is an assessment occurring midway through the field study placement, in which the Field Study Coordinator or another Public Health Program faculty member visits the field study placement site to meet with the student and preceptor. a. During the first week of the field study placement once the preceptor has signed the Field Study Contract, the student is responsible for working with their preceptor to select 3-4 possible dates/times that occur midway through their field study placement on which to schedule the site visit. b. A minimum of 30 minutes should be allocated for each site visit (15-minute separate meetings are required with the student and the preceptor). c. Site visits may be held in person, by phone, or by Skype. d. Students are required to submit possible site visit dates/times to the Field Study Coordinator using the Selected Dates for Field Study Site Visit form. e. This form requires signatures of both student and preceptor. f. When submitting the Selected Dates for Field Study Site Visit form via Blackboard as an attachment, please remember to name the file appropriately with your first/last name (e.g., Jane_Smith_Selected Dates for Field Study Site Visit form). f. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. g. Due one week after the placement end date via Blackboard) 5. Field Study Logs. The purpose of the weekly logs is to help students develop the discipline of keeping track of significant activities and progress toward reaching the objectives that you have set out to achieve in during the field study: a. Students must submit two weeks of logs to the Field Study Coordinator via Blackboard every two (2) weeks b. Log submission begins two (2) weeks after the start date of the field study placement.) c. See Appendix or Blackboard for Field Study Log Guidelines. d. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. 6. Field Study Summary Report: The purpose of this assignment is for the student to: a. demonstrate application and integration of the skills and knowledge acquired through the didactic and practical components of the MPH Program to public health practice b. demonstrate mastery of and ability to integrate the core public health principles and material learned in MPH program c. demonstrate competency in all five core areas – biostatistics, epidemiology, health policy and management, environmental health science, and the social and behavioral sciences-and in areas relating to the Program's community health and global health concentrations. 19
d. determine aptitude for applying this knowledge to issues he or she may confront as a public health professional Part I of the Report will require the student to summarize the field experience and complete various sections that include, but are not limited to: The executive summary, statement of the problem, theoretical comparisons, results achieved, recommendations, and professionalism. The page limit for this section is 10 pages including, photos and captions, and references. Supporting documents can be submitted separately from the report. Effective Spring 2016, Part II is required ONLY for those students who are not completing an MPH capstone or who have not passed the 3-unit TUC PH Program in-house MPH Comprehensive Exam. Part II: This portion of the report will require students to refer to the main public health problem or issue identified in their field study and to write a program evaluation proposal in response that problem or issue. Students must demonstrate a sophisticated and thorough grasp of public health concepts, appropriate public health interventions, program evaluation techniques, and their field study site’s policy environment for this assignment. The page limit for this section is 7 pages including references and notes, charts, diagrams, or tables. See Appendix or Blackboard for the Field Study Summary Report Guidelines. e. When submitting the Field Study Summary Report via Blackboard as an attachment, please remember to name the file appropriately with your first/last name (e.g., John_Smith_Field Study Summary Report) f. (Due one week after the placement end date via Blackboard) g. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. 7. Field Study ePortfolios are required ONLY for students who entered the Program in or after Summer 2015. Login to myeFolio to create your myeFolio account. IMPORTANT: The TUC School myeFolio “Sign Up Code” is available via Blackboard for students enrolled in the Field Study course. The Field Study ePortfolio is similar to Part I of the written Field Study Summary Report, but instead utilizes digitized collections (e.g., textbased, graphics, archived multimedia elements, such as approved field study photos, PPT slides, audio or voice recordings, websites, web links, and other electronic media to provide a more virtual representation of your public health field work. Please note that each section of the e-Portfolio Outline can serve as abbreviated versions of those that are featured in the written Field Study Summary Report. a. (The web link to your myeFolio webpage is due one week after the placement end date via Blackboard). For more information about ePortfolios, please visit the ePortfolio webpage. 20
b. Three to Four (3-4) Field Study Photos. This minimum number of digital photographs are required as part of the Field Study Summary Report and ePortfolio. The Program requires students to obtain permission from their site/preceptor/site supervisor to document their field work experiences. Please submit digital photos of your placement sites, field study project activities, such as agency/site- sponsored events or meetings, preceptors, administrative supervisory team members, agency staff, or the general appearance of the site location (e.g., landscape, scenery, surroundings). We welcome photos featuring you as smiling student interns, preceptors, agency staff or team members, but we are also interested in photos that capture public health in action! Important: If you prefer not to be featured in any of your field study photos, you may decline to be photographed and instead submit approved photos of agency/site- sponsored events or meetings, preceptors, administrative supervisory team members, agency staff, or the general appearance of your site location (e.g., landscape, scenery, surroundings). c. Student Testimonials (Optional). Routinely, the Program features brief testimonial quotes from students and alumni online and in its print media for promotional and recruitment purposes. The testimonials reflect the enriching experience of alumni as a result of their course of study in the MPH Program and how the MPH Culminating Experience (Field Study, Capstone) and MPH degree have played a role in advancing their academic goals and professional careers. An example of a TUC MPH Student/Alumni Testimonial is available at http://cehs.tu.edu/publichealth/_resources/mphwebfiles/ArmandoBanner_photo.jpg. If you would like for the Program to publish your testimonial in its online and print media, please add it to your Field Study Summary Report and/or ePortfolio and upload a digital photo of yourself via Blackboard in the Assignments section under “Student Testimonial Photo.” 8. Preceptor Evaluation:* Student performance during the field study will be evaluated by the site preceptors to document students’ demonstration of public health competence in a public health setting: a. This information is collected via an online survey (SurveyMonkey); preceptors will receive this survey link via email. Students are responsible meeting with their preceptors to ensure that this evaluation is completed. 9. Student Field Study Site Evaluation: Students are required to submit an evaluation of the field study site via an online survey (SurveyMonkey). This survey link is available on Blackboard. (Due one week after the placement end date) 10. MPH Student Exit Survey: This survey is required ONLY for Independent MPH students who entered the PH Program prior to Summer/Fall 2015 and for all dual and joint degree students. This is an online assessment via SurveyMonkey: a. The week prior to their field study end date, students are required to email the Field Study Coordinator (
[email protected]) requesting to receive this SurveyMonkey link via email. b. Due one week after the placement end date 21
*Preceptor Requirements: Preceptors are required to assist the student in developing the Scope of Work, the identification of competencies that are addressed in the field study placement, and completion of the Field Study Contract. In addition, the preceptor must evaluate student performance during the field study to document students’ demonstration of public health competence in a public health setting and also meet with the Field Study Coordinator or another Public Health Program faculty during a site visit (see more details on additional preceptor requirements in the Public Health Preceptor Responsibilities section in this handbook.)
FIELD STUDY EVALUATION & GRADING The Public Health Field Study is a Pass/Fail course. Evaluation and grading is based on the following measures. Each component must be completed according to the specified course instructions before a grade of pass or fail can be assigned. See below: *The following grading scale is designated ONLY for students who entered the Program prior to Summer 2015. FIELD STUDY GRADING SCALE I Deliverable Percentage of grade Scope of Work, Competency Inventory, 15% Field Study Contract 5% Field Study Site Visit Field Study Logs
10%
Field Study Summary Report
30%
Preceptor’s Evaluation
30%
Student Field Study Site Evaluation
5%
MPH Student Exit Survey
5%
*The following grading scale includes the Field Study ePortfolio deliverable and is required ONLY for students who entered the Program in or after Summer 2015. FIELD STUDY GRADING SCALE II Deliverable Percentage of grade Scope of Work, Competency Inventory, 15% Field Study Contract 5% Field Study Site Visit Field Study Logs
10%
Field Study Summary Report
30%
Field Study ePortfolio*
10%
Preceptor’s Evaluation
20%
Student Field Study Site Evaluation
5%
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FIELD STUDY GRADING SCALE II Deliverable Percentage of grade MPH Student Exit Survey
5%
FIELD STUDY RESPONSIBILITIES Student Responsibilities In return for the commitment of the organization, the student has a responsibility to the organization. The PH Program expects students to behave professionally and develop a commitment to the organization and to their life-long professional development through: • • • • • • • • • • • • • • •
Adhere to TUC’s Student Code of Conduct Policy and maintain an acceptable standard of professionalism at all times during the Field Study Communicate directly with the Field Study Coordinator immediately should any changes, issues, or problems arise that may delay or interrupt their field study placement; Participating in setting goals for their own learning; Developing the scope of work and completes a competency inventory with assistance from the preceptor and feedback from the Field Study Coordinator; Returning completed forms (scope of work, competency inventory and Field Study Contract); Performing assignments and activities identified in scope of work, seeking assistance from the preceptor, other agency staff or the faculty advisor when needed; Maintaining contact with the advisor during placement; Maintaining a daily log; Assessing the extent to which the field experience has met his/her needs by preparing a written Summary Report and completing other assignments required by the field experience; Completing an evaluation of Field Study via an online survey within one week of the final field study end date; Fulfilling the minimum requirement of a 12-week or 6-week public health field experience depending on the student’s degree option; Completing academic work and assigned papers relating to their internship; Behaving in an ethically and morally professional manner; Performing professional quality work; and Conducting themselves consistent with the values of the organization.
Public Health Field Study Site Responsibilities • • • • • •
Provide public health related planning, research and/or services; Have one or more staff on site with a graduate credential in public health or equivalent professional experience and education who will serve as a designated preceptor; Offer opportunities for students to be exposed to a variety of organizational departments and individuals, functions and or tasks; Offer responsibilities to students that are relevant and appropriate to the their individual field study learning goals and professional development; Provide necessary access to data and program materials for students to conduct their projects; Have adequate organizational support for students to successfully complete field study activities; 23
• •
Provide direct and regular supervision for students throughout the placement; and Provide a minimum of 12 weeks of public health field work experience for MPH students (30-40 field study hours per week) and a minimum of 6 weeks (30-40 field study hours per week) for MPH dual and joint degree students
Public Health Field Study Preceptor Responsibilities
Our preceptors play a vital role in helping our students apply and integrate their academic knowledge to “real world” situations, projects or tasks while making meaningful contributions to a public healt organization Preceptors help to enrich the education of future practitioners in the public health field. Overall, preceptors are expected to provide supervision for the student and to ensure that assigned tasks meet not only the agency's needs, but provide opportunities for the student's personal and professional growth. Preceptors must also serve as a liaison between field study site supervisors, project team members or staff, and the Field Study Coordinator. Preceptors are strongly encouraged to contact the Field Study Coordinator at any time if they have questions, and especially if any issues or problems should arise concerning the student’s field study placement. Specific duties related to the student fieldwork learning objectives include: a) b) c) d)
A mutual agreement on a public health project and field study objectives for the student to pursue. Assisting the student in developing the scope of work and identification of competencies. Development of a work schedule based on mutually agreed upon objectives for the field experience. Ensuring that a project in which the student can carve out ownership of the process and outcome is provided. i. Review of policies and procedures with which the student is expected to comply. ii. Completion/signing of the Field Study Contract iii. Maintain accessibility to the student through a commitment to meeting with the student on a regular basis to discuss and critique the student’s work and progress (at least once per week). iv. Encourage student to work independently while providing opportunities for data gathering and sharing information. v. Become involved with and foster the student’s learning experience. vi. Evaluate the student's performance during and after the field experience via a scheduled site visit with the Field Study Coordinator or another Public Health Program faculty member and by completing the performance evaluation.
Once a student has been recommended for a field study placement at their site, the preceptor must confirm with or inform the Public Health Program Field Study Coordinator and student regarding his/her agency’s clearance/onboarding requirements.
Public Health Program Responsibilities 1. Preparation: The Program will adequately prepare the student for the public health field experience both academically and administratively. In addition, the Program will ensure that all students sign a professional code of conduct. Professional attributes are considered to be part of the academic performance of MPH students, which include honesty and integrity, leadership, excellence and continuous improvement, ethical practice and public accountability, life-long 24
learning and competency, respect for diverse individuals and organizations, the ability to work effectively with others in a team environment, follow through on commitments, take and give constructive feedback, follow directions, accept responsibility for own actions. Students are expected to demonstrate the legal, moral and ethical standards required of a public health professional and display behavior that is consistent with these qualities. Among the characteristics included in this context are the knowledge, competence, demeanor, attitude, appearance, mannerisms, integrity, and morals displayed by the students to faculty, staff, preceptors, peers, members of the public, colleagues in public health and other settings. The Program expects nothing short of respect and professional demeanor at all times. •
Beginning in Fall 2015, the Program will require all new students to complete an Online Training Course on Professionalism for MPH Students provided by TRAIN.org, the premier learning resource for professionals who protect the public's health. A free service of the Public Health Foundation, www.train.org is part of the newly expanded TrainingFinder Real-time Affiliate Integrated Network (TRAIN). More information on the course is available through the Public Health Training Centers/US Department of Health and Human Services, Health Resources and Services Administration. The course is sponsored by the Wisconsin Center for Public Health Education and Training (WiCPHET). Effective Fall 2016, this online course will be required as course prerequisites for the Field Study.
•
Beginning in Fall 2015, the Program will encourage new students to use ePortfolios throughout their entire course of study in the PH Program to demonstrate key skills and accomplishments and to organize, manage and display academic and career information and to showcase professional-quality work for prospective preceptors and employees. In addition, new students will be encouraged to open LinkedIn Accounts to develop professional networks and showcase their work experience, abilities, and recommendations from employers and work colleagues.
•
The Program will also provide all students guidelines on resume/curriculum vitae and interviewing with field study preceptors.
•
The Program will also require students to complete the online Cultural Diversity, Health Disparities, and Public Health provided by TRAIN.org. This training provides public health professionals with a broad overview of cultural diversity issues with a focus on race/ethnicity and gender. Health disparities, a major public health problem of interest, is discussed using cultural diversity as the conceptual framework for thinking about the role of the public health community and health policy solutions for addressing these issues.
2. Assignment: The Program will be responsible for assigning students to sites that will provide a quality learning experience. 3. Objectives: The Program will provide field study learning objectives. Students and preceptors will be required to evaluate compliance with these learning objectives.
25
4. Affiliation Agreements: The Program will develop affiliation agreements with public health practice sites. 5. Insurance: The Program will assure that all students have current liability Insurance as defined below: “TUC shall procure and maintain in force during the term of this Agreement, at its sole cost and expense, insurance in amounts that are reasonably necessary to protect TUC and Institution from and against liability arising from or incident to the use of the Facilities by TUC students participating in the Program. Coverage under such insurance shall not be less than One Million Dollars ($1,000,000) for each occurrence and Three Million Dollars ($3,000,000) in the aggregate each for professional liability insurance and comprehensive general liability insurance. TUC shall provide Institution with a certificate of insurance evidencing the insurance coverage required under this Article VII. TUC shall further ensure that not less than thirty (30) days notice shall be provided to Institution of the cancellation of such insurance. TUC shall promptly notify Institution of any cancellation, reduction, or other material change in the amount or scope of any coverage required hereunder.” The Program will also assure that all students have current health insurance. 6. Student/Intern Onboarding Requirements: The Program will ensure that students take the necessary steps to satisfy all required onboarding requirements (e.g., completion of forms/paperwork, health and immunization documentation, security scans/background checks, and drug testing/toxicology screenings) well before their field study start dates. 7. Grading: The Program will be responsible for assigning a final grade to each student. 8. Issues or problems: The Program will interact with preceptors and be available to address any issues, problems, or concerns of the student or the preceptor. Should any problems arise at the placement site and there are indications of breaches of professionalism by the student, the Field Study Coordinator will immediately intervene to facilitate a resolution. If the student has demonstrated unprofessionalism in their field study and a resolution is not possible allowing the student to continue his/her placement, he/she may be placed on academic probation and sent to the Academic Probation Committee. The Program retains the right to remove a student from a rotation.
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GLOBAL HEALTH FIELD STUDY
27
COURSE AND FIELDWORK FORMAT FOR MPH STUDENTS Full-time Field Study Option: MPH students who seek full-time global health field study placements are expected to complete 40 field study hours per week over a 10-week period (equivalent to 400 hours) from mid-May to the first week in August during the summer academic session of Year 1. Placements must be conducted at an approved global health field study placement site under the guidance and supervision of a field study preceptor. (Clinical experience involving individual patient care or health facility administration is not considered relevant public health experience.).
COURSE AND FIELDWORK FORMAT FOR JOINT MSPAS/MPH STUDENTS Joint MSPAS/MPH students enrolled in the Global Health Track are expected to complete 30-40 field study hours per week over a 6-week period during the spring semester of Year 3 in the PA Program. Joint students must conduct their field studies at approved global health field study placement sites under the guidance and supervision of a field study preceptor. (Clinical experience involving individual patient care or health facility administration is not considered relevant public health experience.)
COURSE AND FIELDWORK FORMAT FOR MPH DUAL DEGREE STUDENTS MPH Dual Degree (DO/MPH & PharmD/MPH) students enrolled in the Global Health Track are expected to complete 30-40 field study hours per week over a 6-week period during a semester or academic session at approved global health field study placement sites under the guidance and supervision of a field study preceptor. Six weeks is equivalent to a 210-hour field study placement. (Clinical experience involving individual patient care or health facility administration is not considered relevant public health experience.) DO/MPH Dual Degree students: These students have a unique opportunity to utilize the field experience to satisfy two different courses in the two colleges in which they are concurrently enrolled: the TUC CEHS Public Health Field Study and College of Osteopathic Medicine (COM) DO Program Research Elective Rotation. Students who pursue this opportunity are required to submit a Research Elective Rotation application and proposal, including the CV and/or resume of their assigned Public Health Field Study preceptor, as supporting documentation to the COM Clinical Education Department. Upon obtaining acceptance for field study placements, DO/MPH students routinely request CV and/or resumes from their assigned field study preceptors. If you agree to mentor a dual degree student as a field study intern, please provide your CV and/or resume as supporting documentation for their Research Elective Rotation application/proposal.
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STUDENT FIELD STUDY WORK SCHEDULES Students are not permitted to leave the country site that is designated for their global health field study during the 6 or 10-week field study placement period. While space issues may occur at field study placements, students must find ways to work from or near the office of their local global health field study site preceptor and to check in with them daily. To obtain approval to take any time off during the Global Health Field Study, students must first submit a request to the TUC Public Health Program Global Health Field Study Country Site Coordinator before obtaining approval from their local global health field study site preceptor. If local global health field study site preceptors request student presence during nontraditional work hours for project-specific meetings or activities, this should take priority over sight-seeing or other social plans.
GLOBAL HEALTH FIELD STUDY PLACEMENTS SITES Global Health Track students conduct their field studies at sites in Bolivia, Cambodia, and Ethiopia under the guidance of site preceptors and course coordinators at public health institutions, universities, ministries of health, non-governmental organizations, and United Nations agencies. Detailed information regarding the Global Health Field Study is available online at http://cehs.tu.edu/publichealth/culminatingexperience/ghfieldstudy.html. Listed below are the Global Health Field Study Coordinators assigned to the three (3) Global Health Field Study sites: • • •
Bolivia: Professor Sarah Sullivan (
[email protected]) Cambodia: Dr. Carinne Brody (
[email protected]) Ethiopia: Dr. Sahai Burrowes (
[email protected])
GLOBAL HEALTH FIELD STUDY REQUIREMENTS: •
Students must attend the Global Health Field Study Orientation where each global health site will be presented in detail.
•
Prior to travel, all Global Health Track students are required to attend special pre-departure sessions to obtain information on global health ethics and cultural preparation; field study topic review; introductions to the global health field study site preceptors; vaccination and travel medicine; logistics for travel and visas; and IRB submission for any proposed research activity.
•
Students are required to attend a series of three to four pre-departure meetings with the global health field study site coordinator of their country site to conduct communication with their designated global health field study site preceptor and submit forms required for travel (waivers of liability, health insurance, student information, and student participation agreement and code of conduct).
•
Students are required to complete Unite for Sight’s Cultural Competency Online Course prerequisite prior to traveling to global health field study sites. This training aims to underscore the understanding that cultural competency training and cultural awareness is of paramount importance for those working in any international setting. 29
•
Students are required to pass a test demonstrating basic Spanish proficiency for the Bolivia Field Study.
EXCEPTIONS & WAIVERS Application for Placements at Unaffiliated Global Health Field Study Sites: This application is for students who wish to independently develop their own field study placements at sites outside the TUC Network of Global Health Field Study Placement Sites. Motivated students may receive approval for exceptions to conduct field study placements at unaffiliated field study sites (alternative public health agencies or organizations outside the existing TUC Network). Requests for these exceptions must be submitted through an application process which evaluates and determines whether unaffiliated sites and their field study project proposals qualify for approval. Applications are considered on an individual basis and reviewed by the Global Health Track Chair and Program Director. Students may contact unaffiliated sites to request field study placements. Approval Criteria: The prospective site must meet the Program’s criteria in order to be approved as a field study site. Further, TUC and the Public Health Program must also meet the criteria of the proposed site required for affiliation, partnership, and/or collaboration. Eligibility Criteria: 2. Students must choose from any low and middle-income (LMIC) countries designated by the World Health Organization (WHO). 3. Students must have any necessary language proficiency specific to the country identified. 4. Students must submit a one-page essay demonstrating their rationale and level of interest in selecting a country outside the current TUC Network of Global Health Field Study Placement Sites. 5. Students must identify names of potential qualified preceptors and a logistics/safety plan for the country they select. 6. Preceptors/sites must submit an Online Registration for New MPH Field Study Placement Sites at https://www.surveymonkey.com/s/TUCPHFieldStudySiteRegistration by deadlines specified by the Global Health Track Chair. 7. Students must provide translations for online registration forms if necessary. Requirements: 1. Students are required to provide the following important web links to their proposed preceptors/sites which can be found at online 30
at http://cehs.tu.edu/publichealth/culminatingexperience/forpreceptors_sites.html: a. Public Health Program Brochure and our invitation to Prospective Field Study Sites to develop a partnership with TUC to provide essential program information b. Guidelines for Public Health Field Study Sites & Preceptors, Field Study Overview & Placement Planning Timeline, and Field Study Preceptor Handbook to ensure that proposed sites and preceptors are aware of the required course learning objectives the Program’s approval criteria for Community Health field study placement sites and preceptors, the placement planning timeline, and the field study responsibilities for students, preceptors, sites, and the Program c. The web link for Online Registration for New MPH Field Study Placement Sites for proposed sites and preceptors to post their site/preceptor information, proposed field study placement projects, available course learning objectives, research opportunities, and student and onboarding requirements Paid Internships: The Public Health Program does not manage paid internships. Our network of field study placements sites currently offers non-paid field work experience for MPH students. Students who are interested in paid internships are strongly encouraged to seek out paid internships at public health practice agencies/organizations independently. Seeking paid internship is similar to searching for jobs or positions at public health practice entities. Frequently, the Public Health Program receives information regarding paid internships which it disseminates via students listserves and posts online at its Jobs, Training Fellowship and Scholarship webpage (http://cehs.tu.edu/publichealth/careers/jobs.html). Students who wish to apply a paid internship to the Public Health Field Study for academic credit, must have completed all core and track-required courses prior to beginning their paid internship. Requests for paid internships to satisfy the Field Study must be approved by the Program. In addition, paid internships selected for the field study course must permit MPH students to complete 30-40 field study hours per week over a minimum of 10 weeks and MPH dual or joint students to complete 30-40 field study hours per week over a 6-week period. Students who wish to apply a paid internship to the Public Health Field Study for academic credit must submit a formal request to the Public Health Program at least one month prior to the planned field study/internship start date. To review the Application, please visit http://cehs.tu.edu/publichealth/culminatingexperience/exceptions_waivers.html or see Appendix. The Field Study Waiver (Criterion I): MPH students who can verify previous public health employment of three years of continuous, paid, public health employment prior to enrollment in the MPH program may be eligible for a waiver that would allow them to complete 30-40 field study hours per week over the course of 6 weeks reduced from 12 weeks. (Clinical experience involving individual patient care or health facility administration is not considered relevant public health experience.) Relevant public health experience must include involvement in at least one of the following activities:
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Assessing, monitoring, or conducting surveillance of health conditions or delivery of services in a population; Establishing public health objectives and priorities; Conducting basic or applied research on population-based health problems including the behavioral, biological or environmental risk factors; or Designing, implementing and/or evaluating policies and/or intervention strategies/programs. To apply for this waiver, students are required to submit a separate 2-3 page (single-spaced) narrative describing relevant public health work experience, including: • • • •
Description of specific duties performed; Discussion of the impact or relevance of the experience to public health, highlighting knowledge, theories and concepts covered in MPH coursework; List of skills/competencies gained in the experience (see MPH general and track specific competencies specified in the MPH Learning Outcome Inventory; and Reference/contact person (preferably someone who supervised you) so that employment/involvement with the agency can be verified.
In addition, students are required to submit an Application for the Field Study Waiver (Criterion I). To review application approval criteria and to obtain the Application, please visit http://cehs.tu.edu/publichealth/culminatingexperience/exceptions_waivers.html or see Appendix. Applications are due at least 4 weeks prior to registration in the Public Health Field Study. Applications are subject to review by committee and all waivers must be approved by the Program Director and Field Study Coordinator. Students will be contacted by the Program Director within two to three weeks with a decision. Decisions of the panel are final. Upon approval of this waiver, students will register for the Field Study for 4 or 6 units and will be approved for a 6-week waiver for the Field Study. If students who receive this waiver elect to complete a longer field study placement between 7-12 weeks, they are expected to dedicate a minimum of 20 hours per week over the course of one semester/academic session. The Field Study Waiver (Criterion II): MPH students who can verify enrollment in any non-TUC (outside of TUC) accredited four-year medical school, Doctor of Pharmacy program, or Master of Science in Physician Assistant Studies program after completing all core and track-required courses and all or the majority of course electives in the Public Health Program may be eligible for a waiver which would allow them to complete 30-40 field study hours per week over the course of 6 weeks reduced from 12 weeks. To apply for this waiver, students shall provide an official copy of their transcripts verifying enrollment in a non-TUC accredited four-year medical school, Doctor of Pharmacy program, or Master of Science in Physician Assistant Studies program to the Public Health Program. In addition, students are required to submit an Application for the Field Study Waiver (Criterion II). To obtain the Application, please visit http://cehs.tu.edu/publichealth/culminatingexperience/exceptions_waivers.html or see Appendix. Applications are due at least 4 weeks prior to registration in the Public Health Field Study. All applications 32
are subject to review by committee. All waivers must be approved by the Program Director and Field Study Coordinator. Students will be contacted by the Program Director within two to three weeks with a decision. Decisions of the review committee are final. Upon approval of this waiver, students will register for the Field Study for 4 or 6 units and will be approved for a 6-week waiver for the Field Study. MPH students who receive this waiver and elect to devote 30-40 field study hours per week toward their field study placements are required to complete the Field Study within a minimum of 6 consecutive weeks. If students who receive this waiver elect to complete a longer field study placement between 7-12 weeks, they are expected to dedicate a minimum of 20 hours per week over the course of one semester/academic session.
THE MATCHING PROCESS
Step 1. The Global Health Field Study Coordinator will work to facilitate the placement process by matching the student’s skills, qualifications, public health interests, and country site preference with the requirements of existing sites and projects within the TUC network of global health field study placement sites. Student curriculum vitae (C.V.) or resumes are an essential part of this process. Student curriculum vitae (C.V.) or resumes are an essential part of this process, which is why they are required upon submission of the Field Study Planning Form. Field study preceptors require student C.V.s/resumes to consider evaluate students who are recommended for available placement opportunities with their respective organizations. Preceptors review students’ experience, skills, qualifications, public health interests relevant to available field study projects. Another important factor in the matching process is field study placement and site availability at our partnering organizations. Program or project funding cycles, appropriate number of staff, time of year, and availability of physical space to accommodate student interns, all determine whether or not a placement site will have available field study opportunities for students. Due to these factors, placement sites are limited and students may not be assigned to their top-ranked sites. TUC is unable to guarantee field study placements. Students are required to travel to Global Health Field Study sites where placements opportunities are available. Step 2. Once a match has been made, the Global Health Field Study Site coordinator will facilitate the student’s field study placement. The Field Study Coordinator will ensure that the student has completed a Signed Student Code of Conduct before departing for their designated global health field study site. Step 3. Once the student field study placement has been confirmed students and preceptors must sign the Emergency Protocol Statement of Understanding prior to the start of the field study placement. The Global Health Field Study Emergency Protocol has been designed to prepare for and facilitate rapid response to emergencies which may arise during the Field Study. Although no single plan or protocol can address all contingencies, Touro University California (TUC) recognizes the importance of establishing, in advance, policies and procedures to safeguard the welfare of students during their field study placements at affiliated community health field study sites. The procedures set forth are to be followed by all students in global health field study placements sponsored by TUC. It is the responsibility of the Field Study Coordinator to follow the procedures outlined below and educate all field study students, preceptors, and site coordinators or administrators about these procedures through preceptor orientation. Please see Appendix for the Emergency Protocol and Incident 33
Report Form.
PLACEMENT POLICIES 1) Students are required to notify their Global Health Field Study Coordinator immediately if they become aware of any changes or issues that may delay or interrupt their field study placement. If for some reason a student is not accepted or able to begin a placement due to events or circumstances beyond their control, the Global Health Field Study Coordinator will facilitate an alternative placement based on site availability, and the student’s experience, skills, and qualifications. 2) If a student fails to follow up on a second confirmed placement, he/she will be responsible for independently securing an appropriate field study placement at another location by completing the application process detailed in the EXCEPTIONS section of this handbook. If there is any indication that the student has committed a breach of professionalism resulting in a failed placement, the student may be placed on academic probation and sent to the Academic Probation Committee. 3) Cancellation requests for any confirmed global health field study placement that has been formally accepted by a student must be submitted to the Global Health Field Study Coordinator no later than 10 weeks prior to the student’s intended field study start date. Requests to cancel confirmed placements received after the 10-week cutoff will not be accepted. All students must be aware that cancellations can be extremely disruptive to the Global Health Field Study Placement process and to the existing partnerships between the Public Health Program and Global Health Field Study placement sites and preceptors. Failure to comply with designated deadlines may result in a delay in a student’s graduation. Again, if there is any indication that the student has committed a breach of professionalism resulting in a failed placement, the student may be placed on academic probation and sent to the Academic Probation Committee. 4) If a student ceases conducting his/her field study after beginning a placement and his/her actions constitute a breach of professionalism, the student may not be eligible for a second placement recommendation from the Field Study Coordinator. Further, in such cases, students will be sent to the Academic Probation Committee. 5) TUC faculty cannot serve as field study preceptors.
Global Health Field Study Placement Planning Timeline Field study coordination timelines are scheduled by the Global Health Track faculty each semester prior to departure dates.
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Global Health Field Study Placement Planning Timeline MPH Students (10 Weeks)
Placement Terms/Start & End Dates
Summer May 15 - August 4 (12 consecutive weeks)
Fall August 1/Sept. 11* - December 8 (minimum 12 consecutive weeks)
Field Study Orientation
February
July
Spring Bolivia: February 19 – April 27 Cambodia: January 8 – April 27 Ethiopia: TBA (minimum 10 consecutive weeks) November
Students Submit Field Study Planning Forms, cover letters, C.V.s/Resumes To Field Study Coordinator New Field Study Site Registration (Requests for Placement @Unaffiliated Sites) Matching Process Begins
February 15
May 1
October 1
February 15
May 1
October 1
February - March
May
October
Field Study Coordinator Confirms Field Study Placement Pre-departure Sessions Placement Terms/Start & End Dates
Field Study Orientation Students Submit Field Study Planning Forms, cover letters, C.V.s/Resumes To Field Study Coordinator New Field Study Site Registration (Requests for Placement
8 weeks prior to 8 weeks prior to general field study start dates general field study start dates See country site coordinator See country site coordinator DO/MPH & PharmD/MPH Dual Degree Students (6 Weeks) May 15/June 5 - August 4** AVAILABLE FOR PHARMD/MPH (minimum 6 consecutive weeks; DUAL DEGREE STUDENTS ONLY* Variable start/end dates) August 14/Sept. 11* - December 8 (minimum 6 consecutive weeks; Variable start/end dates) February July February 15 May 1
February 15
May 1 36
8 weeks prior to general field study start dates See country site coordinator Bolivia: February 19 – April 27 Cambodia: January 8 – April 27 Ethiopia: TBA (minimum 6 consecutive weeks) October October 1
October 1
@Unaffiliated Sites) Matching Process Begins Field Study Coordinator Confirms Field Study Placement Pre-departure Sessions Placement Terms/Start & End Dates Field Study Orientation Students Submit Field Study Planning Forms, cover letters, C.V.s/Resumes To Field Study Coordinator New Field Study Site Registration (Requests for Placement @Unaffiliated Sites) Matching Process Begins
Global Health Field Study Placement Planning Timeline February - March May 8 weeks prior to 8 weeks prior to field study start date field study start date See country site coordinator See country site coordinator Joint MSPAS/MPH Students (6 Weeks) February 19 – March 30 (minimum 6 consecutive weeks) August 16* October 1
October 8 weeks prior to field study start date See country site coordinator
October 1 October
Field Study Coordinator Confirms Field Study Placement Pre-departure Sessions
November See country site coordinator
*The Field Study in the fall semesters is available to PharmD/MPH dual degree students ONLY. Registration for the Field Study course in the fall semesters is not permitted for DO/MPH dual degree students in Y3 or Y4. Third and fourth-year DO/MPH students may only register for the Field Study course in either the PH Program spring semesters or summer academic sessions. **Tentative dates: Please note that these are general start dates for the field study. Start dates for student field study placements may vary for each student.
DURING THE PUBLIC HEALTH FIELD STUDY PLACEMENT The preceptor supervises the student’s onsite performance. Communication is an important aspect of a successful placement. It is expected that both the student and preceptor will contact the Field Study Coordinator at any time when questions, changes, issues, or problems arise. The Field Study Coordinator will also conduct a site visit to evaluate the student’s progress near the midpoint of the placement.
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MEANS FOR EVALUATING STUDENT PERFORMANCE: PUBLIC HEALTH FIELD STUDY COURSE REQUIREMENTS & STUDENT DELIVERABLES All documents, forms, and instructions required for completing all field study deliverables listed below, including the MPH Student Field Study Handbook, are available in the Appendix or on Blackboard. Students are expected to complete the following required course deliverables. IMPORTANT: Group work is unacceptable. Although, two or more students can be placed simultaneously at the same site and with the same preceptor; each student is ultimately responsible for completing and submitting his/her own work. 1. Scope of Work:* The scope of work provides the framework for the field study, by ensuring that the student and preceptor have a clear understanding of this planned experience. Students must work with their preceptors to generate a Scope of Work that describes a set of measurable objectives, activities, a timeline, and outcome indicators for each objective: b. For instructions for completing the Scope of Work see Blackboard or Appendix. c. Although, this is a collaborative process between student and preceptor, it is the ultimately the responsibility of the student to compose the Scope of Work. d. When submitting your scope of work via Blackboard as an attachment, please remember to name the file appropriately with your first/last name (e.g., Jane_Smith_Scope of Work). e. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. f. (Due one week after the placement start date via Blackboard) 2. Competency Inventory Form:* This form ensures the integration of didactic coursework with public health practice. Students are required to identify at least three to five (3-5) corresponding core public health competencies (one from each core area), one (1) corresponding cross-cutting competency, and three (3) corresponding track competencies (Community Health or Global health): a. Competencies should be identified as a collaborative process between students and preceptors. In order to complete this process, the preceptor and student identify and select the competencies that will be addressed through the field study. b. Although, this is a collaborative process between student and preceptor, it is the ultimately the responsibility of the student to compose the Competency Inventory. h. Students will be evaluated to determine their level of mastery of the selected competencies upon the completion of the field study (see Appendix). i. When submitting your competency inventory via Blackboard as an attachment, please remember to name the file appropriately with your first/last name (e.g., Jane_Smith_Competency Inventory). j. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. k. (Due one week after the placement start date via Blackboard) 3. Field Study Contract:* This contract must be signed by the preceptor and the student acknowledging an agreement for the student to work and complete agreed upon objectives as negotiated between the student and preceptor. a. When submitting your field study contract via Blackboard as an attachment, please remember to name the file appropriately with your first/last name (e.g., John_Smith_Field Study 38
Contract). b. (Due one week after the placement start date via Blackboard) c. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. 4. Field Study Site Visit:* The site visit is an assessment occurring midway through the field study placement, in which the Field Study Coordinator or another Public Health Program faculty member visits the field study placement site to meet with the student and preceptor. a. During the first week of the field study placement once the preceptor has signed the Field Study Contract, the student is responsible for working with their preceptor to select 3-4 possible dates/times that occur midway through their field study placement on which to schedule the site visit. b. A minimum of 30 minutes should be allocated for each site visit (15-minute separate meetings are required with the student and the preceptor). c. Site visits may be held in person, by phone, or by Skype. d. Students are required to submit possible site visit dates/times to the Field Study Coordinator using the Selected Dates for Field Study Site Visit form. e. This form requires signatures of both student and preceptor. f. When submitting the Selected Dates for Field Study Site Visit form via Blackboard as an attachment, please remember to name the file appropriately with your first/last name (e.g., Jane_Smith_Selected Dates for Field Study Site Visit form). l. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. m. Due one week after the placement end date via Blackboard) 5. Field Study Logs. The purpose of the weekly logs is to help students develop the discipline of keeping track of significant activities and progress toward reaching the objectives that you have set out to achieve in during the field study: a. Students must submit two weeks of logs to the Field Study Coordinator via Blackboard every two (2) weeks b. Log submission begins two (2) weeks after the start date of the field study placement.) c. See Appendix or Blackboard for Field Study Log Guidelines. d. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. 6. Field Study Summary Report: The purpose of this assignment is for the student to: a. demonstrate application and integration of the skills and knowledge acquired through the didactic and practical components of the MPH Program to public health practice b. demonstrate mastery of and ability to integrate the core public health principles and material learned in MPH program c. demonstrate competency in all five core areas – biostatistics, epidemiology, health policy and management, environmental health science, and the social and behavioral sciences-- and in areas relating to the Program's community health and global health concentrations. d. determine aptitude for applying this knowledge to issues he or she may confront as a public health professional 39
Part I of the Report will require the student to summarize the field experience and complete various sections that include, but are not limited to: The executive summary, statement of the problem, theoretical comparisons, results achieved, recommendations, and professionalism. The page limit for this section is 10 pages including, photos and captions, and references. Supporting documents can be submitted separately from the report. Effective Spring 2016, Part II is required ONLY for those students who are not completing an MPH capstone or who have not passed the 3-unit TUC PH Program in-house MPH Comprehensive Exam. Part II: This portion of the report will require students to refer to the main public health problem or issue identified in their field study and to write a program evaluation proposal in response that problem or issue. Students must demonstrate a sophisticated and thorough grasp of public health concepts, appropriate public health interventions, program evaluation techniques, and their field study site’s policy environment for this assignment. The page limit for this section is 7 pages including references and notes, charts, diagrams, or tables. See Appendix or Blackboard for the Field Study Summary Report Guidelines. e. When submitting the Field Study Summary Report via Blackboard as an attachment, please remember to name the file appropriately with your first/last name (e.g., John_Smith_Field Study Summary Report) f. (Due one week after the placement end date via Blackboard) g. Please upload this attachment via Blackboard as a Word, PDF, or JPG document ONLY. 11. Field Study ePortfolios are required ONLY for students who entered the Program in or after Summer 2015. Login to myeFolio to create your myeFolio account. IMPORTANT: The TUC School myeFolio “Sign Up Code” is available via Blackboard for students enrolled in the Field Study course. The Field Study ePortfolio is similar to Part I of the written Field Study Summary Report, but instead utilizes digitized collections (e.g., textbased, graphics, archived multimedia elements, such as approved field study photos, PPT slides, audio or voice recordings, websites, web links, and other electronic media to provide a more virtual representation of your public health field work. Please note that each section of the e-Portfolio Outline can serve as abbreviated versions of those that are featured in the written Field Study Summary Report. a. (The web link to your myeFolio webpage is due one week after the placement end date via Blackboard). For more information about ePortfolios, please visit the ePortfolio webpage. b. Three to Four (3-4) Field Study Photos. This minimum number of digital photographs are required as part of the Field Study Summary Report and ePortfolio. The Program requires students to obtain permission from their site/preceptor/site supervisor to document their 40
field work experiences. Please submit digital photos of your placement sites, field study project activities, such as agency/site- sponsored events or meetings, preceptors, administrative supervisory team members, agency staff, or the general appearance of the site location (e.g., landscape, scenery, surroundings). We welcome photos featuring you as smiling student interns, preceptors, agency staff or team members, but we are also interested in photos that capture public health in action! Important: If you prefer not to be featured in any of your field study photos, you may decline to be photographed and instead submit approved photos of agency/site- sponsored events or meetings, preceptors, administrative supervisory team members, agency staff, or the general appearance of your site location (e.g., landscape, scenery, surroundings). c. Student Testimonials (Optional). Routinely, the Program features brief testimonial quotes from students and alumni online and in its print media for promotional and recruitment purposes. The testimonials reflect the enriching experience of alumni as a result of their course of study in the MPH Program and how the MPH Culminating Experience (Field Study, Capstone) and MPH degree have played a role in advancing their academic goals and professional careers. An example of a TUC MPH Student/Alumni Testimonial is available at http://cehs.tu.edu/publichealth/_resources/mphwebfiles/ArmandoBanner_photo.jpg. If you would like for the Program to publish your testimonial in its online and print media, please add it to your Field Study Summary Report and/or ePortfolio and upload a digital photo of yourself via Blackboard in the Assignments section under “Student Testimonial Photo.” 12. Preceptor Evaluation:* Student performance during the field study will be evaluated by the site preceptors to document students’ demonstration of public health competence in a public health setting: b. This information is collected via an online survey (SurveyMonkey); preceptors will receive this survey link via email. Students are responsible meeting with their preceptors to ensure that this evaluation is completed. 13. Student Field Study Site Evaluation: Students are required to submit an evaluation of the field study site via an online survey (SurveyMonkey). This survey link is available on Blackboard. (Due one week after the placement end date) 14. MPH Student Exit Survey: This survey is required ONLY for Independent MPH students who entered the PH Program prior to Summer/Fall 2015 and for all dual and joint degree students. This is an online assessment via SurveyMonkey: a. The week prior to their field study end date, students are required to email the Field Study Coordinator (
[email protected]) requesting to receive this SurveyMonkey link via email. b. Due one week after the placement end date *Preceptor Requirements: Preceptors are required to assist the student in developing the Scope of Work, the identification of competencies that are addressed in the field study placement, and completion of the Field Study Contract. In addition, the preceptor must evaluate student performance during the field study to document students’ demonstration of public health competence in a public health setting and also meet 41
with the Field Study Coordinator or another Public Health Program faculty during a site visit (see more details on additional preceptor requirements in the Public Health Preceptor Responsibilities section in this handbook.)
FIELD STUDY EVALUATION & GRADING The Public Health Field Study is a Pass/Fail course. Evaluation and grading is based on the following measures. Each component must be completed according to the specified course instructions before a grade of pass or fail can be assigned. See below: *The following grading scale is designated ONLY for students who entered the Program prior to Summer 2015. FIELD STUDY GRADING SCALE I Deliverable Percentage of grade Scope of Work, Competency Inventory, 15% Field Study Contract 5% Field Study Site Visit Field Study Logs
10%
Field Study Summary Report
30%
Preceptor’s Evaluation
30%
Student Field Study Site Evaluation
5%
MPH Student Exit Survey
5%
*The following grading scale includes the Field Study ePortfolio deliverable and is required ONLY for students who entered the Program in or after Summer 2015. FIELD STUDY GRADING SCALE II Deliverable Percentage of grade Scope of Work, Competency Inventory, 15% Field Study Contract 5% Field Study Site Visit Field Study Logs
10%
Field Study Summary Report
30%
Field Study ePortfolio*
10%
Preceptor’s Evaluation
20%
Student Field Study Site Evaluation
5%
MPH Student Exit Survey
5%
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FIELD STUDY RESPONSIBILITIES Student Responsibilities In return for the commitment of the organization, the student has a responsibility to the organization. The PH Program expects students to behave professionally and develop a commitment to the organization and to their life-long professional development through: 1. Adhere to TUC’s Student Code of Conduct Policy and maintain an acceptable standard of professionalism at all times during the Field Study 2. Communicate directly with the Field Study Coordinator immediately should any changes, issues, or problems arise that may delay or interrupt their field study placement; 3. Participating in setting goals for their own learning; 4. Developing the scope of work and completes a competency inventory with assistance from the preceptor and feedback from the Field Study Coordinator; 5. Returning completed forms (scope of work, competency inventory and Field Study Contract) 6. Performing assignments and activities identified in scope of work, seeking assistance from the preceptor, other agency staff or the faculty advisor when needed; 7. Maintaining contact with the advisor during placement; 8. Maintaining a daily log; 9. Assessing the extent to which the field experience has met his/her needs by preparing a written Summary Report and completing other assignments required by the field experience; 10. Completing an evaluation of Field Study via an online survey within one week of the final field study end date; 11. Fulfilling the minimum requirement of a 10-week or 6-week public health field experience depending on the student’s degree option; 12. Completing academic work and assigned papers relating to their internship; 13. Behaving in an ethically and morally professional manner; 14. Performing professional quality work; and 15. Conducting themselves consistent with the values of the organization.
Public Health Field Study Site Responsibilities • • • • • • • •
Provide public health related planning, research and/or services; Have one or more staff on site with a graduate credential in public health or equivalent professional experience and education who will serve as a designated preceptor; Offer opportunities for students to be exposed to a variety of organizational departments and individuals, functions and or tasks; Offer responsibilities to students that are relevant and appropriate to the their individual field study learning goals and professional development; Provide necessary access to data and program materials for students to conduct their projects; Have adequate organizational support for students to successfully complete field study activities; Provide direct and regular supervision for students throughout the placement; and Provide a minimum of 10 weeks of public health field work experience for MPH students (30-40 field study hours per week) and a minimum of 6 weeks (30-40 field study hours per week) for MPH dual and joint degree students 43
Public Health Field Study Preceptor Responsibilities Our preceptors play a vital role in helping our students apply and integrate their academic knowledge to “real world” situations, projects or tasks while making meaningful contributions to a public healt organization Preceptors help to enrich the education of future practitioners in the public health field. Overall, preceptors are expected to provide supervision for the student and to ensure that assigned tasks meet not only the agency's needs, but provide opportunities for the student's personal and professional growth. Preceptors must also serve as a liaison between field study site supervisors, project team members or staff, and the Field Study Coordinator. Preceptors are strongly encouraged to contact the Field Study Coordinator at any time if they have questions, and especially if any issues or problems should arise concerning the student’s field study placement. Specific duties related to the student fieldwork learning objectives include: a. A mutual agreement on a public health project and field study objectives for the student to pursue. b. Assisting the student in developing the scope of work and identification of competencies. c. Development of a work schedule based on mutually agreed upon objectives for the field experience. d. Ensuring that a project in which the student can carve out ownership of the process and outcome is provided. i. Review of policies and procedures with which the student is expected to comply. ii. Completion/signing of the Field Study Contract iii. Maintain accessibility to the student through a commitment to meeting with the student on a regular basis to discuss and critique the student’s work and progress (at least once per week). iv. Encourage student to work independently while providing opportunities for data gathering and sharing information. v. Become involved with and foster the student’s learning experience. vi. Evaluate the student's performance during and after the field experience via a scheduled site visit with the Field Study Coordinator or another Public Health Program faculty member and by completing the performance evaluation. Once a student has been recommended for a field study placement at their site, the preceptor must confirm with or inform the Public Health Program Field Study Coordinator and student regarding his/her agency’s clearance/onboarding requirements.
Public Health Program Responsibilities 1. Preparation: The Program will adequately prepare the student for the public health field experience both academically and administratively. In addition, the Program will ensure that all students sign a professional code of conduct. Professional attributes are considered to be part of the academic performance of MPH students, which include honesty and integrity, leadership, excellence and continuous improvement, ethical practice and public accountability, life-long learning and competency, respect for diverse individuals and organizations, the ability to work effectively with others in a team environment, follow through on commitments, take and give 44
constructive feedback, follow directions, accept responsibility for own actions. Students are expected to demonstrate the legal, moral and ethical standards required of a public health professional and display behavior that is consistent with these qualities. Among the characteristics included in this context are the knowledge, competence, demeanor, attitude, appearance, mannerisms, integrity, and morals displayed by the students to faculty, staff, preceptors, peers, members of the public, colleagues in public health and other settings. The Program expects nothing short of respect and professional demeanor at all times. •
Beginning in Fall 2015, the Program will require all new students to complete an Online Training Course on Professionalism for MPH Students provided by TRAIN.org, the premier learning resource for professionals who protect the public's health. A free service of the Public Health Foundation, www.train.org is part of the newly expanded TrainingFinder Real-time Affiliate Integrated Network (TRAIN). More information on the course is available through the Public Health Training Centers/US Department of Health and Human Services, Health Resources and Services Administration. The course is sponsored by the Wisconsin Center for Public Health Education and Training (WiCPHET). Effective Fall 2016, this online course will be required as course prerequisites for the Field Study.
•
Beginning in Fall 2015, the Program will encourage new students to use ePortfolios throughout their entire course of study in the PH Program to demonstrate key skills and accomplishments and to organize, manage and display academic and career information and to showcase professional-quality work for prospective preceptors and employees. In addition, new students will be encouraged to open LinkedIn Accounts to develop professional networks and showcase their work experience, abilities, and recommendations from employers and work colleagues.
•
The Program will also provide all students guidelines on resume/curriculum vitae and interviewing with field study preceptors.
•
The Program will also require students to complete the online Cultural Diversity, Health Disparities, and Public Health provided by TRAIN.org. This training provides public health professionals with a broad overview of cultural diversity issues with a focus on race/ethnicity and gender. Health disparities, a major public health problem of interest, is discussed using cultural diversity as the conceptual framework for thinking about the role of the public health community and health policy solutions for addressing these issues.
•
Global Health Track students are required to complete Unite for Sight’s Cultural Competency Online Course prior to traveling to global health field study sites. This training aims to underscore the understanding that cultural competency training and cultural awareness is of paramount importance for those working in any international setting.
15. Assignment: The Program will be responsible for assigning students to sites that will provide a quality learning experience. 16. Objectives: The Program will provide field study learning objectives. Students and preceptors will be required to evaluate compliance with these learning objectives. 45
17. Affiliation Agreements: The Program will develop affiliation agreements with public health practice sites. 18. Insurance: The Program will assure that all students have current liability Insurance as defined below: “TUC shall procure and maintain in force during the term of this Agreement, at its sole cost and expense, insurance in amounts that are reasonably necessary to protect TUC and Institution from and against liability arising from or incident to the use of the Facilities by TUC students participating in the Program. Coverage under such insurance shall not be less than One Million Dollars ($1,000,000) for each occurrence and Three Million Dollars ($3,000,000) in the aggregate each for professional liability insurance and comprehensive general liability insurance. TUC shall provide Institution with a certificate of insurance evidencing the insurance coverage required under this Article VII. TUC shall further ensure that not less than thirty (30) days notice shall be provided to Institution of the cancellation of such insurance. TUC shall promptly notify Institution of any cancellation, reduction, or other material change in the amount or scope of any coverage required hereunder.” The Program will also assure that all students have current health insurance. 19. Student/Intern Onboarding Requirements: The Program will ensure that students take the necessary steps to satisfy all required onboarding requirements (e.g., completion of forms/paperwork, health and immunization documentation, security scans/background checks, and drug testing/toxicology screenings) well before their field study start dates. 20. Grading: The Program will be responsible for assigning a final grade to each student. 21. Issues or problems: The Program will interact with preceptors and be available to address any issues, problems, or concerns of the student or the preceptor. Should any problems arise at the placement site and there are indications of breaches of professionalism by the student, the Field Study Coordinator will immediately intervene to facilitate a resolution. If the student has demonstrated unprofessionalism in their field study and a resolution is not possible allowing the student to continue his/her placement, he/she may be placed on academic probation and sent to the Academic Probation Committee. The Program retains the right to remove a student from a rotation.
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APPENDIX
47
TABLE OF CONTENTS HELPFUL INFORMATION • • • • • • • • • • •
Public Health Field Study Calendar ...................................................................................... 48 Community Health Field Study Timelines & Deadlines ........................................................ 49 Global Health Field Study Timelines & Deadlines ................................................................ 50 Student Codes of Conduct .................................................................................................... 51 TUC Network of Community Health Field Study Placement Sites........................................ 54 Guidelines for Field Study Sites & Preceptors ...................................................................... 57 Invitation to Develop a Field Study Partnership with TUC ................................................... 59 Templates for MOU and Short Affiliation Field Study Letter of Agreement ........................ 60 Community Health Field Study Emergency Protocol ........................................................... 70 Global Health Field Study Emergency Protocol .................................................................... 76 Field Study Incident Report form ......................................................................................... 85
DOCUMENTS AND FORMS FOR FIELD STUDY DELIVERABLES 1. 2. 3. 4. 5. 6. 7. 8.
Instructions for Completing the Scope of Work ..................................................................... 88 Sample Scope of Work ............................................................................................................ 90 Scope of Work Form ............................................................................................................... 94 MPH Competencies................................................................................................................. 98 Competency Inventory Form ................................................................................................ 101 Field Study Contract .............................................................................................................. 104 Selected Dates for Field Study Site Visit ............................................................................... 105 Media Release Forms ............................................................................................................ 106
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PUBLIC HEALTH PROGRAM Public Health Field Study Calendar Deliverable Field Study Letter of Agreement (if applicable) & Emergency Protocol Statement of Understanding Scope of Work & Competency Inventory; Signed Field Study Contract, and Selected Dates for Field Study Site Visit Field Study Site Visit Preceptor Evaluation
Delivery Method Signed and Submitted by Preceptor via email/mail
Due Date One week after the placement start date
In collaboration with Student; Submitted by Student via Blackboard
One week after the placement start date
Attended by Preceptor, Student, and Site Visitor in person/phone/Skype Submitted by Preceptor -The Field Study Coordinator will email the link to this SurveyMonkey survey directly to the Preceptor.
Midway through Placement
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One week after placement end date
COMMUNITY HEALTH FIELD STUDY TIMELINES AND DEADLINES 2016- 2017 Academic Year PUBLIC HEALTH PROGRAM Field Study Objective Field Study Orientations Field Study Orientations (PA Class of 2017 ONLY) Students Submit Online Field Study Planning Form, Cover Letters, CVs/Resumes New Field Study Site Registration (for Requests for Placement at Unaffiliated Sites/StudentInitiated Placement) Field Study Start date** PA Class of 2017 Field Study Start date Dual Degree Field Study Start date
Summer 2016 February 25
Fall 2016 July 19*
Spring 2017 November 6*
Summer 2017 February 23*
August 16* March 1
May 1
October 1
February 15
March 1
May 1
October 1
February 15
May 2 - June 1**
Aug. 1 - Sep. 12**
January 2 - 16**
May 1-May 8/June 1 to July 28**
February 20 – March 31 Available every semester - Variable (minimum 6 consecutive weeks) IMPORTANT: Third and fourth-year DO/MPH students must register for the Field Study course in the PH Program spring semesters and summer academic sessions (semesters) ONLY. Registration for the Field Study course in the fall is not permitted.
Field Study Deliverables Field Study Scope of Work, Competency Due 1 week after placement start date Inventory, Field Study Contract, and Selected Field Study Site Visit Field Study Logs Mid placement Field Study Site Visit Due every 2 weeks (begin submitting 2 weeks after placement start date) Field Study Preceptor Evaluation Due one week after placement end date Field Study Student Site Evaluation Due one week after placement end date MPH Exit Survey Due one week after placement end date Field Study Summary Paper Due one week after placement end date *Tentative date: Exact dates, times and locations will be posted on the Public Health Program website where applicable. **Tentative dates: Please note that, with the exception of the PA student field study start dates, these are general start dates for the field study as student field study placement dates will vary for each student.
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GLOBAL HEALTH FIELD STUDY TIMELINES AND DEADLINES 2016-2017 Academic Year PUBLIC HEALTH PROGRAM Field Study Task Field Study Orientations Field Study Orientation (PA Class of 2017 ONLY) New Field Study Site Registration (for Requests for Placement at Unaffiliated Sites) PA Class of 2017 Submits Online Field Study Planning Form, Cover letter, CVs/Resumes, Student Code of Conduct Non-PA Students Submit Online Field Study Planning Form, Cover letter, CVs/Resumes, Student Code of Conduct Pre-departure sessions** Field Study Start Date*** PA Class of 2017 Field Study Start date Dual Degree Field Study Start date
Summer 2016
Fall 2016
February 25
Spring 2017
July 19*
October 8* August 16* September 30 (PA 2017s ONLY) October 1 September 30
Summer 2017 February 23*
March 1
May 1
March 1
May 1
October 1
February 15
See country site coordinator May 1 – June 2, 2015
See country site coordinator Aug. 1 – midSeptember***
See country site coordinator
See country site coordinator May 1-May 8/June 1 to July 28**
Bolivia: February 20 Cambodia: January 2 – 16*** Ethiopia: January 23 February 20 – March 31
February 15
Available every semester - Variable (minimum 6 consecutive weeks) IMPORTANT: Third and fourth-year DO/MPH students must register for the Field Study course in the PH Program spring semesters and summer academic sessions (semesters) ONLY. Registration for the Field Study course in the fall is not permitted.
Field Study Deliverables Field Study Scope of Work, Competency Inventory, Field Due 1 week after placement start date Study Contract, Selected Dates for Field Study Site Visit Field Study Logs Due every 2 weeks (begin submitting 2 weeks after placement start date) Site Visit Mid placement Field Study Summary Paper Due one week after placement end date Field Study Preceptor Evaluation Due one week after placement end date Field Study Student Site Evaluation Due one week after placement end date MPH Exit Survey Due one week after placement end date *Tentative Dates: Exact dates, times and locations will be posted on the Public Health Program website where applicable. ** Each coordinator will conduct orientations, pre-departure sessions and other meetings as necessary. The student is responsible for meeting with the Global Health Faculty coordinator for their field study site. ***Tentative dates: Please note that, with the exception of the PA student field study start dates, these are general start dates for the field study as student field study placement dates will vary for each student. Tentative dates serve as a guideline for airfare purchase – individual dates may vary.
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PUBLIC HEALTH PROGRAM
PROFESSIONAL CODE OF CONDUCT FOR MASTER OF PUBLIC HEALTH (MPH) STUDENTS Touro University California (TUC) is obliged to offer all faculty, staff, and students a safe working and study environment. Part of this obligation requires that every enrolled in the Public Health Program maintain an acceptable professional standard of conduct as outlined and as required by the TUC College of Education and Health Sciences Public Health Program. This extends to an obligation to comply with all lawful directives of TUC. Any failure to do so, or any willful breach of Public Health Program policies or this Code of Conduct will be deemed non-academic misconduct in accordance with TUC policies. Penalties, including dismissal may also apply. Success in the public health field requires certain professional attributes in addition to content knowledge. Professionalism is a Cross-Cutting Competency developed by the Associated Schools and Programs of Public Health (ASPPH) as part of its MPH Core Competency Model. The ASPPH definition of Professionalism is “The ability to demonstrate ethical choices, values and professional practices implicit in public health decisions; to consider the effect of choices on community stewardship, equity, social justice and accountability; and to commit to personal and institutional development.” Along with this definition, the ASPPH includes 11 different modules of knowledge, skills, and abilities that comprise the Professionalism Competency. Professional attributes are considered to be part of the academic performance of MPH students, which include honesty and integrity, leadership, excellence and continuous improvement, ethical practice and public accountability, life-long learning and competency, respect for diverse individuals and organizations, the ability to work effectively with others in a team environment, follow through on commitments, take and give constructive feedback, follow directions, accept responsibility for own actions. Professionalism is as important as, and holds equal importance to academic progress. Students are expected to demonstrate the legal, moral and ethical standards required of a public health professional and display behavior that is consistent with these qualities. Professionalism and professional ethics are terms that signify certain scholastic, interpersonal and behavioral expectations. Among the characteristics included in this context are the knowledge, competence, demeanor, attitude, appearance, mannerisms, integrity, and morals displayed by the students to faculty, staff, preceptors, peers, members of the public, colleagues in public health and other settings. The Program expects nothing short of respect and professional demeanor at all times.
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GENERAL CONDUCT TUC expects every student to: •
• • • • •
• • • • • • • •
Respect the rights of other students, faculty and staff, and members or the public, and not engage in any conduct which may be perceived as harassment or interference with those rights; To conduct themselves in a professional and productive manner being both diligent and proactive; Apply basic principles of ethical analysis (e.g. the Public Health Code of Ethics, human rights framework, other moral theories) to issues of public health practice and policy; Not behave in an unruly or disreputable manner to the discomfort of any other students, faculty and staff, or members or the public; To exhibit the highest ethical and professional performance inside and outside of the classroom; Not knowingly engage in academic dishonesty defined as intentional cheating, fabrication or plagiarism or facilitate another student’s academic dishonesty, nor obstruct another student’s academic progress; Treat fellow students in an ethical manner, respecting the integrity of others and the right to pursue educational goals without interference; Not exhibit misconduct, ethics violations, or violation of professional codes of behavior; Treat others with respect and consideration regardless of their status or position; Not physically or verbally abuse other students, faculty and staff, or members or the public; Be courteous when dealing with the public while in the field; Not tamper with, vandalize nor destroy private and public property; Behave in a way which protects the reputation and good name of the University; and Comply with all relevant laws nationally and internationally.
By signing this Code of Conduct, I, (print name and Student ID Number), verify that I have read and understand my obligations to uphold and preserve the Professionalism Code of Conduct for MPH Students. I agree to be bound by and acknowledge my obligations under the Code of Conduct. I further understand that penalties may be imposed upon me should I willfully breach this Code of Conduct and that I may appeal against these penalties using the University’s appeal mechanisms.
Student Signature ______________________________________ Date_______________________
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PUBLIC HEALTH PROGRAM
GLOBAL HEALTH FIELD STUDY STUDENT CODE OF CONDUCT Touro University California (TUC) is obliged to offer all staff members and students a safe working and study environment. This includes ensuring that all field study activities are conducted in a responsible manner, having regard to the inherent risks of fieldwork. There is a complementary obligation on the part of every individual who participates in such activities, to take reasonable care to ensure their own health, safety and welfare and that of other participants. Part of this obligation requires that every student participating in the field study practicum maintain an acceptable standard of conduct as outlined and as required by the TUC College of Education and Health Sciences Public Health Program. This extends to an obligation to comply with all lawful directives of TUC. Any failure to do so, or any willful breach of the Public Health Program Field Study Guidelines or this Code of Conduct will be deemed non- academic misconduct and students may be required to return home before the completion of the fieldwork activities at their own cost. Penalties, including dismissal may also apply.
GENERAL CONDUCT TUC expects every student to: • Respect the rights of other students, staff members or the public, and not engage in any conduct which may be perceived as harassment or interference with those rights; • To conduct the field study in a professional and productive manner being both diligent and proactive; • Not physically or verbally abuse other students, staff members or the public; • Not behave in an unruly or disreputable manner, or to the discomfort of any other students, staff members or the public; • Be courteous when dealing with the public while in the field; • Not tamper with, vandalize nor destroy private and public property; • Behave in a way which protects the reputation and good name of the University; and • Comply with all relevant laws. • [Especially for global travelers] Avoid unnecessary risks including travelling at night, unnecessarily travelling alone, riding on a motorcycle, and excessively using electronics (i.e. laptops, cameras and iPods) in public, excessive use of alcohol, purchase of or use of any illegal substances, soliciting of sex workers, use of firearms, extreme sports.
FIELD STUDY COORDINATOR
Each field study is conducted under the supervision of a field study coordinator. All students are subject to the jurisdiction of the Field Study Coordinator for the entire duration of the fieldwork excursion and must observe all lawful directives and instructions given by the Field Study Coordinator. Failure to do so will be deemed non-academic misconduct in accordance with TUC policies. Students also agree to accept and complete the field study placement as assigned. I, (print name and Student ID Number), have read and understand my obligations under the attached Code of Conduct. I agree to be bound by and acknowledge my obligations under the Code of Conduct. I further understand that penalties may be imposed upon me should I willfully breach this Code of Conduct and that I may appeal against these penalties using the University’s appeal mechanisms. I further acknowledge and agree that if I am required by the Public Health Program to return home before the completion of the field study, I will do so promptly and be responsible for the costs.
Signature
Date
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PUBLIC HEALTH PROGRAM TUC Network of Community Health Field Study Placement Sites The TUC Public Health Program has established agreements and partnerships with the following agencies and organizations to provide field study placement opportunities for TUC MPH students enrolled in the Community Health Track. Note: This list is subject to change. It is recommended to always refer to the online listing at http://cehs.tu.edu/publichealth/culminatingexperience/chfieldstudysites.html for the most updated information. 1. 2. 3. 4. 5.
4th Street Clinic, Wasatch Homeless Health Care, Inc., Salt Lake City, UT* Alameda Health System, Ambulatory Care, Oakland, CA Alameda Health System, Healthy Hearts Clinic, Highland Campus** Alameda Health System Women’s Health Center, Highland Campus Alameda County Department Public Health Developmental Disabilities Council and California Children's Services, Oakland, CA 6. Alameda County Department Public Health Emergency Preparedness 7. Alameda County Public Health Department Office of AIDS 8. Alameda County Public Health Department-Women Infants and Children Program (WIC) 9. Arizona Aids Education and Training Center, Tucson, AZ* 10. Asian Pacific Partners for Empowerment, Advocacy and Leadership (APPEAL), Oakland, CA 11. Axion Health, Denver, CO* 12. California Department of Public Health 13. Cancer Prevention Institute of California (CPIC) 14. CAPS --- UCSF, Center for AIDS Prevention Studies, Department of Medicine: Division of Preventive Science* 15. Celiac Disease Foundation, Woodland Hills, CA 16. Chelan Douglas Health District, Wenatchee, WA* 17. Child Start, Incorporated, Napa, CA 18. Clinic by the Bay, San Francisco, CA 19. Clinica Sierra Vista, Bakersfield, CA* 20. CODAC Behavioral Health Services, Inc., Tucson, AZ 21. Colusa County Public Health 22. Community Service Programs, Incorporated, Fullerton, CA 23. Contra Costa Health Services – Public Health AIDS Program, Martinez, CA 24. County of Marin Health and Human Services, Division of Public Health - Community Health and Prevention Services 25. County of Marin Health and Human Services, Division of Public Health - Epidemiology Program 26. County of Marin Health and Human Services, Division of Public Health - Prevention Hub 55
27. County of Marin, Division of Public Health Prevention Wellness Program, Marin City, CX3 Project 28. County of Marin Environmental Health Services 29. County of Placer Health and Human Services 30. County of San Diego HHSA Public Health Services 31. East & Central Harlem District Public Health Office, East Harlem Asthma Center of Excellence, New York City Department of Health and Mental Hygiene* 32. FirstMed Health and Wellness Center, Las Vegas, NV* 33. Gila County Department of Public Health, Arizona* 34. Health Education Council, Sacramento, CA 35. Integrated Care Management Solutions Access Center, Mendocino, CA 36. Kaiser Permanente Health Education Department, Napa/Solano, Vacaville, CA 37. Kaiser Permanente Health Education Department, Sacramento Service Area 38. Kaiser Permanente Health Education Department, San Leandro, CA 39. Kaiser Permanente Health Education Department, San Rafael/Petaluma/Novato, CA 40. Kern County Public Health Services 41. La Habra Family Resource Center** 42. Lifelong Medical Care, Berkeley, CA 43. Lifelong Medical Care, San Pablo, CA 44. Lyon-Martin Health Services, San Francisco, CA* 45. Marin General Hospital, Center for Integrative Health and Wellness, Greenbrae, CA 46. Monterey County Health Department 47. Mount Sinai Adolescent Health Center, New York, NY 48. Napa County Health & Human Services Agency - Public Health Division 49. Orange County Health Care Agency, Tobacco Use Prevention, Santa Ana 50. Partnership HealthPlan of California, Fairfield, CA 51. Planned Parenthood Northern California, Fairfield/Vallejo, CA 52. Planned Parenthood Pasadena and San Gabriel Valley 53. Preventive Care Pathways, Oakland, CA 54. Primary Care Office (PCO), Carson City, NV 55. Public Health Advocates, Sacramento, CA 56. Queen of the Valley Medical Center Community Outreach, Napa, CA 57. San Joaquin County Public Health Services* 58. San Luis Obispo County Public Health Department 59. San Mateo County Health System, Tobacco Prevention Program 60. San Quentin State Prison Health Care Services, San Quentin, Marin County 61. Santa Barbara County Public Health Department - Lompoc Health Center 62. Santa Clara County Public Health Department* 63. Second Harvest Food Bank, Santa Clara & San Mateo Counties 64. Shasta County Health & Human Services Public Health Branch* 65. Solano County Emergency Medical Services Bureau 66. Solano County Health and Human Services – Black Infant Health Program 67. Solano County Health and Human Services - Public Health 68. Solano County Maternal, Child and Adolescent Health Bureau 69. Sonoma County Public Health Department 70. Southern Nevada Health District* 56
71. Stanislaus County Health Services Agency – Public Health Division 72. St. Joseph Health, Santa Rosa Memorial Hospital, Community Benefit Department, Circle of Sisters, Rohnert Park, CA 73. Texas Department of State Health Services* 74. The Environmental Justice Coalition for Water** 75. Touro University California/Solano County Family Health Services 76. UC Davis Center for Reducing Health Disparities* 77. University of California, San Francisco (UCSF) Department of Obstetrics, Gynecology and Reproductive Sciences 78. UCSF Bixby Group for Global Reproductive Health, Philip R. Lee Institute for Health Policy Studies 79. Vallejo City Unified School District 80. Yolo County Department of Health Service, Emergency Preparedness & Planning *These sites are currently inactive and have not offered field study opportunities within the last three years. **Placement recommendations for this site must be also approved by specific Public Health Program faculty in addition to the Field Study Coordinator.
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58
59
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MEMORAMDUM OF UNDERSTANDING COUNTY OF ____________ ______________ AGENCY AND TOURO UNIVERSITY CALIFORNIA PUBLIC HEALTH PROGRAM PRECEPTORSHIP AGREEMENT This Public Health Preceptorship Agreement (“Agreement”) is made on___________ between the County of _________, a political subdivision of the State of California (“County”) for the exclusive benefit of its Health Services Agency, whose address is _________________ and Touro University, a California nonprofit public corporation (“TUC”), whose address is 1310 Club Drive, Vallejo, CA 94592, who agree as follows: I. Recitals A.
County owns and operates the following health care clinics and public health offices (Facility or Facilities): Health Services Agency located at_____________________.
B.
TUC operates the College of Education and Health Sciences (CEHS), the College of Osteopathic Medicine (COM), and the College of Pharmacy (COP) in Vallejo, California and operates a branch campus in Henderson, Nevada with Colleges of Osteopathic Medicine and Health and Human Services. CEHS is comprised of three programs: The Graduate School of Education (accredited by the California Commission on Teacher Credentialing and the Western Association of Schools and Colleges), the Joint Master of Science in Physician Assistant Studies Program (accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.), and the Public Health Program (accredited by the Council on Education for Public Health). TUC desires that its students (Master of Public Health students, Master of Science in Physician Assistant Studies/Master of Public Health students, Doctor of Osteopathic Medicine/Master of Public Health students, and Doctor of Pharmacy/Master of Public Health students, obtain practical public health experience at the Health Care and Office Facilities through participation in a public health field preceptorship program (“Program”).
C.
County deems it beneficial to participate in the Program by providing practical public health experience at its Public Health and Office Facilities for TUC students pursuant to the terms and conditions of this Agreement.
In consideration of the foregoing objectives and in further consideration of the covenants and promises hereinafter set forth, the Parties agree as follows: I.
PROGRAM PARAMETERS 1.01 The period of time for each student’s public health field experience shall be agreed upon by the Parties before the student begins his or her Program training. 1.02 The maximum number of students to receive training shall be agreed upon by the Parties at least sixty (60) days prior to the beginning of Program training based on the availability of space and personnel at the school district and other considerations.
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1.03 The TUC Program Coordinator and the Institution’s Designee shall be responsible for arriving at an agreement on behalf of their respective Parties regarding the duration of the Program training and the number of TUC students to receive Program training at the Facilities. 1.04 The Program and the maintenance of the standards of instruction shall be the sole responsibility of TUC. TUC shall only refer for participation in the Program students who are in good academic standing and TUC shall at the request of Institution provide the Institution with verification of such good standing. 1.05 All students participating in the Program shall meet all applicable health standards established by TUC and any applicable governmental authority and implemented by Institution for each Health Care and Office Facility. Institution shall have the right to terminate from the Program any student when the health status of such student is detrimental to the health and/or safety of Institution patients or staff as determined by Institution.
II. TUC’S RESPONSIBILITIES 2.01 Student Contact Information. TUC shall complete and send to Institution contact information for each student enrolled in the Program which shall include the student’s name, address and telephone number prior to the beginning date of the planned field experience. Institution shall only use the student contact information to fulfill its obligations under this Agreement and agrees not to release any information in the student profile to any third party. 2.02 Schedule of Assignments. TUC shall notify the “Institution Designee” (as defined in Section 3.02), designated by the Institution from time to time, of TUC’s planned schedule of student assignments, including the name of each student, and the student’s level of academic preparation and length and dates of fieldwork experience. 2.03 TUC Program Coordinator. TUC shall designate a faculty member as TUC Program Coordinator, who shall coordinate with Institution Designee in planning the Program. 2.04 Records. TUC shall maintain all personnel and academic records of TUC students participating in the Program. 2.05 Rules and Regulations. TUC shall enforce rules and regulations governing the students that are mutually agreed upon by TUC and Institution. TUC shall instruct its students on the general requirements of the Joint Commission on Accreditation of Healthcare Organizations (“JCAHO”), Centers for Medicare and Medicaid Services (“CMS”) and the Health Insurance Portability and Accountability Act (“HIPAA”). TUC shall require that its students comply with all applicable Health Care and Office Facility policies and Federal and State regulatory requirements including, but not limited to JCAHO, CMS and HIPAA. 2.06 Student Responsibilities. TUC shall notify the students who are to participate in the Program at the Institution that they are responsible for: (a) Following the clinical and administrative policies, procedures, rules and regulations of Institution. (b) Arranging for their transportation and living arrangements when not provided by TUC.
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(c) Arranging for and assuming the cost of their health insurance. (d) Assuming responsibility for treatment of any illness or injury the student may have while participating in the Program, obtaining necessary immunizations and a tuberculin test, and having an annual health examination. (e) Keeping all patient information confidential. No student shall have access to or have the right to receive any medical record, except when necessary in the regular course of the public health experience. The discussion, transmission or narration in any form by students of any patient information of a personal nature, medical or otherwise, obtained in the regular course of the Program is forbidden except as a necessary part of the practical experience. (f) Following the dress code of the Health Care and Office Facility and wearing name badges identifying themselves as students. (g) Attending an orientation of the Health Care and Office Facilities. (h) Complying with the rules and regulations that have been developed by TUC to govern student activities during assignment to a training institution, a copy of which is attached to this Agreement as Exhibit A. 2.07 Payroll Taxes and Withholdings. TUC shall be solely responsible for any payroll taxes, withholdings, workers’ compensation and any other insurance or benefits of any kind for employees and agents of TUC providing services under this Agreement. TUC shall defend, indemnify and hold Institution harmless against all claims against Institution by employees or agents of TUC with respect to payroll taxes, withholdings, workers’ compensation and other insurance benefits. 2.08 Student Insurance. TUC shall provide Institution with a certificate of insurance or other written confirmation that each student participating in the Program carries health insurance.
III. INSTITUTION’S RESPONSIBLITIES 3.01 Public Health Experience. Institution shall accept from TUC the mutually agreed upon number of students enrolled in the Program and shall provide said students with supervised public health experience. 3.02 Institution Designee. Institution shall designate a member of Institution’s Program Coordinator to participate with the TUC Program Coordinator in planning, implementing and coordinating the Program. 3.03 Access to Facilities. Institution shall permit students enrolled in the Program access to the Health Care and/or Office Facilities as appropriate and necessary for the Program, provided that the presence of the students shall not interfere with the activities of Institution. 3.04 Institution Rules & Regulations. Institution shall instruct the students on Institution rules and regulations, as well as the application of JCAHO, CMS and HIPAA requirements specific to the Institution. Institution hereby accepts Exhibit A, which incorporates by reference the
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applicable rules and regulations of the Institution, as the rules and regulations that shall govern TUC students during their training assignment at the Institution. 3.05 Withdrawal of Students. Institution may request TUC to withdraw from the Program any student who Institution determines is not performing satisfactorily, or who refuses to follow Institution’s administrative policies, procedures, rules and regulations. Such request must be in writing and must include a statement as to the reason or reasons why Institution desires to have the student withdrawn TUC shall comply with such request within five (5) days of receipt of the written request by TUC. 3.06 Emergency Health Care First Aid. Institution shall, on any day when students are receiving training at the Facilities, provide the students necessary emergency health care or first aid for accidents occurring in the Facilities. Except for such emergency assistance, Institution shall have no obligation to furnish medical or surgical care to any student. 3.07 Maintenance of Patient Services. Institution shall be responsible for developing, maintaining and providing services to all its patients and Institution will at all times provide an adequate, competent staff to be responsible for the development, maintenance and provision of these services to Institution patients. 3.08 Evaluation. Company shall evaluate the performance of the student on a regular basis using the evaluation form supplied by TUC. The completed final evaluation shall be forwarded to TUC within ten (10) business days following the conclusion of the student’s public health field experience. IV. NON-DISCRIMINATION The Parties agree that all students receiving public health experience pursuant to this Agreement shall be selected without discrimination on account of race, color, religion, national origin, ancestry, disability, marital status, gender, sexual orientation, age, or veteran status.
V. STATUS OF TUC AND INSTITUTION 5.01 It is expressly agreed and understood by TUC and Institution that students participating in the Program are in attendance for educational purposes, and such students are not considered employees of Institution or TUC for any purpose, including but not limited to compensation for services, provision of employee welfare and pension benefits, or provision of workers’ compensation insurance. 5.02 Institution assumes and maintains primary responsibility for services rendered to all of its patients and assumes and maintains complete control and supervision over all its employees and no Institution employees shall be deemed to be the employees or agents of TUC. TUC shall not be liable for any salaries, and employees of Institution shall not have the right or claim to any benefit or privilege as an employee or agent of TUC. Institution will assume sole and complete liability for all acts and omissions of its employees and shall indemnify and hold TUC harmless from any and all liability arising out of or connected with the acts or omissions of its employees.
VI. INDEMNIFICATION
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6.01 TUC agrees to indemnify, defend and hold harmless, Institution and its affiliates, its directors, trustees, officers, agents, and employees against all claims, demands, damages, costs, expenses of whatever nature, including court costs and attorney fees, arising out of or resulting from the negligence or willful misconduct of TUC or its students in the performance of this Agreement. 6.02 Institution agrees to indemnify, defend and hold harmless, TUC and its affiliates, its directors, trustees, officers, agents, and employees against any and all claims, demands, damages, costs, expenses of whatever nature, including court costs and attorney fees, arising out of or resulting from the negligence or willful misconduct of Institution in the performance of this Agreement.
VII.
INSURANCE
TUC shall procure and maintain in force during the term of this Agreement, at its sole cost and expense, insurance in amounts that are reasonably necessary to protect TUC and Institution from and against liability arising from or incident to the use of the Facilities by TUC students participating in the Program. Coverage under such insurance shall not be less than One Million Dollars ($1,000,000) for each occurrence and Three Million Dollars ($3,000,000) in the aggregate each for professional liability insurance and comprehensive general liability insurance. TUC shall provide Institution with a certificate of insurance evidencing the insurance coverage required under this Article VII. TUC shall further ensure that not less than thirty (30) days notice shall be provided to Institution of the cancellation of such insurance. TUC shall promptly notify Institution of any cancellation, reduction, or other material change in the amount or scope of any coverage required hereunder.
VIII.
TERM AND TERMINATION 8.01 Term. This Agreement shall be effective as of the date specified above and shall remain in effect for an initial term of one year and will be automatically renewed thereafter for consecutive one-year terms (each a “Renewal Term”) unless either Party elects not to renew this Agreement by giving the other written notice at least six (6) months prior to the expiration of the initial term or any renewal term of its intention not to renew this Agreement. 8.02 Termination. (a) Mutual Agreement. This Agreement may be terminated at any time upon the mutual written agreement of the Parties. (b) Without Cause. This Agreement may be terminated without cause upon 180 days prior written notice by either Party. Such termination shall not take effect, however, with regard to students already enrolled in the Program until such time as those students have completed their training for the TUC semester during which such termination notice is given.
X.
GENERAL PROVISIONS
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9.01 Amendments. This Agreement may be amended at any time by mutual agreement of the Parties without additional consideration, provided that before any amendment shall become effective, it shall be reduced to writing and signed by the Parties. Notwithstanding the foregoing, should any provision of this Agreement be in conflict with the law of the State in which the Facilities are located or Federal law, it shall be deemed amended to eliminate the conflict. 9.02 Assignment. Neither Party shall assign or otherwise transfer this Agreement without the other Party’s prior written consent. Any purported assignment in violation of this Section shall be null and void. 9.03 Captions. Any captions to or headings of the articles, sections, subsections, paragraphs, or subparagraphs of this Agreement are solely for the convenience of the Parties, are not a part of this Agreement, and shall not be used for interpretation or determination of validity of this Agreement or any of its provisions.. 9.04 Counterparts. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original, but all such counterparts together shall constitute one and the same instrument. 9.05 Entire Agreement. This Agreement, together with all attachments, is the entire agreement between the Parties and no other agreements, oral or written, have been entered into with respect to its subject matter. 9.06 Force Majeure. Neither Party shall be liable nor deemed to be in default for any delay or failure in performance under this Agreement or other interruption of service or employment resulting, directly or indirectly, from acts of God, civil or military authority, acts of public enemy, war, accidents, fires, explosions, earthquakes, floods, failure of transportation, machinery or supplies, vandalism, strikes or other work interruptions beyond the reasonable control of either Party. 9.07 Governing Law. The validity, interpretation and performance of this Agreement shall be governed by and construed in accordance with the laws of the State of California. 9.08 Notices. Notices required under this Agreement shall be sent to the Parties by certified or registered mail, return receipt requested, postage prepaid, to the address for the Party set forth below: To TUC:
To Institution:
Touro University California Public Health Program College of Education and Health Sciences 1310 Club Drive Vallejo, California 94592 Attention: Dr. Jim O’Connor, Dean _______ County Health Department
9.10 Remedies. The various rights, options, elections, powers, and remedies of the respective Parties hereto contained in, granted, or reserved by this Agreement, are in addition to any others that said Parties may be entitled to by law, shall be construed as cumulative, and no one of them is exclusive of any of the others, or of any right or priority allowed by law.
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9.11 Severability. The provisions of this Agreement shall be deemed severable and if any portion shall be held invalid, illegal or unenforceable for any reason, the remainder of this Agreement shall be effective and binding upon the Parties. 9.12 Waiver. Any waiver of any terms and conditions hereof must be in writing and signed by the Parties hereto. A waiver of any term or condition hereof shall not be construed as a future waiver of the same or of any other term or condition hereof. 9.13 Non-Exclusive Agreement. This Agreement is not exclusive. Accordingly, either Party shall have the right to enter into one or more agreements relating to the same or similar matters as are covered by this Agreement.
X. EXECUTION IN WITNESS WHEREOF, the Parties hereto have caused this Agreement to be executed by their duly authorized representatives.
COUNTY OF_____________ a Political Subdivision of the State of California
By:
Date: Name & Title Health Services Agency
Title:
TOURO UNIVERSITY, a California nonprofit public benefit corporation
By:
Date: Dr. Jim O’Connor, Dean
APPROVED AS TO FORM:
By:
Date: County Counsel
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LETTER OF AGREEMENT Between Touro University California College of Education and Health Sciences Public Health Program And Placement Site This Letter of Agreement is made between the Touro University California Public Health Program, located at 1310 Club Drive, Vallejo, CA 94592, and Placement Site, located at 123 S. Street for a 6 or 12-week field study experience for Student Name. Touro University California and Placement Site shall jointly be referred to as the “Parties.” This Letter of Agreement is effective beginning August 1, 2016. This Agreement sets forth important points, relating to public health education, concerning the Training Programs at the School and Entity. 1.
Responsible Persons Touro University California Program Director, Gayle Cummings College of Education and Health Sciences Public Health Program Director Entity
Placement Site
As Program Director, Gayle Cummings is ultimately responsible for the content and conduct of the educational activities as they pertain to the MPH students, Preceptor Name will be directly responsible for the supervision, training, assessment and evaluation of the MPH Student. 2.
Educational Goals and Objectives
Please see attached MPH Field Study handbook that details the specific rotational educational goals and objectives. 3.
Assignment
This student is required to complete a minimum of 12 weeks of public health field work
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experience (for MPH students, 30-40 field study hours per week) or a minimum of 6 weeks (for MPH dual and joint degree students, 30-40 field study hours per week). Twelve weeks is equivalent to a 400-hour field study placement and 6 weeks is equivalent to 210 hours in the field. The purpose of the fieldwork experience is to apply the knowledge and skills acquired in the classroom, in a public health setting congruent to the MPH program’s mission statement. Requirements for the fieldwork experience include: program director approval of the fieldwork site as well as completion of the core courses prior to the field study placement. Students are required to: d) Conduct one of the following: a needs assessment, program plan, program evaluation, policy plan/analysis, educational campaign, or applied research based upon the organization’s needs, work, mission, and or data access/availability; e) Develop a plan to implement one of the above; f) Gather and analyze applicable data via: - primary data collection (questionnaire administration or interviews); or - secondary data/existing data set(s) d) Present project findings in field study summary that addresses a health issue of the community and contributes in resolving practical health problems. In addition to data collection and analysis, the students' work should be valued by the organization and make a contribution to meeting the organization's goals or mission. 4.
Financial Arrangements
Entity is under no obligation for the MPH Student’s salary, housing, food, or other benefits. 5.
Professional Liability Coverage
The MPH Student’s professional liability insurance documentation will be provided at no cost to Entity. The professional liability coverage is provided by the School for the MPH Student while performing his/her responsibilities as further defined below and in the Touro University California MPH Field Study Preceptor Handbook. “TUC shall procure and maintain in force during the term of this Agreement, at its sole cost and expense, insurance in amounts that are reasonably necessary to protect TUC and Institution from and against liability arising from or incident to the use of the Facilities by TUC students participating in the Program. Coverage under such insurance shall not be less than One Million Dollars ($1,000,000) for each occurrence and Three Million Dollars ($3,000,000) in the aggregate each for professional liability insurance and comprehensive general liability insurance. TUC shall provide Institution with a certificate of insurance evidencing the insurance coverage required under this Article VII. TUC shall further ensure that not less than
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thirty (30) days notice shall be provided to Institution of the cancellation of such insurance. TUC shall promptly notify Institution of any cancellation, reduction, or other material change in the amount or scope of any coverage required hereunder.” 6.
Responsibility for Teaching, Supervision and Evaluation of the MPH Student
While at Entity location, the MPH Student will receive supervision and instruction from active members of the Entity. The MPH Student will be supervised in all his/her activities commensurate with the complexity of the project and the Student’s own abilities. The Student’s evaluation will be both formal and informal. At the conclusion of the rotations, a formal student evaluation will be completed by the preceptor and submitted to the Program. The MPH student will in turn, complete a site evaluation form at the conclusion of the field study and submit this to the Program. 7. Policies and Procedures for Education While at Placement Site, the MPH Student will take an active role in educational opportunities provided and directed by Placement Site. The responsibilities for teaching, supervision, and formal evaluation of the student’s performance while at Placement Site are the duties of the assigned or designated Preceptor. The Parties acknowledge they have read this Agreement, understand the terms and conditions, and agree to be bound by them.
Touro University California College of Education and Health Sciences Public Health Program
Gayle Cummings, PsyDc, MPH Program Director
Date
Placement Site
Site Preceptor
Date
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PUBLIC HEALTH PROGRAM
Community Health Field Study Emergency Protocol The Community Health Field Study Emergency Protocol has been designed to prepare for and facilitate rapid response to emergencies which may arise during the Field Study. Although no single plan or protocol can address all contingencies, Touro University California (TUC) recognizes the importance of establishing, in advance, policies and procedures to safeguard the welfare of students during their field study placements at affiliated community health field study sites. The procedures set forth below are to be followed by the all students in community health field study placements sponsored by TUC. It is the responsibility of the Field Study Coordinator to follow the procedures outlined below and educate all field study students, preceptors, and site coordinators or administrators about these procedures through preceptor orientation.
I. What should the TUC Field Study Coordinator do to prepare for emergencies? 1. The Field Study Coordinator will obtain from each student, prior to the start date a. emergency contact information for the Student; b. the Student Code of Conduct agreement;
i. ii. iii. iv.
2. At a minimum, the following information should be provided to all community health field study students during the placement preparation by the Field Study Coordinator. a. Emergency contact numbers for the Field Study Coordinator, Program Director, and Assistant Program Director, and Program Office Staff. This information will be included in the Field Study Handbook and will be given to the students at schedule field study overviews. This emergency contact information will contain the following names, numbers, and email addresses: Field Study Coordinator Program Director Assistant Program Director Program Office Staff
b. Procedures for a medical emergency: i. Students should be informed that they are required to notify the Preceptor about any medical emergency, and that the Preceptor in turn is required to contact the Field Study Coordinator. 71
ii. This information will be treated with the strictest confidentiality, and will be shared by the Preceptor and the Field Study Coordinator on a "need to know" basis only. iii. If the crisis involving the Student is grave enough to seriously jeopardize his or her safety or well-being, the emergency contact he/she has provided at the time of registration will be informed. 3. Preceptors will be required to read the Field Study Preceptor Handbook, which will provide an incident reporting form. Preceptors and Students will be asked to sign a Statement of Understanding after the training session acknowledging that they a. have received, reviewed, and understand this protocol, b. have received and understand how and when to use the provided forms, c. fully understand their duties and responsibilities as preceptors.
II. What is an emergency? An emergency is any circumstance that poses a serious risk to, or that has already disturbed the safety and/or wellbeing of field study students. Emergencies will include, though not be confined to, the following types of events and incidents: • Serious illness, physical or emotional trauma, injury or death • Hospitalization for any reason • Disappearance or kidnapping of a student • Criminal assaults against program students • Sexual assault or rape • Arrest, incarceration, or deportation • Automobile accidents involving program students • Terrorist threat or attack • Local political crisis disruptive of civil obedience • Natural disaster What to do in the case of an emergency: Preceptor 1. In an emergency, the Preceptor’s first responsibility is to safeguard the immediate wellbeing of field study students. The Preceptor should take appropriate steps to assure the immediate safety and wellbeing of the students, including, as appropriate, obtaining prompt and appropriate medical attention or protection by local law enforcement. 2. The Preceptor and, when possible, the student, should contact the Field Study Coordinator immediately when an emergency event occurs or is imminent and brief them in detail about the situation. 3. As necessary, the Field Study Coordinator should notify the Program and College administration and the Office of Student Services about the emergency, and follow whatever procedures they may suggest or require. If there is a continuing risk to the immediate safety or welfare of the Student, the Field Study Coordinator should ask the 72
appropriate authorities to advise him/her on a regular basis about the evolution of the crisis, and about how the field study program should respond. 4. When all has been done to assure the Student’s immediate well-being, preceptors, with the aid of the Student when possible, should gather all critical information, using the incident reporting form as a guide. The incident report should be sent to the Field Study Coordinator who will share copies with the: a. Public Health Program Director and Assistant Director b. Director of the PA Program regarding PA students and the deans of the colleges of Osteopathic Medicine and Pharmacy regarding MPH dual degree students c. Associate Dean of Student Services d. Dean of the College an Education and Health Sciences 5. The Field Study Coordinator should be contacted first by phone, with communication by e-mail and fax used as a last resort. Emergency contact information for the Field Study Coordinator is available and should be obtained from the Public Health Program. If the Field Study Coordinator is not available, the Preceptor and the Student will send the incident report directly to the Program Director who will then contact the other concerned TUC parties. Should the Field Study Coordinator and PH Program Director not be available, the Preceptor and the Student are encouraged to follow the PH Program emergency contact chain of (see page 6.) 6. During an on-going crisis, the Preceptor should keep the Field Study Coordinator updated on a regular basis. While there may not be time to complete the incident reporting form initially, the Preceptor should use it as a guide and understand that it will need to be completed and submitted to the Field Study Coordinator when possible to facilitate management of the situation. 7. All field study students will be evacuated in the emergency scenarios outlined at the beginning of section II. Evacuation for other incidents that might warrant concern and reporting but that do not pose an immediate threat to student safety and/or wellbeing (such as robbery or minor assault) will be decided jointly by the Field Study Coordinator and the Program Director. In the case of widespread conflict or natural disaster, Field Study Coordinator will reach out to local organizations to assist with ensuring the safety of the Student. a. In an emergency, preceptors should urge students to contact family members or other concerned parties as soon as possible to advise them of their personal situation. Wherever necessary, the Preceptor should attempt to facilitate such contact. Methods of communication may include email, phone calls, faxes, and posts to social networking websites. b. In a medical emergency, the Preceptor or appropriate designee should accompany the Student to an appropriate health care provider for medical attention. The Field Study Coordinator should be contacted and made aware of the situation. No details of a student’s medical condition should be shared unless the Student grants permission. If a medical emergency is critical and a student’s family or other emergency contact should be informed, 73
the Preceptor should consult with the Field Study Coordinator to coordinate the contact with the Student’s emergency contact. Upon receiving a call from the Preceptor or Student involving a serious injury, death, or emergency, the manager will: 1. Start a log of all calls and activities. 2. Complete an Incident Report form, making sure to gather the following important information: a. Name of caller and of victim(s), if any b. Brief description of accident, injuries, and/or emergency, the steps that have been taken and the status. c. Location of caller- street, city d. Location of event, accident or emergency, proximity to student group e. Phone, cell phone, fax, or beeper number where caller is f. If any calls have been made to local law enforcement g. If any information has been released to the media h. If any specific plan of action is in place or anticipated If a national/regional emergency – real or perceived – occurred, ask for answers to these questions: 1. What impact, if any, did any emergency have on availability of food, water, and medical supplies? 2. What was the nature of the emergency? 3. What is the intensity of the emergency? 4. Is there local law enforcement, military or emergency personnel at the site of the emergency? 5. Is continuation of field study feasible? 6. What is the advice of the local law enforcement, military or emergency personnel? For personal emergencies: 1. 2. 3. 4. 5.
Has injured party been in contact with his/her family? Do we have his/her permission to contact family or other concerned parties? Has the injured party been hospitalized or received medical attention? What is the contact information of the facility where the injured party is being kept? Communicate with the necessary location personnel to develop a tailored response plan. Communication will be ongoing until the situation is resolved 6. Do not make any statement directly to the media. Refer inquiries to the Program Director or Associate Dean of Student Services and follow recommendations regarding a consistent communication plan.
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PH Program Emergency Contact Information Field Study Coordinator Nemesia Kelly, MPH Assistant Professor Public Health Program College of Education and Health Sciences Touro University California Program Director Gayle Cummings, MPH, PsyD (c) Associate Professor Public Health Program College of Education and Health Sciences Touro University California Assistant Program Director Elena O. Lingas, DrPH, MPH Associate Professor Public Health Program College of Education and Health Sciences Touro University California PH Program Office Staff Alicia Ashorn, MPH Research Assistant Public Health Program College of Education and Health Sciences Touro University California Brigida Perez, MA (c) Administrative Assistant Public Health Program College of Education and Health Sciences Touro University California
Address Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Phone Ofc: 707/638-5827 Cell: 707/731-7436
Email
[email protected]
Fax 707/638-5871
Address Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Phone Ofc: 707/638-5831 Cell: 707/373-4050
Email
[email protected]
Fax 707/638-5871
Address Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Phone 707/638-5830
Email
[email protected]
Fax 707/638-5871
Address Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Phone 707/638-5839
Email
[email protected]
Fax 707/638-5871
Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
707/638-5838
[email protected]
707/638-5871
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Statement of Understanding Please sign below to indicate that you agree with the following statement: “I certify that I have read and understood the above Community Health Field Study Emergency Protocol. I understand that the Protocol is designed to improve the management of emergency situations that arise during the Field Study and agree follow procedures as outlined within to the best of my ability.” Signature: __________________________________ Print Name: ___________________________________
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Date: ____________________
PUBLIC HEALTH PROGRAM
Global Health Field Study Emergency Protocol The Global Health Field Study Emergency Protocol has been designed to prepare for and facilitate rapid response to emergencies which may arise during travel abroad. Although no single plan or protocol can address all contingencies, Touro University California (TUC) recognizes the importance of establishing, in advance, policies and procedures to safeguard the welfare of members of the community traveling internationally. The procedures set forth below are to be followed by the all participants in global health field placements sponsored by TUC. It is the responsibility of the Field Study Coordinator to follow the procedures outlined below and educate all field study students, site coordinators, and preceptors in their countries of responsibility about these procedures during orientations and site development visits.
I. What should the TUC Field Study Coordinator do to prepare for emergencies? 1. The Field Study Coordinator will obtain from each student, prior to departure: a. Emergency contact information for the student; b. The Student Code of Conduct Agreement; c. Proof of enrollment in the Smart Traveler Enrollment Program (STEP). STEP is a free service provided by the U.S. Government to U.S. citizens who are traveling to, or living in, a foreign country. STEP allows you to enter information about your upcoming trip abroad so that the Department of State can better assist you in an emergency. STEP also allows Americans residing abroad to get routine information from the nearest U.S. embassy or consulate. 2. At a minimum, the following information should be provided to all global health field study students during the pre-departure orientation by the Field Study Coordinator. a. Information on where to obtain Travel Alerts issued by the U.S. State Department for the destination countries. b. Field Study Coordinators are required to subscribe to the U.S. State Department Travel Alert RSS feed and to monitor it for news on their representative country.
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i. The public health program understands that not all country Travel Alerts are relevant to field students (e.g., they may be about low level threats or affect an area of the country or a specific population with which students are not expected to come into contact). ii. In the event of a relevant and serious Travel Alerts, Field Study Coordinators will notify Site Coordinators and all field-based students directly via email. Site Coordinators will then notify students via phone as email access at global sites might be unreliable.
i. ii. iii.
c. Emergency contact numbers for participants to provide to their families and other concerned parties. This information will be included in the Field Study Handbook and will be given to the students at orientation. This emergency contact information will contain the following names, numbers, and email addresses: US Embassy at travel destination(s) Site Coordinator Field Study Coordinator d. Information regarding safety and security issues specific to the country. Participants should be advised to avoid travel to or through any location where tensions exist and travel may be dangerous.
e. Procedures for a medical emergency: i. Participants should be informed that they are required to notify the Site Coordinator about any medical emergency, and that the Site Coordinator in turn is required to contact the Field Study Coordinator. ii. This information will be treated with the strictest confidentiality, and will be shared by the Site Coordinator and the Field Study Coordinator on a "need to know" basis only. iii. If the crisis involving the participant is grave enough to seriously jeopardize his or her safety or well-being, the emergency contact he/she has provided at the time of registration will be informed. 3. In the case of programs or extracurricular field trips which entail overnight absence from the home base, the student will leave a detailed written program itinerary with the Site Coordinator with written instructions on how they can be contacted in an emergency. The student will fill out a travel itinerary form and email copies to both the Field Study Coordinator and the Site Coordinator 4. Site Coordinators will be required to attend an information session with Field Site Coordinators during in-country site development visits, during which they will receive various materials including an incident reporting and itinerary forms. Site Coordinators will be asked to sign a Statement of Understanding after the training session acknowledging that they: a. have received, reviewed, and understand this protocol, b. have received and understand how and when to use the provided forms, c. fully understand their duties and responsibilities as Site Coordinators. 78
II. What is an emergency? An emergency is any circumstance that poses a serious risk to, or that has already disturbed the safety and/or wellbeing of field study students. Emergencies will include, though not be confined to, the following types of events and incidents: • • • • • • • • • •
Serious illness, physical or emotional trauma, injury or death Hospitalization for any reason Disappearance or kidnapping of a participant Criminal assaults against program participants Sexual assault or rape Arrest, incarceration, or deportation Automobile accidents involving program participants Terrorist threat or attack Local political crisis disruptive of civil obedience Natural disaster
What to do in the case of an emergency: Site Coordinator 1. In an emergency, the Site Coordinator’s first responsibility is to safeguard the immediate wellbeing of program participants. The Site Coordinator should take appropriate steps to assure the immediate safety and wellbeing of the participants, including, as appropriate, obtaining prompt and appropriate medical attention, embassy intervention or police protection. 2. The Site Coordinator and, when possible, the student, should contact the Field Study Coordinator immediately when an emergency event occurs or is imminent and brief them in detail about the situation. 3. As necessary, the Field Study Coordinator should notify the local U.S. Embassy or Consulate about the emergency, and follow whatever procedures they may suggest or require. If there is a continuing risk to the immediate safety or welfare of the participants (during a terrorist threat, for example), the Field Study Coordinator should ask the appropriate embassy or consular official to advise him/her on a regular basis about the evolution of the crisis, and about how the field study program should respond. 4. When all has been done to assure the participant’s immediate well-being, the Site Coordinator, with the aid of the student when possible, should gather all critical information, using the incident reporting form as a guide. The incident report should be sent to the Field Study Coordinator who will share copies with the: a. Global Health Track Chair b. Public Health Program Director and Assistant Director
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c. Director of the PA Program regarding PA students, the director of the College of Osteopathic Medicine Global Health Program, and the deans of the colleges of Osteopathic Medicine and Pharmacy regarding MPH dual degree students d. Associate Dean of Student Services e. Dean of the College an Education and Health Sciences 6. The Field Study Coordinator should be contacted first by phone, with communication by e-mail and fax used as a last resort. Emergency contact information for the Field Study Coordinator is available and should be obtained from the Public Health Program. If the Field Study Coordinator is not available the Site Coordinator and student will send the incident report directly to the Global Health Track Chair and (Dr. Carinne Brody and/or the PH Program Director) who then will contact the other concerned TUC parties. Should the Field Study Coordinator, Global Health Track Chair, or PH Program Director not be available, the Preceptor and the Student are encouraged to follow the PH Program emergency contact chain of (see page 6.) 6. During an on-going crisis, the Site Coordinator should keep the Field Study Coordinator updated on a regular basis. While there may not be time to complete the incident reporting form initially, the Site Coordinator should use it as a guide and understand that it will need to be filled out and submitted to the manager when possible to facilitate management of the situation. 7. During a political crisis or some other emergency during which foreigners in general or U.S. citizens in particular may be at risk, the Field Study Coordinator should advise the field study students to keep a low profile and avoid demonstrations, confrontations or situations where they could be in danger. The group should avoid locales where foreigners or Americans are known to congregate and attempt to be as inconspicuous as possible. The participants should be advised to follow the recommendations set forth in any Travel Alerts issued by the U.S. State Department. 8. All field study students will be evacuated in the emergency scenarios outlined at the beginning of section II. Evacuation for other incidents that might warrant concern and reporting but that do not pose an immediate threat to student safety and/or wellbeing (such as robbery or minor assault) will be decided jointly by the Field Study Coordinator, the Program Director. In the case of widespread conflict or natural disaster, Field Study Coordinator will reach out to local organizations to assist with ensuring the safety of local Site Coordinators. a. In an emergency, Site Coordinators should urge participants to contact family members or other concerned parties as soon as possible to advise them of their personal situation. Wherever necessary, the Site Coordinator should attempt to facilitate such contact. Methods of communication may include email, phone calls, faxes, and posts to social networking websites.
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b. In a medical emergency, the Site Coordinator or appropriate designee should accompany the participant to an appropriate health care provider for medical attention. The Field Study Coordinator should be contacted and made aware of the situation. No details of a participant’s medical condition should be shared unless the participant grants permission. If a medical emergency is critical and a participant’s family or other emergency contact should be informed, the Site Coordinator should consult with the Field Study Coordinator to coordinate the contact with the participant’s emergency contact. Upon receiving a call from the Site Coordinator or student involving a serious injury, death, or emergency, the manager will: 1. Start a log of all calls and activities. 2. Complete an Incident Report form, making sure to gather the following important information: a. Name of caller and of victim(s), if any b. Brief description of accident, injuries, and/or emergency, the steps that have been taken and the status. c. Location of caller- street, city, country d. Location of event, accident or emergency, proximity to student group e. Phone, cell phone, fax, or beeper number where caller is f. If any calls have been made to local law enforcement, U.S. Embassy or Consulate g. If any information has been released to the media h. If any specific plan of action is in place or anticipated If a national/regional emergency – real or perceived – occurred, ask for answers to these questions: 1. What impact, if any, did any emergency have on availability of food, water, and medical supplies? 2. What was the target of unrest, if the event was political? 3. What is the intensity of the emergency or of the political unrest? 4. Are there military or emergency personnel at the site of the emergency? 5. Is the continuation of the travel program (and classes if involved) feasible? 6. How able are participants to travel in the country? 7. What is the advice of the nearest U.S. Embassy or Consulate? For personal emergencies: 1. 2. 3. 4. 5.
Has injured party been in contact with his/her family? Do we have his/her permission to contact family or other concerned parties? Has the injured party been hospitalized or received medical attention? What is the contact information of the facility where the injured party is being kept? Communicate with the necessary location personnel to develop a tailored response plan. Communication will be ongoing until the situation is resolved 81
6. Do not make any statement directly to the media. Refer inquiries to the Program Director or Dean of Student Affairs and follow recommendations regarding a consistent communication plan. 7. If an emergency has occurred, call the U.S. Department of State Citizen Emergency Center at 1-202-647-5225 for suggestions or assistance. For health emergencies, contact the Center for Disease Control at 1-800-232-4636.
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Public Health Program Emergency Contact Information Field Study Coordinator
Bolivia Sarah Sullivan, RN, MSN, PNP, MPH Associate Professor Public Health Program College of Education and Health Sciences Touro University California Cambodia Carinne Brody, DrPH, MPH Assistant Professor Public Health Program College of Education and Health Sciences Touro University California Ethiopia Sahai Burrowes, PhD, MALD Assistant Professor Public Health Program College of Education and Health Sciences Touro University California PH Program Field Study Coordinator Nemesia Kelly, MPH Assistant Professor Public Health Program College of Education and Health Sciences Touro University California Program Director Gayle Cummings, MPH, PsyD (c) Associate Professor Public Health Program College of Education and Health Sciences Touro University California
Address Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Phone Ofc: 707/638-5832
Email
[email protected]
Fax 707/638-5871
Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Ofc: 707/638-5833
[email protected]
707/638-5871
Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Ofc: 707/638-5842
[email protected]
707/638-5871
Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Ofc: 707/638-5827 Cell: 707/731-7436
[email protected]
707/638-5871
Address Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Phone Ofc: 707/638-5831 Cell: 707/373-4050
Email
[email protected]
Fax 707/638-5871
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Assistant Program Director Elena O. Lingas, DrPH, MPH Associate Professor Public Health Program College of Education and Health Sciences Touro University California PH Program Office Staff Alicia Ashorn, MPH Research Assistant Public Health Program College of Education and Health Sciences Touro University California Brigida Perez, MA (c) Administrative Assistant Public Health Program College of Education and Health Sciences Touro University California
Address Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Phone 707/638-5830
Email
[email protected]
Fax 707/638-5871
Address Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
Phone 707/638-5839
Email
[email protected]
Fax 707/638-5871
Touro University California Public Health Program 1310 Club Drive Vallejo, CA 94592
707/638-5838
[email protected]
707/638-5871
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Statement of Understanding Please sign below to indicate that you agree with the following statement: “I certify that I have read and understood the above Global Health Field Study Emergency Protocol. I understand that the Protocol is designed to improve the management of emergency situations that arise during international travel and agree follow procedures as outlined within to the best of my ability.”
Signature: ______________________________
Date: ______________________________
Print Name: ______________________________
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PUBLIC HEALTH PROGRAM Field Study Course Incident Report Form Preceptors and students should complete this report immediately after an incident either using this form or online at https://tuc.co1.qualtrics.com/jfe/form/SV_eaI6Qo9OydReidT. All witnesses should submit separate reports. Today’s Date: _______________________________ Name(s) of Student(s) Involved: Student ID #: Date and Time of Incident: Location of Incident: Name of Student Completing Report and Contact Information:
Name of Preceptor Completing Report and Contact Information:
Name of Field Study Placement Site: Names of Others Involved:
COMPLETE THIS SECTION IF THERE WAS AN INJURY:
Please check the appropriate box to indicate the nature of the incident: Alcohol/Drugs Injury/Illness Other, please specify:
Theft Arrest of Student 86
Assault of Student
Please describe the incident. Be as specific as possible, including all details. Use additional sheets if necessary.
Action(s) taken if any:
Emergency medical treatment given? _____ Yes _____ No To whom? __________________________________By whom? _________________________ Describe procedure(s):
Individuals (s) taken to hospital? _____ Yes _____ No Name of individual(s) taken to hospital: ___________________________________ Name and address of hospital: ______________________________________________________________________________ ______________________________________________________________________________ Were police called to the scene? _____ Yes _____ No Name of officer and police department: COMPLETE THIS SECTION IF THERE WAS DAMAGE Property Damage (including damage to another's vehicle): 87
Type of property: Location of property: Name of Property Owner: Street Address: City: __________________________________ County: ________________________________ Provence/State: __________________________ Country: _____________________________ Postal/Zip Code: __________________________ Phone Number: ________________________ Email: __________________________________ Nature and circumstances of damage: ______________________________________________________________________________
Cost to repair: Witnesses names and addresses: ______________________________________________________________________________
Signature of Reporting Preceptor/Student
Date
Fax or email a copy of this report within 72 hours of incident to the Field Study Coordinator and Program Director. Fax: (707) 638-5871 Program Director Email:
[email protected]
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PUBLIC HEALTH PROGRAM
Instructions for Completing the Field Study Scope of Work Each student is required to complete a final scope of work during the first week of their field study. The Scope of Work must be submitted via Blackboard one week after the placement start date. The Scope of Work provides the framework for the field experience, by ensuring that: 1. The student and preceptor have a clear understanding of the field experience, specifically the role and responsibilities of the student regarding the objectives, activities, timeline, and outcomes for the field study project. 2. The experience is appropriate to earn academic credit toward the MPH degree. Recommended time line and steps for creating scope of work: 5. Meet with preceptor and or site coordinator to discuss and plan the field experience, project, and the Scope of Work during the first week of the field study placement 6. Student writes draft of scope of work based on above discussion 7. Submit final scope of work to Nemesia Kelly via Blackboard along with a signed field study contract one week after the placement start date. Note: The Scope of Work must be typed; handwritten material is not acceptable. Provide a brief paragraph describing your field study project. See below for an example: Alameda Health System (AHS) is dedicated to improving cost, quality, and access for their patient population. Indicators of these goals have been established by oversight agencies including the Agency for Healthcare Research and Quality (AHRQ) and the Health and Human Services National Quality Measures Clearinghouse. The California Association of Public Hospitals (CAPH), and the Safety Net Institute (SNI) have collaborated with UCSF to form The Public Healthcare system Evidence Network and Innovation eXchange (PHoENIX). PHoENIX has created a “Big Aims Campaign” which focuses on two measures of population health: breast screening and control of cholesterol in people with diabetes. My field study project will focus on assisting my preceptor to discover meaningful, evidence-based strategies for implementation of Big Aims goals at AHS. We will collect data on current system practices for both breast screening and LDL. Access to care is influenced by provider capacity, known as provider panels. A portion of my work at AHS will focus on the analysis of patient demand, provider performance issues, and clinical outcomes.
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Suggestions for creating scope of work: • • • • • •
Be clear in proposed general work Create objectives that are specific but not cluttered with language Scope of work should be as long as needed to adequately describe planned experience Be very specific in activities associated with objectives Estimate time for each activity, remember that deciding how much time something should take is always an estimate Determine how you will evaluate yourself, think about: o How will you and your preceptor know that you completed an activity or objective? o How will you and your preceptor know how well you completed the activity or objective? o Some general evaluation guidelines: Weekly field study logs Final preceptor's evaluation Final student's evaluation Student's final summary report
Remember that, should it become necessary, it is possible (and sometimes expected) to change the scope of work.
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PUBLIC HEALTH FIELD STUDY SCOPE OF WORK FOR: ______________________________________ PUBLIC HEALTH PROGRAM
Field Study Project Description (See Scope of Work Instructions for an example):
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OBJECTIVES (S)
ACTIVITIES
TIMELINE
INDICATORS OF OUTCOMES FOR EACH OBJECTIVE
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PUBLIC HEALTH PROGRAM MPH COMPETENCIES Discipline-Specific Competencies Area 1: Biostatistics • •
Describe the role of biostatistics in the discipline of public health Apply basic statistical techniques to describe, analyze and interpret public health data and research Area 2: Epidemiology
• •
Apply descriptive and experimental epidemiologic terms, methods and study designs to reveal associations between the characteristics of a population and the features of an environment with health Identify key sources of data for epidemiologic purposes, draw appropriate inferences from epidemiologic studies and understand the limitations of a specific data source Area 3: Environmental Health
•
Describe major environmental risk factors, evaluate their impact on the health of populations, describe and critique the risk assessment process, and review strategies for prevention and remediation within the context of environmental justice Area 4: Health Policy and Management
• •
Identify the main components and issues of the organization, financing and delivery of healthcare services and public health systems in the US Describe medical care delivery and policy processes with an emphasis on systems thinking, basic management concepts and quality of care implications Area 5: Social and Behavioral Sciences
• •
Identify the social and behavioral determinants that affect the health of individuals and communities Understand and critique the application of theories, concepts and models used to interpret relationships between social determinants and health outcomes in research, interventions, policy and practice 99
Cross-cutting Competencies •
Identify valid sources of public health information including peer-reviewed literature, government records, and publically available datasets
•
Understand and apply ethical practices and standards in public health
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Integrate principles of social justice into public health practice and promotion Track-Specific Competencies COMMUNITY HEALTH
1. Identify and assess community status and community health needs 2. Plan, develop, and implement community health programs using a variety of strategies to improve a community's health 3. Advocate for better health and wellbeing through community mobilization efforts 4. Analyze and/or evaluate policies that impact a community’s health 5. Demonstrate cultural sensitivity towards underserved populations 6. Manage fiscal and organizational resources to insure optimal program and service delivery 7. Evaluate the efficacy of health promotion/prevention programs 8. Demonstrate a commitment to social justice and health equity 9. Explain and interpret the roles and/or approaches of public health organizations 10. Synthesize and disseminate public health information 11. Apply conceptual framework s of health patterns, determinants and disparities in support of community health policy, education, promotion or prevention GLOBAL HEALTH 1. Define the global public health challenges of the developing world in terms of key parameters including population, region, countries and magnitude. 2. Explain the political economy of global health issues. 3. Demonstrate the linkages between local and global health problems 4. Demonstrate the health disparities within the developing states and between the developed and developing world. 5. Communicate effectively the mandates, roles and approaches of international public health organizations. 6. Facilitate to build partnership with health institutions of higher learning, the NGO sector and local community organizations. 7. Demonstrate an understanding of community’s awareness of their own health problems and their solutions. 8. Recognize the primacy of local solutions to global health issues and promote participatory approaches to problem solving 100
9. Demonstrate a commitment to public health that values social justice and promotes health equity globally. 10. Apply theoretical concepts related to global health patterns and social determinants in support of global health policy, promotion or prevention 11. Engage in critical thinking about global health policy and health strategies, especially regarding feasibility, cost effectiveness, sustainability and scalability of different approaches 12. Demonstrate an understanding of the importance of listening in an unbiased manner, respecting diverse points of view, and observing humility in international situations 13. Develop skills to advocate for programs, resources and policies that advance global public health
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PUBLIC HEALTH PROGRAM Public Health Field Study Competency Inventory Form Name:__________________________________________ Public Health Program MPH Competencies: For their field study projects, students are required to identify at least three to five (3-5) core public health competencies (one from each core area (Biostatistics, Epidemiology, Environmental Health Science, Health Policy and Management, and Social and Behavioral Sciences); 1 cross-cutting competency, and three (3) track competencies (Community Health or Global Health) listed on the above pages (pp. 107-109). Competencies should be identified as a collaborative process between students and preceptors by identifying and selecting the competencies that will be addressed through the field study. However, students are ultimately responsible for completing the inventory. In addition, students may include detailed information explaining how each selected competency specifically relates to their project. Please refer to the MPH Competencies listed above or on Blackboard. The Competency Inventory must be typed as handwritten material is not acceptable.
Selection of 3-5 Core Public Health Competencies: 1.
Competency
Area
2. 3. 4. 5.
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Field Study Project Objectives Related to Core Public Health Competencies (OPTIONAL): Students may include detailed information explaining how each selected competency specifically relates to their field study project. Example: Project Objectives Related to Core Public Health Competencies 1. Analyze and interpret breast cancer data for CPIG
Area Biostatistics
2. Apply epidemiological terms and knowledge to conduct research and Epidemiology identify key data sources and gather appropriate information to address the possible barriers faced by patients in utilizing group therapy in the Appalachian region; Successfully understand the strength and limitations of the found peer-reviewed articles and make appropriate associations regarding cause and effect. 3. Describe major environmental risk factors, evaluate their impact on the Environmental Health health of population of San Joaquin Valley and review strategies for Science prevention for well contamination 4. Create MOU between WIC and Southbay to improve quality of care implications; Implement and monitor Breastpump Loan program between WIC and Southbay Hospital.
Health Policy and Management
5. Identify and disseminate social and behavior determinants that affect Type II diabetes among Latinos aged 4-18 in Logan County.
Social and Behavior Sciences
Project Objectives Related to Core Public Health Competencies
Area
1. 2. 3. 4. 5.
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Selection of One (1) Cross-Cutting Public Health Competency: 1.
Competency
Selection of Three (3) Track Competencies (Community Health or Global Health): 1.
Competency
2. 3.
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PUBLIC HEALTH PROGRAM
1310 Club Drive ● Vallejo ● California ● 94592 ● 707-638-5838 (main ofc)
Public Health Field Study Contract The purpose of this agreement is to structure the field experience through results-oriented objectives and a welldefined scope of work. This contract and related scope of work serves as the basis for the field study. Once the student and preceptor have signed the contract, any subsequent changes will require the approval of the preceptor and field study coordinator. The contract and scope of work must be submitted via Blackboard one week after the start of the field study. Students must conduct all field study work on-site under the supervision of the field study preceptor (students are not allowed to telecommute or work from home or off-site during the field study placement).
Student Name: Student Phone Number: Student Email address: Preceptor Name Preceptor Credentials (MPH, PhD, MD) Preceptor Prefix (Mr., Ms. (if not “Dr.”)) Supervisor Name: Site Name: Preceptor Phone Number: Preceptor Email address: Site Address, City, Site State/Province, Postal Code/Zip Site Country Preceptor Fax Number: Field Study Placement Start Date: Placement Length:
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ 12 Weeks+______ 10 Weeks ______ 6 Weeks+______12-24 Weeks (Part-time)______
I have read the scope of work attached to this document and by my signature approve the field study as outlined. _______________________________ Student
_______________ Date
_______________________________ Preceptor
_______________ Date
Please return a signed copy of this contract via Blackboard. If you experience difficulty in accessing Blackboard, please email this item as an attachment (JPG or PDF). Nemesia Kelly, MPH Assistant Professor & Field Study Coordinator Touro University California Public Health Program
[email protected] • 707.638.5827 (Office) • 707.731.7436 (Cell)
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PUBLIC HEALTH PROGRAM
Selected Field Study Site Visit Dates The site visit is an assessment that occurs midway through the field study placement and conducted by the Field Study Coordinator or another Public Health Program faculty member who visits the field study placement site to meet with the student and preceptor. During the first week of the field study placement and after the preceptor has signed the Field Study Contract, the student is responsible for working with their preceptor to select 3-4 possible dates/times on dates that occur midway through their field study placement on which to schedule the site visit. At least 30 minutes should be allocated for each site visit (15-minute separate meetings are required with the student and the preceptor). Students are required to submit this form via Blackboard (BB) indicating selected dates/times for potential site visits (this form is available on BB in the Assignments & Course Materials sections and in the MPH Student Field Study Handbook Appendix). The Field Study Coordinator or another Public Health Program faculty member will contact the student and preceptor to schedule a site visit based on those selected dates/times. Depending on the site location and availability of the site visitor, site visits may be held in person, by phone, or by Skype. This form requires signatures of both the student and preceptor. The grade percentage of the Field Study Site Visit is worth 5% for the Public Health Field Study course.
Student Name: Name of Field Study Site: Name of Preceptor: Proposed Dates:
_________________________________ Preceptor Signature
______________________ Date
___________________________________ Student Signature
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TOURO COLLEGE GENERAL RELEASE FORM (INDIVIDUAL) I hereby grant the right and permission, without reservation, to Touro College, and those authorized by Touro College, to photograph and/or videotape me and further to display, use and/or otherwise utilize, in original or modified form, my face, likeness, name, information, voice, and appearance forever and throughout the world, in all media, whether now known or hereafter devised, throughout the universe in perpetuity (including, without limitation, in online webcasts, television, motion pictures, films, newspapers, publications or use by third parties) and in all forms including, without limitation, digitized images, whether for advertising, publicity, or promotional purposes, including, without limitation, for the promotion, public education, and/or fundraising activities of Touro College, without compensation, reservation or limitation. Touro College is, however, under no obligation to exercise any rights granted herein. I release Touro College, its officers, directors, agents, employees, independent contractors, licensees and assignees from all claims that I now have or in the future may have, relating to the above. I agree that Touro College, or its grantees or assignees, will be the sole owner of all tangible and intangible rights in the abovementioned photographs and recordings, with full power of disposition. Any controversy or claim arising out of or relating to this release or the breach, termination, or validity (including enforceability and scope of this arbitration clause) thereof, shall be exclusively settled by expedited binding arbitration in Touro College’s offices administered by the American Arbitration Association ("AAA") and conducted by a sole arbitrator (who shall be an attorney) in accordance with the AAA's Rules ("Rules"). The costs of such arbitration shall be borne equally by the parties, with each party also bearing its own attorneys' fees and any costs associated with presenting its proof. Judgment upon the award rendered may be entered in any Court of competent jurisdiction. The undersigned hereby waives trial by jury which waiver is independent of the agreement to arbitrate disputes. I am over 18 years of age* Date_______________________
Name (print)_____________________________
Date of Shoot/Session_________
Signature________________________________
Location____________________
Address _________________________________
Phone______________________
Program _________________________________
*(If a minor, the following should also be signed by the parent or guardian) I am the parent or guardian of the minor named above, and I have consent to the foregoing on behalf of the minor and myself. Date______________________ Address __________________________________ Name (print) _______________ _____________ Relationship ________________ Signature ______________________________
Phone ______________________
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GENERAL PHOTO RELEASE
I hereby grant the right and permission, without reservation, to Touro College, and those authorized by Touro College, to photograph and/or videotape me and further to display, use and/or otherwise utilize, in original or modified form, my face, likeness, name, information, voice, and appearance forever and throughout the world, in all media, whether now known or hereafter devised, throughout the universe in perpetuity (including, without limitation, in online webcasts, television, motion pictures, films, newspapers, publications or use by third parties) and in all forms including, without limitation, digitized images, whether for advertising, publicity, or promotional purposes, including, without limitation, for the promotion, public education, and/or fundraising activities of Touro College, without compensation, reservation or limitation. Touro College is, however, under no obligation to exercise any rights granted herein. I release Touro College, its officers, directors, agents, employees, independent contractors, licensees and assignees from all claims that I now have or in the future may have, relating to the above. I agree that Touro College, or its grantees or assignees, will be the sole owner of all tangible and intangible rights in the abovementioned photographs and recordings, with full power of disposition. Any controversy or claim arising out of or relating to this release or the breach, termination, or validity (including enforceability and scope of this arbitration clause) thereof, shall be exclusively settled by expedited binding arbitration in Touro College’s offices administered by the American Arbitration Association ("AAA") and conducted by a sole arbitrator (who shall be an attorney) in accordance with the AAA's Rules ("Rules"). The costs of such arbitration shall be borne equally by the parties, with each party also bearing its own attorneys' fees and any costs associated with presenting its proof. Judgment upon the award rendered may be entered in any Court of competent jurisdiction. The undersigned hereby waives trial by jury which waiver is independent of the agreement to arbitrate disputes.
NAME (PRINT)
SIGNATURE
PROGRAM
NOTES (if not a TU Student/Employee include Phone)
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