January 28, 2013 FRONTIERS COURSE CHALLENGES IN GLOBAL HEALTH: AN ADVANCED SEMINAR Course directors: Carol McLaughlin and Neal Nathanson This one-week frontiers course is designed for medical students with a serious interest in global health. Admission is by permission of the course directors and is limited to 12 students. The course assumes a general background in global health and utilizes a problem-solving approach with active student participation, including student-prepared and -led sessions. The course will have two components, discussion of selected strategic issues in global health and important methods in global health. Each strategic issue will be initiated with a lecture/discussion followed by a student presentation of a relevant case study. Case studies will address topics such as control of HIV/AIDS, the great neglected diseases, demography and population dynamics, maternal mortality, and child survival. Each methodological exercise will be assigned to 3 students who will act as instructors for the rest of the class. For each exercise, the student instructors will be given a few structured questions and asked to provide answers using worked examples. A few short references and possible answers will be provided to the student instructors. The course will meet from 10 AM to 12 NOON and 1 PM TO 3 PM. This will allow some preparation time (8-10am and 3-5pm), since students will do most of the presentations and exercises. Students will be divided into small groups and each group will do one of the strategic issues and one of the methods exercises. Strategic issues (mornings) Monday: Orientation: Carol McLaughlin, Neal Nathanson Poverty and health: is wealthier healthier? Lecture and discussion: Neal Nathanson Tuesday: Health and the population bomb: 7 billion and growing Lecture: Doug Ewbank Problem for students: Carol McLaughlin Wednesday: How to invest: vertical vs horizontal health systems Lecture: Carol McLaughlin Problem for students: Carol McLaughlin Thursday: Community-based health programs: BRAC, PIH, Jamkhed Lecture: Carol McLaughlin Problem for students: Carol McLaughlin 1 Friday: International AID: help or hindrance? Lecture: Lee Cassanelli Problem for students: Neal Nathanson Methodological skills: a toolkit for implementation science (afternoons) Student instructors, Neal Nathanson, and Carol McLaughlin Monday: Tuesday: Wednesday: Thursday: Friday: Preparation time Life expectancy and burden of disease: measures of health Cost-effective analysis: best use of limited resources Metrics for program evaluation: process measures and outcome measures Online databases: Gapminder; AIDS PROBLEM AIDS PROBLEM The AIDS PROBLEM is posted on Blackboard and a hard copy is included in the handout. The class will be divided into two teams, groups A plus B; groups C plus D. Each team will be asked to prepare a 10-15 minute presentation in response to the questions in the AIDS PROBLEM. Following a discussion, we will make a judgment which team made the best presentation. Members of the “winning” team will be offered support to attend the March meeting in Washington, DC, of the Consortium of Universities for Global Health. Support will consist of registration fee plus $250 for out of pocket expenses, for each member of the winning team who decides to attend this meeting. MONDAY JAN 28 TUESDAY JAN 29 WEDNESDAY JAN 30 AM 10 - Noon WEALTH AND HEALTH CASE 1: POPULATION 7 BILLION CASE 2: HOW TO INVEST? 10 – 11 Orientation Student Presentations Dr. McLaughlin THURSDAY JAN 31 CASE 3: COMMUNITYBASED HEALTH PROGRAMS Dr. McLaughlin 11 - Noon Dr. Nathanson Dr. Ewbank Student Presentations Student Presentations Student Presentations A B C D EXERCISE 1: LIFE EXPECTANCY EXERCISE 2: COSTEFFECTIVE ANALYSIS EXERCISE 3: PROGRAM EVALUATION EXERCISE 4: DATABASES D C B A BRB 253 BRB 253 BRB 253 BRB 253 STUDENT GROUPS PM 1-3 PREPARATION TIME STUDENT GROUPS ROOM BRB 253 2 FRIDAY FEB 01 CASE 4: INTERNATIONAL AID Dr. Cassanelli GROUP NUMBER LAST NAME FIRST NAME EMAIL A AVERSANO MICHAEL mave@mail.med.upenn.edu A BOWMAN ARIEL abow@mail.med.upenn.edu A SARGEN MICHAEL msargen@mail.med.upenn.edu B BASSETT ERIN ebassett@mail.med.upenn.edu B FUERST NICOLE nfuerst@mail.med.upenn.edu B MASSA SEAN seca@mail.med.upenn.edu C PYCLIK KRISTINA kpyclik@mail.med.upenn.edu C ROSEN PHILIP prosen@mail.med.upenn.edu C CLEVELAND EMILY cleve@mail.med.upenn.edu D SNIR OLIVIA halt@mail.med.upenn.edu D STEELE KATHERIN E steelek@mail.med.upenn.edu D SULLIVAN BRENDAN sbrendan@mail.med.upenn.edu 3