Georgia State University Urban Health PH 7300 Fall 2014 CRN 84227 Thursdays 1:00 – 3:30 pm Room 503 Classroom South INSTRUCTOR: John A. Steward, M.P.H. School of Public Health Urban Life Building, Room 860 (404) 413-1137 jsteward@gsu.edu OFFICE HOURS: Weekdays, by appointment. I am always happy to talk to students outside of class about their interests and concerns. I find it better to have conferences away from the classroom (coffee, office, out on a walk, etc.) rather than before or after a class session. Therefore, if it’s more than a very quick question, set up an appointment. In addition, I monitor email every day, and I welcome your questions or concerns if you prefer this communication. Description Urban health explores the relationship between the urban setting and the health of people living, working, and playing in cities. It develops an understanding of many features of cities, both individually and collectively, and how they influence people’s health. It compares and analyzes various aspects of place, people, and systems associated with cities. The course is presented as an interdisciplinary exploration in which many disciplines contribute and work collectively to understanding and improving public health. The course challenges students with real-life aspects of the city to learn firsthand about various factors that influence health and to provide real-life investigation of theory. Prerequisites: None (graduate standing) Learning Objectives Upon completion of this course, students will be able to: Assess urban health problems from an interdisciplinary perspective. Evaluate positive and negative implications of the urban environment. Evaluate various programs, policies, and systems that comprise the urban environment and health. Analyze how the unique context of place, specifically urban areas, influences population health. Evaluate the environmental, social and economic factors that determine urban health conditions. Design, conduct, and present a health impact assessment (HIA) that addresses a real-world issue or project through an evaluative group process. Course Objectives / Competency / Assessment of Student Learning: This course is designed to support students in acquiring competence in the following areas, as indicated in the GSU School of Public Health Graduate Student Handbook (see MPH Competencies). Analyze approaches to assessing, preventing and controlling environmental hazards that pose risks to human health (MPH Core Competency 7) Describe how social and behavioral risk factors contribute to individual and public health outcomes. (MPH Core Competency 13) Course Objectives Program Competency Assessment Method(s) Assess urban health problems from an interdisciplinary perspective. Evaluate positive and negative implications of the urban environment. Evaluate various programs, policies, and systems that comprise the urban environment and health. Analyze how the unique context of place, specifically urban areas, influences population health. Evaluate the environmental, social and economic factors that determine urban health conditions. Design, conduct, and present a health impact assessment (HIA) that addresses a real-world issue or project through an evaluative group process. Competency 7 and 13 Group project report and presentation Competency 7 Group project report and presentation; portfolio Competency 7 Group project report and presentation; portfolio Assignment #1; portfolio Competency 7 and 13 Assignment #1; portfolio Group project Textbook Freudenberg, Galea, and Vlahov (eds.), Cities and the Health of the Public, Vanderbilt University Press, July 2006, isbn: 978-0-8265-1512-4. Grading Elements and Policy Course Portfolio Written Assignment Health Impact Assessment project (group) Class Participation 40% 15% 30% 15% Grading is based on 100 total points. 90 – 100 points = A (90 -100%) 80 – 89 points = B (80- 89%) 70 -- 79 points = C (70 -79%) 60 – 69 points = D (60- 69%) <60 points = F (<60%) The instructor is always willing to discuss the course, objectives, assignment requirements, activities, and evaluation. Students may request review of a specific grade for a course element. Any formal request for reconsideration of a grade must be initiated by the student in writing to the instructor (via Desire2Learn email) within 10 business days of return of the graded assignment. The request should provide a detailed explanation and the basis for reconsideration. The last day to withdraw from a course with the possibility of receiving ‘W’ is October 14. All students who withdraw after this date may receive a ‘WF.’ Course Requirements 1. Each student will complete the following: 2. Course Attendance and Participation a. This grading element includes attending in-class sessions, being engaged in and prepared for class activities, participating in Desire2Learn (D2L) activities (such as discussion topic posts), and group project participation. b. Readings are assigned for each session. These will include the assigned textbook chapters as well as published articles, web pages, and other resources available on D2L or on the internet. Students are expected to prepare for class participation by completing the readings and comprehending the materials prior to each session. c. More than one unexcused absence, or two or more instances of unexcused late arrivals (>15 minutes) will impact the component grade by 10 percent per occurrence. Excused absences and tardiness may be granted by written request at least 48 hours in advance of class in advance of class, or by providing appropriate documentation of a legitimate reason, such as illness. Participation in class field trips and independent activities such as attending meetings, Beltline tour, and seminars/webinars. Information about opportunities will be provided when available, and students are also encouraged to identify other opportunities and to share them with other class members. d. Course citizenship, leadership, creativity, and insight into the subject matter during course activities (in class, online discussions, group project, etc.) will also be noted in determining course participation grade. e. Completion of a mid-term, interim report on the student’s progress toward completing course requirements and portfolio. f. Completion of mid-term and final course evaluations (provided by instructor on D2L). 3. Assignments a. A single, relatively brief written assignment on urban health. Specific guidance will be provided for the assignment. The paper will be completed and turned in by uploading to D2L. Students should be prepared to discuss their written work at the deadline date, both in class and in online discussions. (15% of course grade) b. Participation in an Atlanta-based group project is required. The project involves researching, analyzing, developing, and conducting a project that addresses a “real-world” urban health issue or problem. Instructor will facilitate the organization of groups, guided by class members’ preferences. Projects are subject to approval by the instructor before beginning. The groups are to be multidisciplinary in composition to the extent possible. Separate guidance regarding the project will be provided. c. Portfolio Assignment: In lieu of exams, students will complete a portfolio of work covering the entire course. The portfolio will showcase your work completed over the semester and will include your personal learning objectives, critical reflection on the semester’s topics, materials, and completed work, minor and major elements involving urban health, chosen by students individually, and a presentation of portfolio highlights in class. It is to be turned in by the scheduled final exam time and date. Detailed instructions about the approach, content, and grading elements will be provided. d. Specific Requirements on assignments: For the assignment, project, and portfolio, instructions and a rubric will be provided. Written feedback on each assignment will be provided as well as a numerical summation score. e. No exams will be required for this course (see above). Use of Desire2Learn (D2L) Georgia State University provides an on-line learning management system called Desire2Learn (D2L) that will be used to manage all class business. This includes gradebook, email, discussions, calendar, announcements, surveys, and assignments, including posting instructions and turning in completed work. A module will be developed for each course unit, which includes readings, reference materials, web links, and presentations. The course page will have a copy of the current syllabus and any changes that occur as we go through the course. Students should check D2L email daily and use D2L email to communicate with the instructor. If GSU campus email is used to email the instructor, the student must begin the subject line with “PH7300 course business.” Students are responsible for being able to access and competently use the features in D2L, including course home page, announcements, calendar, weekly modules, assignments/dropbox, discussions, assessments, grade book, and email. All of these features may be used by both the instructor and the students. Always perform a system check to verify correct computer settings (available on the D2L logon page). Students may consult the GSU help desk if problems and cannot be resolved. Students should be aware that there are times that some Desire2Learn (D2L) features are temporarily unavailable, and this is outside the control of the instructor. Therefore, it is advisable to plan ahead and access necessary information and features well ahead of deadlines and class times. All written assignments are to be submitted electronically using Desire2Learn (D2L) prior to the deadline. Assignments are required to be completed in Microsoft Office (2003 or newer) format and saved with the appropriate file extension (doc, docx, ppt, rtf, etc), unless permission to use an alternative program or app is obtained in advance. Students should retain back-up electronic copies of all work submitted. Hard copy of assignments will not be accepted. Policy on Late Assignments Ten percent of the total possible points will be deducted from a written assignment score if turned in after the deadline. An additional 5 percent will be deducted for each subsequent 24-hour period that the assignment is late. After five business days following the deadline, the assignment will not be scored or credited toward the course. Please let the instructor know if you anticipate having difficulty completing an assignment by the deadline or if unforeseen circumstances occur. Exceptions will only be provided for good cause and at the sole discretion of the instructor. Student Code of Conduct and Policy on Academic Honesty All students at this University are expected to engage in academic pursuits on their won with complete honesty and integrity. Any student found guilty of dishonesty in any phase of academic work will be subject to disciplinary action. The complete Academic Honesty policy is located in the GSU Graduate Catalog, Section 1350: http://enrollment.gsu.edu/catalogs/. Students and faculty are expected to review and conform to the university’s policy on academic honesty. Information on the Student Code of Conduct and related policies and procedures are available at: http://codeofconduct.gsu.edu/. Special attention should be paid to the sections on plagiarism and multiple submissions: Plagiarism. Plagiarism is defined as, “appropriating and putting forth as one’s own the ideas, language, or designs of another” (The Living Webster, 1975) – and it is strictly forbidden. Written and oral presentations must be a student’s own work. Students plagiarizing or cheating in any form will face disciplinary action which could result in an “F” in this course and suspension or expulsion from the University. Copying from written materials, presentations, websites, etc. without source acknowledgement and referencing is plagiarism. Read it, appreciate it, learn from it, and make sure you source it – and then reflect it with your own thoughts and words! If you are uncertain about what constitutes plagiarism, please contact the instructor. Multiple Submissions. It is a violation of academic honesty to submit substantial portions of the same work for credit more than once without the explicit consent of the faculty member(s) to whom the material is submitted for additional credit. In cases in which there is a natural development of research or knowledge in a sequence of courses, use of prior work may be desirable, even required; however, the student is responsible for indicating in writing, as a part of such use, that the current work submitted for credit is cumulative in nature. Disability Accommodations Policy Students who wish to request accommodation for a disability may do so by registering with the GSU Office of Disability Services. Students may only be accommodated upon issuance by the Office of Disability Services of a signed Accommodation Plan and are responsible for providing a copy of that plan to instructors of all classes in which an accommodation is sought. The Office of Disability Services is located in the GSU Student Center, Suite 230 and online here: http://disability.gsu.edu/. Course Evaluations Statement Your constructive assessment of this course plays an indispensable role in shaping education at Georgia State. Upon completing this course, please take time to fill out the online course evaluation. Career Services The School of Public Health provides career services & student leadership opportunities (student clubs & organizations) to all current SPH students and alumni. SPH Career Services can help students with resume writing, interviewing, job searching, internship development, and professional networking. Students are invited to attend our career events and workshops, and individualized career counseling appointments can be arranged. To see what career panels, career fairs, and events are available this semester, please visit: http://publichealth.gsu.edu/students/careerresources/. The SPH Career Services office is co-located with the Office of Academic Assistance in room 640 at One Park Place. The syllabus provides a general plan for the course; changes may be necessary as the course progresses. See D2L for additional materials, assignments, schedule changes, and the most current syllabus. PH 7300 Schedule of Activities* Date Subject Activity Assignment August 28 Urban health as a discipline and introductions Concepts, history, and trends in urban health In-class discussion Read: Textbook, preface and Chapter 1; http://tinyurl.com/citiesandhealth In-class discussion; Read: Textbook, Chapters 2 and 7, and Galea et al, “Cities and population health,” Social Science & Medicine 60 (2005) 1017–1033 (on D2L). September 4 September 11 Determinants of health In-class discussion; view Unnatural Causes, Episode 1 Read: Textbook, Chapter 3 and 4; additional readings on D2L. September 25 Urban health from the community’s perspective Field trip to community Read: Textbook, Chapter 9 and Neighborhoods Count (on D2L) ; Assignment 1 due (D2L) September 18 Urban physical environment and health In-class discussion debrief from field trip Read: Textbook, Chapter 4; View (on your own): Unnatural Causes, Episode 5 “Place Matters”; October 16 Urban social environment; health in all policies Guest speaker Read: Cohen, D. “Broken Windows” and the Risk of Gonorrhea. American Journal of Public Health. 2000, articles on D2L October 2 Introduction to health impact assessment Guest speaker: Read: Textbook, Chapter 3; articles on D2L; portfolio prospectus due (D2L) October 9 HIA screening and scoping In-class discussion Read: Textbook, Chapters 12 and 13; articles on D2L October 23 Programs addressing urban problems: food insecurity and poverty Field trip to Atlanta Community Food Bank Read: Textbook, Chapter 6; articles on D2L October 30 HIA assessing risks and health data In-class discussion Read: Textbook, Chapters 8; articles on D2L Topic: injury November 6 Public Health Services in the City Field trip to Fulton County Health Department Read: Textbook, Chapter 15; Frieden, IJE 2008 (D2L) November 13 HIA developing recommendations In-class discussion Read: Textbook Chapters 10 - 11; articles on D2L Stakeholder engagement in HIA Read: Textbook Chapter 5; articles on D2L Topic: Infectious disease November 20 HIA: Reporting and recommendations Topic: safety net health care November 27 Holiday- NO CLASS December 4 Healthy cities: where do we go from here? Group presentations; in-class discussion Read: Textbook Chapters 14 and 16 Portfolio Presentations Individual visual presentations Written portfolios due by December 12 December 11 Group presentation reports due at the end of class period *Activities and assignments subject to change. Check D2L regularly for the most up to date version of the syllabus.