Public Health Career Guide

[Pages:219]public health

advancing healthy populations: the pfizer guide to careers in public health

A M U S T- H AV E G U I D E T H AT PROFILES THE LIFE AND WORK OF PROFESSIONALS IN PUBLIC HEALTH

advancing healthy populations: the pfizer guide to careers in public health

A M U S T- H AV E G U I D E T H AT PROFILES THE LIFE AND WORK OF PROFESSIONALS IN PUBLIC HEALTH Book Editors: Barbara A. DeBuono, MD, MPH Senior Medical Director/Group Leader Public Health, Pfizer Inc. Hugh Tilson, MD, DrPH Clinical Professor of Epidemiology and Health Policy, School of Public Health, University of North Carolina

The Pfizer Career Guide Series Editor:

Salvatore J. Giorgianni, PharmD Director/Team Leader, External Relations Pfizer Pharmaceuticals Group, Pfizer Inc. Advancing Healthy Populations: The Pfizer Guide to Careers in Public Health Assistant Editor: Lisa Scipioni, MHS

Other Pfizer Career Guide Publications: Opportunities to Care: The Pfizer Guide to Careers in Nursing Full Preparation: The Pfizer Guide to Careers in Pharmacy Embracing Your Practice: The Pfizer Guide to Careers for Physicians

About the Logo: This book's logo aims to distinguish public health occupations from others in health care. The people under the magnifying glass signify the population-based nature of public health promotion and disease detection.

Advancing Healthy Populations: The Pfizer Guide to Careers in Public Health is published by Pfizer Pharmaceuticals Group, Pfizer Inc. New York, NY copyright ?2002, 2003. All rights reserved. The contents do not necessarily reflect the views of Pfizer Inc. No part of this publication may be reproduced in any form without prior written permission from the publisher. Correspondence should be addressed to Advancing Healthy Populations: The Pfizer Guide to Careers in Public Health, c/o Senior Medical Director/Group Leader, Public Health, Pfizer Inc., 235 East 42nd Street, New York, NY 10017-5755 or careerguides@. ISBN 0-9602652-4-4 Printing History: 2002 First Printing 2003 Second Printing Printed in the United States of America

ii the pfizer guide to careers in public health

table of contents

Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

A Letter from Pfizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Thought Piece: Assuring the Health of the Public in the 21st Century . . . . 4 Jo Ivey Boufford, MD

The Public Health Disciplines

HEALTH POLICY AND MANAGEMENT Academic Policy Advisor, James Curran, MD, MPH . . . . . . . . . . . . . . . . . . . . . . . . 13 Legislative Policy Advisor, Sheila P. Burke, RN, MPA . . . . . . . . . . . . . . . . . . . . . . . . 20 Management Policy Advisor, Janet Porter, PhD . . . . . . . . . . . . . . . . . . . . . . . . . . 25 EPIDEMIOLOGY State Epidemiologist, C. Mack Sewell, DrPH, MS . . . . . . . . . . . . . . . . . . . . . . . . . 30 Research Epidemiologist, JoAnn E. Manson, MD, DrPH . . . . . . . . . . . . . . . . . . . . . 37 Pharmacoepidemiologist, Elizabeth Andrews MPH, PhD . . . . . . . . . . . . . . . . . . . . 43 ORAL HEALTH Public Health Dentist, Myron Allukian Jr., DDS, MPH . . . . . . . . . . . . . . . . . . . . . . . 49 FAMILY HEALTH Local Health Officer, Fernando A. Guerra, MD, MPH . . . . . . . . . . . . . . . . . . . . . . . 54 Nurse Educator, Patricia Raymond, RN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Nutritionist, Karen E. Pearson, MS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Thought Piece: Health and Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 James O. Prochaska, PhD BEHAVIORAL SCIENCES AND HEALTH EDUCATION Behavioral Scientist, Ronald M. Davis, MD, MA . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Health Educator, Rima Rudd, MSPH, ScD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Mental Health Researcher, Mindy Fullilove, MD . . . . . . . . . . . . . . . . . . . . . . . . . . 87 HEALTH COMMUNICATIONS Communications Specialist, Thomas W. Valente, PhD . . . . . . . . . . . . . . . . . . . . . . 92 Journalist, George Strait . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Thought Piece: Practicing Public Health in a Managed Care Setting . . . . 103 Reed V. Tuckson, MD OCCUPATIONAL SAFETY AND HEALTH Corporate Medical Director, Wayne Lednar, MD, PhD . . . . . . . . . . . . . . . . . . . . . 106

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table of contents

ENVIRONMENTAL HEALTH SCIENCES State Environmentalist, Thomas Burke, PhD, MPH . . . . . . . . . . . . . . . . . . . . . . . 112 Federal Environmentalist, Richard Jackson, MD, MPH . . . . . . . . . . . . . . . . . . . . . . 117 Thought Piece: Public Health Preparedness . . . . . . . . . . . . . . . . . . . . . . . . 124 William Roper, MD, MPH PUBLIC HEALTH PREPAREDNESS AND FUNCTION State Epidemiologist, Dale L. Morse, MD, MS . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Laboratory Director, Lawrence S. Sturman, MD, PhD . . . . . . . . . . . . . . . . . . . . . . . 135 Public Health Lawyer, Lawrence O. Gostin, JD, LLD (Hon.) . . . . . . . . . . . . . . . . . . . 140

Public Health and the World

Thought Piece: International and Global Health . . . . . . . . . . . . . . . . . . . . 147 Dedicated to William Foege, MD, MPH INTERNATIONAL AND GLOBAL HEALTH Reproductive Health Specialist, JoAnn Lewis, MPH . . . . . . . . . . . . . . . . . . . . . . . 153 International HIV Specialist, Helene Gayle, MD, MPH . . . . . . . . . . . . . . . . . . . . . . 159 Tropical Disease Specialist, James LeDuc, PhD . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Limitless Opportunities

Thought Piece: The Importance of Partnership in the Public Health System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Bobbie Berkowitz PhD, RN, FAAN APPLYING YOUR DEGREE TO PUBLIC HEALTH PRACTICE Academic Nurse Leader, Kristine M. Gebbie, DrPH, RN . . . . . . . . . . . . . . . . . . . . . 178 Thought Piece: Practicing Public Health in the Private Sector . . . . . . . . . 186 Barbara A. DeBuono, MD, MPH

Thought Piece: Looking Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190 Hugh Tilson, MD, DrPH

APPENDIX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197

INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213

iv the pfizer guide to careers in public health

acknowledgments

Special appreciation goes to all of the many public health professionals who were willing to put time aside to talk about their daily experiences on the job and the time and skill required to get them where they are today. Through their everyday work and accomplishment, these people are just some of the many professionals currently paving the way for all those entering the profession.

Betty Addison

Alisa Haushalter, MSN, RN, CS

Myron Allukian, Jr., DDS, MPH Richard Jackson, MD, MPH

Elizabeth Andrews, MPH, PhD

Laura Kramer, PhD

Stephanie Bailey, MD

Wayne Lednar, MD, PhD

Bobbie Berkowitz, PhD, RN, FAAN James LeDuc, PhD

Jo Ivey Boufford, MD

Tanya Cobbs Leslie

Sheila P. Burke, RN, MPA

JoAnn Lewis, MPH

Thomas Burke, PhD, MPH

Charles Mahan, MD

James Curran, MD, MPH

JoAnn E. Manson, MD, DrPH

Ronald M. Davis, MD, MA

Dale L. Morse, MD, MS

William Foege, MD, MPH

William Parker

Claude Earl Fox, MD, MPH

Karen E. Pearson, MS

Mindy Fullilove, MD

Janet Porter, PhD

Helene Gayle, MD, MPH

James O. Prochaska, PhD

Kristine M. Gebbie, DrPH, RN

Patricia Raymond, RN

Lawrence O. Gostin, JD, LLD

William Roper, MD, MPH

Fernando A. Guerra, MD, MPH Rima Rudd, MSPH, ScD

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C. Mack Sewell, DrPH, MS George Strait Lawrence S. Sturman, MD, PhD Ken Thorpe, PhD

Kathleen Toomey, MD, MPH Reed V. Tuckson, MD Thomas W. Valente, PhD Carol Woltring, MPH

Finally, and most important, the expertise, guidance and everyday support from Hugh Tilson, MD, DrPH, Clinical Professor of Epidemiology and Health Policy, UNCSPH, was instrumental in the development of this book. Thank you.

2 the pfizer guide to careers in public health

a letter from pfizer

Dear Student: Welcome to the world of public health. We are pleased to present this guide to careers in public health and hope to bring to life the myriad roles and responsibilities this dynamic field offers. We aim to help you navigate the breadth of the possible career choices that await you.

Now more than ever the public health profession needs young people to enter the field. That's why my coeditor, Dr. Hugh Tilson, and I are pleased this guide, the first of its kind, has been written for you. As you read these pages, you will come to understand the passion and dedication felt by public health professionals every day. You will see that public health careers are disparate -- some careers begin in medicine, others in local public health departments. No matter your own entry point, you will be captivated just like Dr. Tilson and I were when we chose our careers. Most of all, you will sense how every public health professional is committed to "making a difference."

I hope this guide sparks your curiosity and interest and connects you to a career in public health. At Pfizer, life is our life's work. Good luck in finding your life's work in public health. You'll be delighted you did!

Barbara DeBuono, MD, MPH, Senior Medical Director/ Group Leader, Public Health, Pfizer Inc.

Sincerely,

Barbara A. DeBuono, MD, MPH

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