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  • Teach EpidemiologyProfessional Development WorkshopDay3Sierra Nevada College Tahoe Environmental Research Center Incline Village, Lake Tahoe, Nevada June 28 July 1, 2010

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  • *I am confused on how I will teach epi. The more I learn the more confused I get. Where do I start?

  • *Create and Teach a New Epidemiology LessonTeach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Teach EpidemiologyWhat do you mean - Teach Epidemiology?Teaching Existing Epidemiology Lessons

  • *Teaching Existing Epidemiology Lessonshttp://www.buffetbusters.ca/Teach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Teaching Existing Epidemiology Lessonshttp://www.montclair.edu/Detectives/Teach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Teaching Existing Epidemiology Lessonshttp://www.montclair.edu/drugepi/Teach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *HandoutTeaching Existing Epidemiology LessonsTeach EpidemiologyWhat do you mean - Teach Epidemiology?http://www.collegeboard.com/yes/ft/iu/units.html

  • *Teaching Existing Epidemiology Lessonshttp://ccnmtl.columbia.edu/projects/epiville/Teach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Teaching Existing Epidemiology Lessonshttp://www2a.cdc.gov/epicasestudies/Teach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Infuse Epidemiology into Existing Lesson about Something ElseTeach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Infuse Epidemiology into Existing Lesson about Something ElseTeach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Infuse Epidemiology into Existing Lesson about Something ElseTeach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Infuse Epidemiology into Existing Lesson about Something ElseTeach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Infuse Epidemiology into Existing Lesson about Something ElseTeach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Infuse Epidemiology into Existing Lesson about Something ElseTeach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Explore Public Health Career Pathshttp://www.asph.org/document.cfm?page=1038Teach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Explore Public Health Career Pathshttp://pathwaystopublichealth.org/Teach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Leverage the Young Epidemiology Scholars Competitionhttp://www.collegeboard.com/yes/Teach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *Leverage the Science Olympiad Competitionhttp://soinc.org/Teach EpidemiologyWhat do you mean - Teach Epidemiology?

  • *View a News Item from an Epidemiologic Perspectivehttp://www.nationalacademies.org/headlines/Teach EpidemiologyWhat do you mean - Teach Epidemiology?

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  • *Epidemiology... the study of the distribution and determinants of health-related states or events in specified populations and the application of this study to the control of health problems.Leon Gordis, Epidemiology, 3rd Edition, Elsevier Saunders, 2004.Teach EpidemiologyExplaining Associations and Judging Causation

  • *OutcomeIf an association was causal, .Hypothesized ExposureX?Teach EpidemiologyExplaining Associations and Judging Causation

  • *OutcomeIf the association was found due to confounding, .Hypothesized Exposure?Teach EpidemiologyExplaining Associations and Judging Causation

  • *Hypothesized ExposureOutcomeIf an association was found due to reversed time-order, .?Teach EpidemiologyExplaining Associations and Judging Causation

  • *OutcomeIf an association was found due to chance, .Hypothesized Exposurefound due to chance, .?Teach EpidemiologyExplaining Associations and Judging Causation

  • *OutcomeIf an association was found due to bias, .Hypothesized Exposure?found due to bias, .Teach EpidemiologyExplaining Associations and Judging Causation

  • *... the study of the distribution and determinants of health-related states or events in specified populations and the application of this study to the control of health problems.Teach EpidemiologyExplaining Associations and Judging Causation

  • *1.Cause2.Confounding3.Reverse Time Order4.Chance5.Bias... the study of the distribution and determinants of health-related states or events in specified populations and the application of this study to the control of health problems.Teach EpidemiologyExplaining Associations and Judging Causation

  • *Suicide Higher in Areas with GunsFamily Meals Are Good for Mental HealthLack of High School Diploma Tied to US Death RateStudy Links Spanking to AggressionStudy Concludes: Movies Influence Youth Smoking Study Links Iron Deficiency to Math ScoresKids Who Watch R-Rated Movies More Likely to Drink, SmokePollution Linked with Birth Defects in US Study1.Cause2.Confounding3.Reverse Time Order4.Chance5.BiasSnacks Key to Kids TV- Linked Obesity: China StudyDepressed Teens More Likely to SmokeTeach EpidemiologyExplaining Associations and Judging Causation

  • *Teach EpidemiologyExplaining Associations and Judging Causation

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  • *Teach EpidemiologyExplaining Associations and Judging Causation

  • Teach EpidemiologyExplaining Associations and Judging Causation

  • HandoutTeach EpidemiologyExplaining Associations and Judging Causation

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    3.Coffee and Cancer of the PancreasTeach EpidemiologyExplaining Associations and Judging CausationWhat is the study design?Do you think coffee and cancer of the pancreas turned up together because coffee causes cancer of the pancreas?Cause Confounding Reverse Time Order Chance BiasWhy or why not?

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  • *Guilt or Innocence?Causal or Not Causal? Does evidence from an aggregate of studies support a cause-effect relationship?Teach EpidemiologyExplaining Associations and Judging Causation

  • *Sir Austin Bradford Hill The Environment and Disease: Association or Causation? Proceedings of the Royal Society of Medicine January 14, 1965HandoutTeach EpidemiologyExplaining Associations and Judging Causation

  • *In what circumstances can we pass from this observed association to a verdict of causation?Teach EpidemiologyExplaining Associations and Judging Causation

  • *Here then are nine different viewpoints from all of which we should study association before we cry causation.Teach EpidemiologyExplaining Associations and Judging Causation

  • Does evidence from an aggregate of studies support a cause-effect relationship?1. What is the strength of the association between the risk factor and the disease?

    2. Can a biological gradient be demonstrated?

    3. Is the finding consistent? Has it been replicated by others in other places?

    4. Have studies established that the risk factor precedes the disease?

    5. Is the risk factor associated with one disease or many different diseases?

    6. Is the new finding coherent with earlier knowledge about the risk factor and the m disease?

    7. Are the implications of the observed findings biologically sensible?

    8. Is there experimental evidence, in humans or animals, in which the disease has m been produced by controlled administration of the risk factor?Teach EpidemiologyExplaining Associations and Judging Causation

  • Cohort StudyRandomized Controlled TrialCase-Control StudyCross-Sectional StudyTeach EpidemiologyExplaining Associations and Judging Causation

  • HandoutTeach EpidemiologyExplaining Associations and Judging Causation

  • *Stress causes ulcers.Helicobacter pylori causes ulcers.Teach EpidemiologyExplaining Associations and Judging Causation

  • *Teach EpidemiologyExplaining Associations and Judging Causation

  • *Teach EpidemiologyExplaining Associations and Judging Causation

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  • *Teach EpidemiologyTeachers Team-Teaching Teachers (TTTT)TTTT1

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    They can then use that ability to think about their own thinking to grasp how other people might learn. They know what has to come first, and they can distinguish between foundational concepts and elaborations or illustrations of those ideas.

    They realize where people are likely to face difficulties developing their own comprehension, and they can use that understanding

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