[私立大学公共卫生学院公共卫生五个核心学科教育的当前问题]。

Keisuke Kuwahara, Satoru Kanamori, Asuka Suzuki, Katsuhiko Shibuya, Mio Kato, Yoshiharu Fukuda, Mariko Inoue
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引用次数: 0

摘要

目的在日本,公共卫生学校(SPH)从事的专业教育侧重于五个核心学科:流行病学、生物统计学、社会和行为科学、卫生政策和管理以及职业和环境健康。然而,缺乏关于日本这种教育的现状及其相关挑战的实证信息。在这篇文章中,我们以东京大学公共卫生研究生院(Teikyo SPH)的公共卫生硕士课程为例,展示了这个问题。方法我们使用2022年发布的课程指南,总结了在帝京SPH完成MPH课程所需的当前目标和课程。根据Teikyo SPH教员的意见,总结了该课程的当前问题和未来可能的方向。结果在流行病学方面,讲座和练习的重点是如何制定公共卫生问题、收集和评估数据以及因果推断。与设计相关的问题包括确保学生具备将流行病学应用于新出现问题的必要技能,以及掌握不断发展的技术。对于生物统计学,讲座和练习班侧重于理解数据和统计学,以及进行分析。问题包括对理论的理解、课程水平的设置,以及缺乏适合新兴分析方法的教育材料。对于社会和行为科学,讲座和练习班侧重于理解人类行为和解决问题的行动。问题包括在有限的时间内学习各种行为理论,讲座与各种需求之间的差距,以及培养具有在实际环境中表现技能的专业人员。在卫生政策和管理方面,讲座、锻炼班和实践培训班侧重于识别和解决社区和世界各地的问题,以及整合卫生经济学和政策的不同观点。问题包括很少有校友真正在全球找到工作,缺乏在地方或中央行政部门工作的学生,以及对理性/经济思维和宏观经济转型的看法不足。在职业和环境健康方面,讲座、锻炼班和实践培训班侧重于学习公共卫生问题对职业和环境的影响及其对策。挑战包括丰富有关先进技术、环境卫生和社会弱势群体的主题。结论通过对Teikyo SPH公共卫生硕士教育的反思,以下建议被认为是准备改进该项目的关键:重新组织课程以满足当今的需求,接受不同背景的学生,解决学生需要获得的日益增长的知识和技能,以及加强教授实施变革的权力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Current issues related to education in the five core disciplines of public health at the school of public health in a private university].

Objectives In Japan, schools of public health (SPH) have engaged in professional education focusing on five core disciplines: epidemiology, biostatistics, social and behavioral science, health policy and management, and occupational and environmental health. However, empirical information is lacking regarding the current state of this education and its associated challenges in Japan. In this article, we showcase this issue, using the master of public health (MPH) course at Teikyo University Graduate School of Public Health (Teikyo SPH) as an example.Methods We summarized the current objectives and classes required to complete the MPH course at Teikyo SPH, using the course guideline published in 2022. Current issues and possible future directions in the course were summarized based on the opinions of Teikyo SPH faculty members.Results For epidemiology, lectures and exercises were designed to focus on how to formulating public health issues, collecting and evaluating data, and causal inference. Issues related to the design included ensuring that students had the necessary skills to apply epidemiology to emerging issues, and catching the course up with evolving techniques. For biostatistics, lectures and exercise classes focused on understanding data and statistics, as well as performing analyses. Issues included the understanding of theories, setting the course level, and a lack of appropriate education materials for emerging analytical methods. For social and behavioral science, lectures and exercise classes focused on understanding human behaviors and actions for problem solving. Issues included learning various behavioral theories in a limited timeframe, the gap between the lectures and various needs, and nurturing professionals who had the skills to perform in practical settings. For health policy and management, lectures, exercise classes, and practical training classes focused on identifying and solving problems in the community and around the world, and on integrating the disparate viewpoints of health economics and policy. Issues included few alumni who actually found work globally, a lack of students working in local or central administrations, and insufficient perspectives on rational/economic thinking and macro-economic transitions. For occupational and environmental health, lectures, exercise classes, and practical training classes focused on learning the occupational and environmental impacts of public health issues, and their countermeasures. Challenges included enriching the topics with regard to advanced technologies, environmental health, and socially vulnerable populations.Conclusion Through these reflections on MPH education at Teikyo SPH, the following recommendations are considered essential in order to prepare improvements to the program: reorganizing the curriculum to meet the needs of the day, accepting students with various backgrounds, addressing the increasing knowledge and skills that need to be acquired by the students, and enhancing the powers of professors to implement changes.

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