Kuwahara Keisuke, Kanamori Satoru, Suzuki Asuka, Shibuya Katsuhiko, Kato Mio, Fukuda Yoshiharu, Inoue Mariko
Teikyo University Graduate School of Public Health.
Nihon Koshu Eisei Zasshi. 2023 Sep 30;70(9):544-553. doi: 10.11236/jph.23-007. Epub 2023 Jun 8.
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.
目标 在日本,公共卫生学院(SPH)专注于五个核心学科开展专业教育:流行病学、生物统计学、社会与行为科学、卫生政策与管理以及职业与环境卫生。然而,关于日本这种教育的现状及其相关挑战,缺乏实证信息。在本文中,我们以帝京大学公共卫生研究生院(帝京SPH)的公共卫生硕士(MPH)课程为例,展示这一问题。
方法 我们利用2022年发布的课程指南,总结了帝京SPH的MPH课程当前的目标和所需课程。基于帝京SPH教员的意见,总结了该课程当前的问题和可能的未来方向。
结果 对于流行病学,讲座和练习旨在专注于如何形成公共卫生问题、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,以及使课程跟上不断发展的技术。对于生物统计学,讲座和练习课程专注于理解数据和统计学以及进行分析。问题包括理论理解、课程水平设置以及缺乏适用于新兴分析方法的教育材料。对于社会与行为科学,讲座和练习课程专注于理解人类行为和行动以解决问题。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,以及培养具备在实际环境中开展工作技能的专业人员。对于卫生政策与管理,讲座、练习课程和实践培训课程专注于识别和解决社区及全球范围内的问题,以及整合卫生经济学和政策的不同观点。问题包括实际在全球范围内找到工作的校友很少、缺乏在地方或中央行政部门工作的学生,以及在理性/经济思维和宏观经济转型方面的观点不足。对于职业与环境卫生,讲座、练习课程和实践培训课程专注于学习公共卫生问题的职业和环境影响及其应对措施。挑战包括丰富关于先进技术、环境卫生和社会弱势群体的主题。
结论 通过对帝京SPH的MPH教育的这些反思,为了对该项目进行改进,以下建议被认为是必不可少的:重新组织课程以满足当下需求、接纳具有不同背景的学生、应对学生需要获取的不断增加的知识和技能,以及增强教授实施变革的能力。