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Advancing Healthy Populations: the Pfizer Guide to Careers in Public Health public health advancing healthy populations: the pfizer guide to careers in public health advancing healthy populations: the pfizer guide to careers in public health A MUST-HAVE GUIDE THAT PROFILES THE LIFE AND WORK OF PROFESSIONALS IN PUBLIC HEALTH PFIZER INC. 235 EAST 42ND STREET NEW YORK, NY 10017-5755 XX483X00D advancing healthy populations: the pfizer guide to careers in public health A MUST-HAVE GUIDE THAT 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 publi- cation 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@pfizer.com. 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 the pfizer guide to careers in public health iii 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 pecial appreciation goes to all of the many public health professionals who were willing to put time aside to talk about Stheir 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 the pfizer guide to careers in public health 1 C. Mack Sewell, DrPH, MS Kathleen Toomey, MD, MPH George Strait Reed V. Tuckson, MD Lawrence S. Sturman, MD, PhD Thomas W. Valente, PhD Ken Thorpe, 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 ear Student: DWelcome 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 Barbara roles and responsibilities this dynamic field offers. We aim to help you DeBuono, navigate the breadth of the possible career choices that await you. MD, MPH, Now more than ever the public health profession needs young people to Senior Medical enter the field. That’s why my coeditor, Dr. Hugh Tilson, and I are pleased Director/ this guide, the first of its kind, has been written for you. As you read Group Leader, these pages, you will come to understand the passion and dedication felt Public Health, by public health professionals every day. You will see that public health Pfizer Inc. 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 likeDr. 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! Sincerely, Barbara A. DeBuono, MD, MPH the pfizer guide to careers in public health 3 assuring the health of the public in the 21st century elcome to the world of public health — a field that is blossoming and Wthriving not only in this country but around the world. Public health is a discipline built on an academic tradition of inquiry involving research, By Jo Ivey teaching and professional practice to prevent disease and promote health in Boufford, MD, populations. This is in contrast with clinical medicine which focuses on the Dean, Robert F. individual. But public health is more, because the term also refers to the Wagner organized efforts of society to assure the Graduate conditions for people to be as healthy as School of they can be. Public Service, These efforts involve networks of individuals New York and organizations in communities which, University, when working together for health, create a Professor of public health system. Until now, the organi- Health Policy zations considered most responsible for and Public assuring the health of the public have been Service, Wagner the federal, state and local public health School, Clinical agencies. While they also carry a special Professor of responsibility for assuring that the public Pediatrics, New health system functions well, in this new Jo Ivey Boufford, MD York University century, these agencies are only one compo- Medical School nent of a much larger system which includes medical care institutions like hospitals, group practices and community health centers, and community- based nonprofit organizations, private industry, foundations and academia. The nature of this system is that its organizational components, especially the governmental public health agencies, are nearly invisible to a large per- centage of the population. Yet it is only if the agencies do their jobs well and efficiently that citizens in this country can be confident about the purity of the food they eat, the water they drink, and the air they breathe. Public health laboratorians ensure that the blood supply is safe and public health regulatory specialists assure that pharmaceuticals are safe and effective. Public health sanitarians assure that food is safe to eat, that air and water are clean and waste disposal is efficient. When there is a disease outbreak, it is public health epidemiologists who intervene to help identify the problem, while health professionals of every type mobilize the appropriate response.
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