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Centers for Disease Control and Prevention (CDC) Short Course

2007 Short Course

Q: Will the CDC Diabetes Public Health and Research Short Course be offered in 2007?
A: The Diabetes Short Course will not be available in 2007. We are currently redesigning the curriculum to concentrate more on primary prevention.
Q: When will the Diabetes Short Course be available?
A: Look for future announcements sometime in 2008.

2006 Short Course

Diabetes Public Health and Research
October 16–20, 2006
Apply by July 7, 2006

Application form [Doc – 76 KB]

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Introduction

Knowledge about the diabetes epidemic in the United States and worldwide is growing at a fast pace. Today, much is known about the many risk factors for diabetes, about the high impact of diabetes on the health of individuals and populations, about the rising cost of providing and improving health care for people with diabetes, and effectively preventing or delaying diabetes and its complications. However, the translation of this knowledge into clinical and public health practice is proceeding slowly. As a result, risk factors proliferate in the general population and mortality, morbidity, and quality of life among people with diabetes remain substandard. This appears to be true in all countries and across different health care systems. Barriers to the delivery of effective interventions that seek to reduce the burden of diabetes remain at all levels: environment/society, the health care system, the health care provider, and the individual.

CDC's Division of Diabetes Translation has assembled a team of practitioners and researchers with expertise in diabetes research to lead a short course on the following topics: diabetes public health, translation research, health economics, social and behavioral research, and program development.

This course offers a great opportunity for highly-qualified diabetes professionals to come together to exchange information of each other’s programs and to discuss collaborations.

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Course Goals

To provide current information on diabetes public health and epidemiology.
To provide basic training in diabetes translation research and health economics.
To create a national and international network of collaborators who have at least basic training in translation research and health economics.

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Course Objectives

To familiarize participants with diabetes epidemiology.
To promote using standard ways to measure the public health burden of diabetes.
To introduce the rationale, concept, and methods used in translation research, health economics, social and behavioral research, and community-based interventions and programs.
To help participants develop skills in diabetes public health and translation research.

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Faculty

CDC Faculty

Gloria Beckles, MD, MSc.
Michael Engelgau, MD, MS
Linda Geiss, MS
Edward Gregg, PhD
Pina Imperatore, MD, PhD
Leonard Jack, PhD, MS
Qaiser Mukhtar, PhD

Venkat Narayan, MD, MPH, MBA
Jinan Saaddine, MD
Dawn Satterfield, PhD, CDE
Frank Vinicor, MD, MPH
Desmond Williams, MD, PhD
Ping Zhang, PhD

Course Coordinators

Susana Moran, MPH; Edward Gregg, PhD; Pina Imperatore, MD

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Dates

5-Day Course: October 16–20, 2006
Deadline to Apply: July 7, 2006
Notification of Acceptance: July 18, 2006

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Location

Centers for Disease Control and Prevention, The Global Communications Center (Bldg 18, Room 247/248), Atlanta, GA, USA

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Expenses

No tuition fee.
Accepted candidates will provide own travel and local expenses.

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Accommodation

Hotel accommodation is available at the Emory Inn, conveniently located within the grounds of Emory University, and directly across the street from the CDC. A government rate of $113 will be available to participants of the diabetes short course. To receive the government rate, you must inform the Emory Inn representative that you are registering to attend the CDC Diabetes Short Course.

For further details and reservations, please contact:

Emory Inn
1641 Clifton Road
Atlanta, GA 30329
Telephone: 1-800-933-6679

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Eligibility

A maximum of 25 participants will be selected. Participants must have a background in at least one of the following: public health higher education, a U.S. state diabetes prevention and control program, or program(s) overseas, such as the World Health Organization or similar experience.

The minimum eligibility requirement is a master's of public health degree or equivalent or at least two years experience in public health research within the previous five years. Please provide evidence (courses, published papers) of research training in a relevant discipline, such as epidemiology, statistics, health services research, health economics, or sociology.

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Selection Process

Using a standardized application form (Word file - 76 KB), apply before July 7, 2006. Please provide the following as part of the application:

Describe (250-word limit) why you wish to attend the course and what you expect to achieve from it.
Optional (not evaluated as part of the application): Describe (250-word limit) a real problem that you are facing while planning, implementing, or improving a diabetes program in your locality. From these descriptions, an ad hoc panel of faculty will select four problems for discussion and final presentation by work groups to be formed in the short course. The public health importance of the problem will be the major criterion for selection. The selection will be independent of acceptance to the short course. Feedback will be offered to applicants who were not accepted in the course but whose problems were selected for discussion.

Confirm the source of funds to cover travel and accommodations, whether it is yourself or your organization. If you have a sponsor (employer or other), provide a letter confirming that financial support will be provided.

CDC's Division of Diabetes Translation will offer travel expenses for two qualified international candidates, selected strictly on the basis of need. If you need this assistance, please explain the following:

Why you could not find another source of funds.
Name other sources you have contacted for funds (provide a letter to confirm).
Whether you have approached your employer for support (provide a letter to confirm).

Selection for international travel assistance from CDC will be based on the following, but we will give preference to people from developing countries:

Need.
Level of qualifications, experience, and seniority.
Degree of benefit to the person and organization.

An independent selection committee will review the applications using objective criteria to select participants for the course. Notification of acceptance will be sent via e-mail by July 18, 2006.

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2006 Course Program

For more information on the 2006 Short Course Program, please contact 1-800-CDC-INFO, 1-888-232-6348 (TTY), or cdcinfo@cdc.gov.

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2005 Course Program

Monday, October 17, 2005

Time	Title
8:30 a.m. – 9:30 a.m.	Introduction and Overview of Course
9:30 a.m. – 9:40 a.m.	Break
9:40 a.m. – 11:00 a.m.	Vision for Diabetes Public Health Objectives Establish criteria wherein a health care system can be evaluated as “quality.” Define “public health.” Identify at least three differences between clinical and public health. Readings Berwick DW. Disseminating innovations in health care. JAMA 2003;289(15):1969–1975. Vinicor F, Rufo K, Murphy D. Diabetes and Public Health in the United States. International Textbook of Diabetes Mellitus, Third Edition. September 2003.
11:00 a.m. – 11:10 a.m.	Break
11:10 a.m. – 12:30 p.m.	Diabetes Surveillance in the United States Objectives Discuss the data sources used for surveillance. Discuss the challenges. Describe the recent trends in the prevalence of diabetes and its complications, diabetes mortality, and diabetes-related preventive care practices. Readings Desai J, Geiss L, Mukhtar Q, Harwell T, Benjamin S, Bell R, Tierney E. Public health surveillance of diabetes in the United States. Journal of Public Health Management Practice 2003;S44-S51. Saydah SH, Geiss LS, Tierney E, Benjamin S, Engelgau M, Brancati F. Review performance of methods to identify diabetes cases among vital statistics, administrative, and survey data. Annals of Epidemiology 2004;14(7):507–516. Reference http://www.cdc.gov/diabetes/statistics/index.htm
12:30 p.m. – 1:30 p.m.	Lunch
1:30 p.m. – 2:30 p.m.	Diabetes in Children Objectives Learn different forms of diabetes that affect children. Learn diabetes burden and its complications in youth. Learn about risk factors of diabetes in youth, with emphasis in type 2 diabetes. Readings Dabelea D, Hanson RL, Bennett PH, Roumain J, Knowler WC, Pettitt DJ. Increasing prevalence of type 2 diabetes in American Indian children. Diabetologia 1998;41:904–910. Onkamo P et al. Worldwide increase in incidence of type 1 diabetes–the analysis of the data on published incidence trends. Diabetologia 1999;42(12):1395–403.
2:30 p.m. – 2:40 p.m.	Break
2:40 p.m. – 4:00 p.m.	Diabetes Complications Objectives Describe the epidemiology of the major complications of diabetes. Current and future modalities to treat complications. Readings Keen H, Clark C, Laakso M. Reducing the burden of diabetes: managing cardiovascular disease. Diabetes/Metabolism Research Reviews 1999;15:186–196. U.K Prospective Diabetes Study Group. Intensive blood-glucose control with sulphonureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998; 352:837–53.
4:00 p.m. – 5:30 p.m.	Group Work

Tuesday, October 18, 2005

Time	Title
8:30 a.m. – 9:30 a.m.	Behavioral Research Objectives Discuss use of an ecological model of human behavior to help promote diabetes prevention and control in communities—linking multiple levels of influence. Identify opportunities to improve family-centered intervention design, study participant recruitment, outcome selection, and data reporting. Readings Brody G, et al. Heuristic model linking contextual processes to self management in African American adults with Type 2 Diabetes. The Diabetes Educator 2001;27(5):685–693. Leonard JJ, Liburd L, Spencer T, Airhihenbuwa CO. Understanding the environmental issues in diabetes self-management education research: a reexamination of 8 studies in community-based settings. Annuals of Internal Medicine 2004;140(11):964–971.
9:30 a.m. – 10:30 a.m.	Social Science Research Objectives Describe the contributions that qualitative research can make to development of messages and programs, including identification of some themes that emerged from CDC's qualitative research about diabetes prevention. Discuss the role of protective factors, including cultural buffers (e.g., cultural identity, traditional ways) in supporting diabetes prevention and health promotions in communities. Readings Satterfield DW, Lofton T, May JE, Bowman B, Alfaro-Correa A, Benjamin C, Stankus M. Learning from listening: common concerns and perceptions about diabetes prevention among diverse American populations. Public Health Management and Practice 2003;9:S56–S63. Satterfield DW, Volansky M, Caspersen CJ, et al. Community-based lifestyle interventions to prevent type 2 diabetes. Diabetes Care 2003;26(9):2643–2652.
10:30 a.m. – 10:40 a.m.	Break
10:40 a.m. – 12:30 p.m.	Diabetes Prevention Objectives Discuss findings of major randomized clinical trials of primary prevention of type 2 diabetes and current research in progress. Develop research priorities for translating primary prevention into community and public health settings. Explore potential approaches for evaluating the public health impact of primary prevention programs. Readings Knowler WC, Barrett-Connor E, Fowler SE et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine 2002;346(6):393–403. Pan XR, Li GW, Hu YH et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: The Da Qing IGT and Diabetes Study. Diabetes Care 1997;20:537–544.
12:30 p.m. – 1:30 p.m.	Lunch
1:30 p.m. – 3:00 p.m.	Screening for Diabetes and Pre-diabetes Objectives Introduce the criteria required for screening. Discuss the various types of screening tests and their performances. Discuss the evidence supporting screening. Reading Engelgau MM, Narayan KM, Herman WH. Screening for type 2 diabetes (Technical Review). Diabetes Care 2000;23:1563–80.
3:00 p.m. – 5:00 p.m.	Group Work

Wednesday, October 19, 2005

Time	Title
8:30 a.m. – 10:30 a.m.	Introduction to Translation Research Objectives Describe the concepts of translation research and its challenges. Understand the feasibility of studying the translation of specific new knowledge to real world settings. Readings Narayan KMV, Gregg EW, Engelgau MM, Moore B, Thompson TJ, Williamson DF, Vinicor F. Translation research for chronic disease: the case of diabetes. Diabetes Care 2000;23:1794–8. Narayan KM, Benjamin E, Gregg EW, Norris SL, Engelgau MM. Diabetes translation research: where are we and where do we want to be? Ann Intern Med 2004;140(11):958–63.
10:30 a.m. – 10:40 a.m.	Break
10:40 a.m. – 12:30 p.m.	Importance of Measuring Social Position Objectives Define social position. Identify common measures of social position that are useful in translational research. Understand the relationships between social position and health for persons with diabetes. Readings Brown AF, Ettner SL, Piette J, Weinberger M, Gregg E, Shapiro MF, Karter AJ, Safford M, Waitzfelder B, Prata PA, Beckles GL. Socioeconomic position and health among persons with diabetes mellitus: a conceptual framework and review of the literature. Epidemiologic Review 2004;26(1):63–77.
12:30 p.m. – 1:30 p.m.	Lunch
1:30 p.m. – 2:50 p.m.	Using Administrative Data to Improve Diabetes Care: The Veterans Affairs Experience Objectives Familiarize the participants with types of interventions commonly used by health care systems to improve the process and outcomes of diabetes care. Describe what is known about the effectiveness of various system-level interventions designed to improve the process and outcomes of diabetes care. Describe studies that can help health care managers identify patients to target for intervention. Readings Miller DR, Safford MM, Pogach LM. Who has diabetes? Best estimates of diabetes prevalence in the Veterans Health Administration based on computerized patient data. Diabetes Care 2004;27(S2):B10–B21. Safford MM, Eaton L, Hawley G, Brimacombe M, Rajan M, Li H, Pogach L. Disparities in use of lipid lowering medications among people with diabetes. Arch Intern Med 2003;163:922–928.
2:50 p.m. – 3:00 p.m.	Break
3:00 p.m. – 4:00 p.m.	Measuring System-Level and Provider-Level Factors Objectives Discuss the types of variables commonly examined at each of these levels. Provide examples of analysis conducting to date from the TRIAD study.
4:00 p.m. – 5:30 p.m.	Group Work

Thursday, October 20, 2005

Time	Title
8:30 p.m. – 10:30 p.m.	Economic Analysis in Health and Health Care Objectives Identify the types of economic analysis. Understand the major concepts used for measuring the cost and benefit if an intervention. Discuss the importance of evaluating economic analysis. Readings CDC Diabetes Cost-effectiveness Study Group. Cost-effectiveness of intensive glycemic control, intensified hypertension control, and serum cholesterol level reduction for type 2 diabetes. JAMA 2002;287(19):2542–51. American Diabetes Association. Economic costs of diabetes in the United States in 2002. Diabetes Care 2003;26:917–932.
10:30 a.m. – 10:40 a.m.	Break
10:40 a.m. – 12:30 p.m.	Program Evaluation and Evaluation Research Objectives Increase knowledge of evaluation techniques used in community-based programs. Increase understanding of the different types of evaluation. Develop skills to design an evaluation plan using the skills and concepts reviewed during the workshop. Readings Centers for Disease Control and Prevention. Framework for program evaluation in public health. MMWR 1999;48(No. RR-11): The formation of a complex community program for diabetes control: lessons learned from a case study of project DIRECT. Journal of Public Health Management Practice 2001;7(3):19–29.
12:30 p.m. – 1:30 p.m.	Lunch
1:30 p.m. – 3:00 p.m.	Linking the Social Environment with Health Outcomes Objectives Increase awareness of the social environment as a major determinant of health and disease in populations. Readings McKinlay J & Marceau L. US public health and the 21st century: diabetes mellitus. Lancet 2000;356(9231):757–61.
3:00 p.m. – 5:00 p.m.	Group Work

Friday, October 21, 2005

Each presentation will be a maximum of 30 minutes. An additional 15 minutes will be provided for questions. Attendance is MANDATORY.

8:30 a.m. – 9:15 a.m.	Group A
9:30 a.m. – 10:15 a.m.	Group B
10:30 a.m. – 11:15 a.m.	Group C
11:30 a.m. – 12:15 p.m.	Group D
12:15 p.m. – 12:45 p.m.	Presentation of Certificates