Divórcio entre teoria e prática: o sistema de treinamento em saúde pública nos Estados Unidos

Fee, Elizabeth

doi:10.1590/s1413-81232008000300007

Cited by 6 publications

(4 citation statements)

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“…A lack of training in leadership and independent thinking skills, and the suboptimal quality of programs have been reported as challenges for public health education by others in South Asia [22,30]. In the past, public health education in the US and UK also faced similar issues: low prestige, faculty shortages, inadequate resources, deficiencies in computing resources, poor teaching, concerns about the lack of specialized and doctoral level training, and inadequate integration of theory and practice [23,31,32]. The Lancet Commission Report on Education of Health Professionals for the 21st Century states that professional education has not kept pace with the challenges in public health globally ‘because of fragmented, out-dated, and static curricula’ and recommends transformative competency-based curricula that subsume focus on analytical abilities, leadership and management capabilities, communication skills, and a culture of critical inquiry [33].…”

Section: Discussionmentioning

confidence: 99%

“…Historical evidence suggests that the rift between medicine and public health widens when the two are separated from each other [32,34], and poor countries, in particular, cannot afford a separation of the two fields. The literature recommends flexible and/or equal recognition of diverse education and professional backgrounds to meet the increasing demands posed by emerging public-health issues [35].…”

Section: Discussionmentioning

confidence: 99%

“…This cultural divide or imbalance in international academic collaborations is not uncommon [53]. Furthermore, critics have pointed out that international partners may have inadequate understanding of, and experience of working within, the local culture and conditions, and that even experts can have minimal relevant field experience, especially in developing countries [32]. …”

Section: Discussionmentioning

confidence: 99%

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Assessment of graduate public health education in Nepal and perceived needs of faculty and students

et al. 2013

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BackgroundDespite the large body of evidence suggesting that effective public health infrastructure is vital to improving the health status of populations, many universities in developing countries offer minimal opportunities for graduate training in public health. In Nepal, for example, only two institutions currently offer a graduate public health degree. Both institutions confer only a general Masters in Public Health (MPH), and together produce 30 graduates per year. The objective of this assessment was to identify challenges in graduate public health education in Nepal, and explore ways to address these challenges.MethodsThe assessment included in-person school visits and data collection through semi-structured in-depth interviews with primary stakeholders of Nepal’s public health academic sector. The 72 participants included faculty, students, alumni, and leaders of institutions that offered MPH programs, and the leadership of one government-funded institution that is currently developing an MPH program. Data were analyzed through content analysis to identify major themes.ResultsSix themes characterizing the challenges of expanding and improving graduate public health training were identified: 1) a shortage of trained public health faculty, with consequent reliance on the internet to compensate for inadequate teaching resources; 2) teaching/learning cultures and bureaucratic traditions that are not optimal for graduate education; 3) within-institution dominance of clinical medicine over public health; 4) a desire for practice–oriented, contextually relevant training opportunities; 5) a demand for degree options in public health specialties (for example, epidemiology); and 6) a strong interest in international academic collaboration.ConclusionDespite an enormous need for trained public health professionals, Nepal’s educational institutions face barriers to developing effective graduate programs. Overcoming these barriers will require: 1) increasing the investment in public health education and 2) improving the academic environment of educational institutions. Long term, committed academic collaborations with international universities may be a realistic way to: 1) redress immediate inadequacies in resources, including teachers; 2) encourage learning environments that promote inquiry, creativity, problem-solving, and critical thinking; and 3) support development of the in-country capacity of local institutions to produce a cadre of competent, well-trained public health practitioners, researchers, teachers, and leaders.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Assessment of graduate public health education in Nepal and perceived needs of faculty and students

et al. 2013

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“…Fee (2008), analisando as transformações nas escolas de saúde pública norte-americanas, aponta o fortalecimento da pesquisa científica como uma das causas para o divórcio entre teoria e prática no campo. Segundo a autora, a existência de financiamento próprio para a atividade de pesquisa acabou por hipertrofiar nas universidades a produção de conhecimentos científicos à custa de menor atenção para as atividades de formação profissional, produzindo progressivo afastamento das escolas de saúde pública dos órgãos responsáveis pela política de saúde, com evidente prejuízo para a formação.…”

Section: Repercussões Para a Formaçãounclassified

Ensino de pós-graduação em Saúde Coletiva: situação atual e desafios para o futuro

Barata¹,

Santos²

2013

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O artigo trata dos desafios para a pós-graduação em Saúde Coletiva neste início de século XXI, considerando tanto os aspectos específicos desse tipo de formação quanto as transformações ocorridas no campo das práticas em saúde pública em função das transformações sociais e históricas. O principal objetivo é problematizar diferentes aspectos que podem balizar a formulação dos programasde pós-graduação. O texto está constituído por um breve histórico do desenvolvimento da pós-graduação na área, considerações sobre asituação atual dos programas credenciados, os desafios para o futuro da pós-graduação senso estrito, as repercussões do processo de globalização para os saberes e práticas da saúde pública, a nova saúde pública e os desafios para a formação acadêmica e profissional.

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The Wire and Urban Health Education

et al. 2012

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As urban health has emerged as a distinct field, experts have collaborated to develop models for interdisciplinary education to train health professionals. Interdisciplinary learning is an important yet challenging imperative for urban health education. This paper explores lessons learned from a 2010 speaker series at the Johns Hopkins Bloomberg School of Public Health. The television show, The Wire, was used as a teaching tool to illustrate the context of health disparities in American cities and to explore the complex factors perpetuating urban health outcomes. We suggest that individuals interested in developing interdisciplinary teaching models can learn from both the form and the content of The Wire. As a popular televised serial narrative, The Wire prompts an investigation into the forms and circulation of academic research in a fractured and specialized media landscape. The formal narrative structure of the show provides mental scaffolding from which epidemiological, historical, geographical, anthropological, and other relevant disciplinary learning can build. The Wire encourages critical reflection among public health professionals about the forces that shape public health training, research, and practice and offers creative expansions to existing urban health educational efforts.

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Divórcio entre teoria e prática: o sistema de treinamento em saúde pública nos Estados Unidos

Abstract: Many analysts have complained about the severe disconnect between public health as it is taught in schools of public health and public health as it is practiced in health departments. At least in the United

Cited by 6 publications

References 2 publications

Assessment of graduate public health education in Nepal and perceived needs of faculty and students

Assessment of graduate public health education in Nepal and perceived needs of faculty and students

Ensino de pós-graduação em Saúde Coletiva: situação atual e desafios para o futuro

The Wire and Urban Health Education

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