Take Note! – College of Public Health News https://hscweb3.hsc.usf.edu/health/publichealth/news News for the University of South Florida College of Public Health Tue, 19 Dec 2023 16:08:03 +0000 en-US hourly 1 https://wordpress.org/?v=5.3.2 An Idea Whose Time Had Come: Florida’s First College of Public Health https://hscweb3.hsc.usf.edu/health/publichealth/news/idea-whose-time-come-floridas-first-college-public-health/ Tue, 19 Dec 2023 12:00:45 +0000 http://hscweb3.hsc.usf.edu/health/publichealth/news/?p=17590 This story originally published on July 15, 2015 in observance of the COPH’s 30th anniversary celebration.   “USF was chosen as the place for Florida’s College of Public Health,” Dr. Peter Levin wrote in 1984, “because of the broad base of knowledge found in the many colleges of the University […]

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This story originally published on July 15, 2015 in observance of the COPH’s 30th anniversary celebration.

 

“USF was chosen as the place for Florida’s College of Public Health,” Dr. Peter Levin wrote in 1984, “because of the broad base of knowledge found in the many colleges of the University and the unique Tampa location.”

Levin, the college’s first dean, expounded further, noting that not only faculty from the colleges of medicine and nursing, but from business, education, engineering, natural sciences and social sciences were “key to the development of the college.”

Three decades of growth and innumerable success stories later, former Fla. Rep. Samuel P. Bell III shed more light on the founding of COPH.

Like many created entities of any kind, it all started with one person’s idea and another person’s decision to act on it.

The idea person was Robert Hamlin, a graduate of the Harvard University College of Public Health. He brought his idea to Bell, dubbed “the godfather of the college” by Charles Mahan, another founder who was COPH dean from 1995 to 2002.

“He had retired to Florida and realized that there was not a college of public health in Florida,” Bell recalled of Hamlin. “He contacted my staff director, John Phelps, with the idea, and John and I discussed the idea and decided that we should pursue the project. When we began the effort, we discovered that there had not been a college of a public health created anywhere in the country for more than 20 years, and most emphasis was on clinical health.

L to R: Dr. Donna Petersen, dean of the USF College of Public Health, Robert Hamlin and Sam Bell.

From left: Dr. Donna Petersen, dean of the USF College of Public Health, the late Robert Hamlin and Rep. Sam Bell, “the godfather of COPH.”

“As a member of the Florida Legislature, I could see the results of public health problems – mental health issues, alcoholism, child abuse, heart attack and stroke brought on by lack of exercise and obesity, infant mortality, etc. – yet there was no focus to address these issues. In addition,” Bell said, “there was a shortage of trained public health workers as problems grew and population increased.”

Where to establish the college as a physical entity turned out to be fairly obvious. Logic dictated that the state’s first college of public health had to be part of a public university that had a medical school and was located in an urban area, and USF was the only institution in the state that met all three requirements.

“There was no bill,” Bell said of the necessary legislative action that followed. “The college was first created by a line item in the state appropriation. Of course, we had to work the proposal through the Board of Regents and the USF administration.”

All of it moved with surprising quickness and ease, he said, underscoring an idea whose time had come. Naturally, it didn’t hurt that its biggest proponent was in prime position to do it the most good.

“The College’s success must first recognize the man who made it all possible,” said Dr. Heather Stockwell, the first faculty hire in the college’s Department of Epidemiology and Biostatistics.

“Without Sam Bell,” she said, “there would be no COPH.  Before our college was formed, there were no schools of public health in Florida. It was through the vision and leadership of Sam Bell that our college was formed and its funding secured in its early years so that it could grow and develop into the College we are all so proud of today!”

From left: Dr. Martha Coulter, Dr. Heather Stockwell and Dr. Peter Levin, first dean of COPH.

From left: Dr. Martha Coulter, Dr. Heather Stockwell and Dr. Peter Levin, first dean of COPH, ca. 1988.

“Sam Bell was absolutely committed to the idea that there needed to be a strong college of public health in this state,” Dr. Martha Coulter agreed. “He single-handedly got absolute support for us from the state legislature, so that we were not dependent completely on federal funds and training grants.”

“There was not much opposition to the effort,” Bell said. “It really flew under the radar. I was in leadership during all of this time and was chair of the appropriations committee in the House for the years 1985 through 1988, for four sessions. Before that, I had chaired the rules committee and was majority leader, so I was in a position to get support. After the College was initially approved, I was able to guide funding.”

If founding the college had seemed relatively easy, running it in the early days was not. Being the only college of public health in Florida created a heavy work load at the same time it underscored the demand for what a college of public health delivers.

The first year, Coulter and the other two faculty members in the Department of Community and Family Health traveled regularly to teach at the Florida Department of Health offices in Tallahassee and at USF-Sarasota, as well as in Tampa, said Coulter. There simply was no one else to do the job.

From left: Jennifer Harrell, filmmaker and documentarian Frederick Wiseman, Marti Coulter, and James Harrell. The Harrell is named for James and Jennifer.

From left: Jennifer Harrell, filmmaker and documentarian Frederick Wiseman, Dr. Marti Coulter and the late James Harrell in an undated photo.  The Harrell Center is named for Harrell and his wife, Jennifer.

 

“Of course, this was before you could take things online,” she said, “and it certainly was a lot easier for us to go there than for all of them to come here.”

Simply finding space was another challenge. Originally housed on the first floor of the present Continuing Education building, the fledgling college wouldn’t see its own building for another seven years.

Community and Family Health had a particularly hard time finding a permanent home, Coulter said. It would reside alongside the college’s other departments in the present Continuing Education building, then move to the first floor of the University Professional Center, then find space in the Florida Mental Health Institute (now Behavioral and Community Sciences) building.

“I had to bend my head down to get into the attic to get into my office,” recalled Dr. Paul Leaverton, first chair of the Department of Epidemiology and Biostatistics.

“Then we took over the auditorium. It used to be a basketball auditorium – just wherever we could find room, and that was where we were ’til ’91, when we moved into this building. We kept moving around in funny little quarters, so this building was really nice – and it still is.”

COPH groundbreaking ceremony for it's $10M building on March 3

COPH groundbreaking ceremony for it’s $10-million building, March 1990.

 

Artist watercolor of the COPH

Artist’s rendering of the COPH building.

A royal opening

Almost everyone expects fanfare at any major debut, the opening of a new building at a major university posing no exception, but probably no one expected the kind of pomp and circumstance that played at the USF College of Public Health’s opening of its own building in 1991.

A month before the building’s official dedication, two weeks before faculty and staff even began moving in, the first lecture was delivered by a scientist, and yet the affair was literally regal.

With an entourage of attendants by her side, Professor Dr. Her Royal Highness Princess Chulabhorn of Thailand, a biochemist, arrived in a police-escorted motorcade of limousines to speak about her research on medicinal plants.

Leaverton talked recently about how the building’s unusual opening came to pass.

“In the late ’80s, I had done a lot of work in Thailand with NIH and Thai scientists on the epidemiology of aplastic anemia,” Leaverton said.

Thailand had an unusually high rate of the rare but serious blood disorder, Leaverton said, and the group set out to investigate why.

“My colleague over there was probably the top scientist in Thailand. He was a really good medical scientist,” he said, “and he was also the king’s doctor.”

The king was a believer in education, Leaverton said, and his four children eagerly shared that belief. All earned advanced degrees, and two earned doctorates. Leaverton’s Thai counterpart was a friend of Princess Chulabhorn’s, having done post-graduate work with him in Germany.

“So even though she’s a multimillionaire as the king’s daughter, they took it to heart that they should give back to the community. So she got an education in science and directs her own research institute, mostly in cancer.

“I had not met her, but I had heard of her and knew she liked to give lectures occasionally, so I asked my friend, ‘Do you think she’d ever like to give a lecture at USF?’ He said, ‘I’ll ask her.’

A short time later, back at USF and ready to re-settle into his routine, Leaverton had a surprise waiting for him.

“The next thing I know, my phone’s ringing, and it’s the ambassador from Thailand asking if I’d like the princess to speak at USF.”

The answer was yes, and the ambassador personally flew down from Washington to make the arrangements.

“He sounded pretty upset,” Leaverton said, “but they have to handle the royal family with kid gloves. Turned out he was a wonderful man, and he came down a couple of times. We had to meet with the mayor of Tampa and the chief of police to make sure the princess got a motorcade from the airport to her hotel – she took over three floors at the new Wyndham – and from her hotel to USF and back again, no stopping at red lights. So it was quite a show.

“The building wasn’t scheduled to open until December, but to make her schedule, she could only come in November, so the dean opened the building just to accommodate her, which I thought was nice.

News story on Thailand's Princess Chulabhorn's royal visit for the COPH opening.

News story on Thailand’s Princess Chulabhorn’s royal visit for the COPH opening, November 1991.  Pictured with the princess (left) are Drs. Peter Levin (second from left) and Paul Leaverton, who watch as a student from Thailand extends a greeting.

“It was a packed audience. She gave a very technical lecture that no one understood except the biochemists, but it was a big show, and we got to have lunch with the president of the university. It was a royal opening for the college.”

When the college first opened for classes, Leaverton said, a few students were admitted even before the departments were created. After they were created, the departments didn’t last long initially.

Dean Levin created the initial four of COPH’s present five departments and recruited four professors from other institutions to chair them.

From left: Dennis Werner, senior research coordinator, Jan Marshburn, research assistant, and Lesley Bateman, PR and development coordinator, move into the new COPH building in November 1991.

From left: Dennis Werner, senior research coordinator, Jan Marshburn, research assistant, and Lesley Bateman, PR and development coordinator, move into the new COPH building in November 1991.

Leaverton was brought in from the National Institutes of Health, and before that, the University of Iowa, to head Epidemiology and Biostatistics. Dr. Stewart Brooks would leave the University of Cincinnati to lead Environmental and Occupational Health. Dr. Stan Graven came from the University of Missouri to direct Community and Family Health. Dr. Tom Chirikos from Ohio State University would take the reins in Health Policy and Management.

“In early ’85,” Leaverton recalled, “the dean got to thinking maybe we didn’t need departments. We could just follow what he called the Texas model – no departments, just one big happy family. But the four chairs who had been recruited to be chairmen of departments objected mightily, and besides, I tried to convince the dean, students tend to think of themselves along discipline lines anyway, whether you call them departments or not. So he relented and re-created the four departments.”

Typical of the new departments, “Epi and Biostats,” as Leaverton calls it, consisted of two people. He and Stockwell were it for the time being, but that was about to change, although maybe not as quickly as they would have liked.

“The legislature was wonderfully generous,” Leaverton said. “They gave us a lot of tenure-track lines, almost unheard of in the creation of a new school. As chairman of Epi and Biostats, I had six tenure-track lines. Two of them were filled by Dr. Stockwell and me, but we had to recruit for the other four.

“Dr. Stockwell and I both had pretty high standards – she had been at Hopkins. We had a file of about 30 people. We rejected all of them. We didn’t think they were good enough to be on our faculty.

“So we had to start the recruiting process all over again, and she and I did all the teaching for that first year, because we were a two-person faculty. We did have a few adjuncts, maybe, here and there, and we eventually filled the faculty positions for the next year.”

Leaverton chaired the department until 1995, then remained as a professor for another six years. He retired as an emeritus professor in 2001.

Memories

The founders and early leaders of COPH have more memories than just those that deal with the college’s inception and its early operation, more memories than space could ever allow, including a few on the lighter side.

“When she was president of the university, she knew everybody on campus,” Coulter recalled of Betty Castor, “and when I got the funding to start the Harrell Center, I was walking across the campus behind the administration building, and she was walking back to her office from somewhere. She saw me all the way across the grounds and yelled out, ‘Hi, moneybags!’

Sam Bell and Betty Castor, former USF president and Florida Secretary of Education

Sam Bell and Betty Castor, former USF president and Florida Secretary of Education, at the COPH 25th anniversary gala, December 2009.

“She knew everybody and supported everybody, and no matter that I was an associate professor in the College of Public Health, she knew.”

“I recall conducting a final exam in epidemiology one evening in which two unusual events occurred,” said Leaverton. “First, a student came to me in obvious pain. She had accidentally put the wrong kind of eye drops in her eyes, which were nearly swollen shut. Okay, she was excused.

“Then, another lady went into labor. We called 911 and sent her to the hospital. It turned out to be a false alarm – she delivered two weeks later. Maybe my exams were too frightening.”

“Being a fan of Chevy Chase and SNL, especially his take-offs on the clumsiness of President Gerald Ford, I purposely stumbled up the auditorium stairs and fell against the podium on the stage, scattering papers everywhere,” Mahan recalled. “This was at one of our graduation convocations. Instead of the audience laughing at my parody of Chevy, they all thought it was real and rushed to the stage to help me – very embarrassing! I think it’s funny now, but I have a very bizarre sense of humor.”

The particulars vary from person to person, but the size, scope and overall success of the college are unanimous themes for the people who were there in its earliest days. In one way or another, all said they could not have foreseen in 1984 what it is on its 30th anniversary.

“I don’t think we could have imagined,” Coulter said, “the ability to move as strongly as it has in the direction of being a research one university – USF as a whole and the College of Public Health as a leader in that regard. I don’t think we quite envisioned it that way. That has been very exciting.

“Also, the expansion of the whole global health department, the global health focus, and the ability to do international public health work with researchers that are in the global health unit. That really hadn’t been anticipated,” she said.

“I think Donna Petersen coming here was a huge milestone,” she added. “I think she is absolutely extraordinary. Without Donna’s leadership, we could not have gone as far as we’ve gone. She’s given us a lot of support for community-based research, and that’s been critical in terms of the direction that we’ve gone.”

“I’m very pleased with how well our students have done,” Leaverton said. “It’s kind of shocking, in a way. As I look back, we must have organized the curriculum pretty well, Heather [Stockwell] and I. We had to basically design it from scratch. We set up some pretty good courses, and they essentially stayed the same for a long time. We had some good faculty who kept the standards high.

Sherry Berger

COPH student Sherri Berger as a model for a National Public Health Week poster, March 1996.  She now is chief operating officer at the Centers for Disease Control.

“I actually saw some memos that said, ‘Don’t take Epi and Biostats at the same time, it’s too hard. You have to take them separately,’” Leaverton said. “Sometimes I would take some pride in that. We never made soft courses. Our courses were tough.”

Past, Future and Present

The few shortcomings the college’s founders can think of actually only further reflect the college’s success.

“If I could change one thing,” Stockwell said, “it would be to have a much larger building. The college’s rapid growth has resulted in a need for more space. Maybe we could add a floor?”

“Our beautiful building should have been built to be able to add additional stories,” Mahan concurred.

For Leaverton, it would be an epidemiology laboratory, something he said he and Dr. Doug Schocken, a cardiology professor, tried twice to get funded by NIH.

“If I could do that over, I would pursue that even more vigorously. But we tried,” he said.

Mahan said he sees the college’s future dependent upon “a stronger marriage” between the college and the state and local health departments.

Mahan-Firefighters 1

Former COPH Dean Dr. Charles Mahan (above left, below right) participates in an exercise with the Hillsborough County Fire Rescue Hazardous Materials Unit, April 2000.

Mahan-Firefighters 2

“What if you got your medical degree or nursing degree but never saw a patient and never went into a hospital? Well, why are we giving people public health degrees, and they never set foot in a health department, and they don’t work in the community, which is where the problems are?”

Mahan believes that national accreditation of health departments should be as universal as accreditation for colleges and universities, and that closing the gap between public health education and practice is the way to achieve it. COPH would help a health department earn accreditation, with the understanding that once it became accredited, it would become an “official outpost of the USF College of Public Health.”

“I hope the emphasis on a strong research program will continue,” Leaverton said. “Public health programs need to be based upon sound science, of course. I hope that never changes.”

“What I would like to see the college do is continue on the path that it’s on in terms of really being a leader in the country in community-based research,” Coulter said, “increasing its role as an intermediary between research and practice, and having a committed sense of responsibility to community service providers.”

“Over the next five years,” Stockwell said, “I think – or at least I hope – that public health in general will focus on a positive approach to health, not just disease prevention but improving the quality of health and health maintenance for all our citizens. To do this there will need to be a strong interdisciplinary approach to developing strategies that focus on primary prevention and sustainability at the community level.

“I think our college is uniquely positioned to address these issues,” she said. Its interdisciplinary educational focus positions it as a leader in public health education, and our emphasis on the development of high-quality, collaborative, community-based  research seeks to provide critical information to policy makers to address current and future public health concerns locally, nationally and internationally.”

From left: Susan Webb and Drs. Michael Reid and Phillip Marty. January 1995.

From left: Susan Webb and Drs. Michael Reid and Phillip Marty establish the Public Health Leadership Institute with a grant from the CDC and ASPH, January 1995.

Stockwell remained with COPH until 2014, when she retired as professor emerita.

But between all the memories of COPH’s beginnings, all its history, successes, scarce shortcomings and envisioned futures stands the here and now.

“If imitation is the greatest form of flattery,” he said, “then we should be flattered, because every university in the state wants a college of public health.

“The College is having impact around the world. I had thought it would be a mecca for public health in Florida and a source of information and advice for state decision-makers. It has done that and much more. We now have graduates working on every continent. Our faculty are internationally recognized. Our students are studying and doing internships around the world. We are attracting major grants, and the research continues to grow.

“I am very proud of what the College has become and what it has done to touch lives around the world,” the college’s “godfather” concluded.

“It has far exceeded my hopes and expectations.”

The USF College of Public Health solves global problems and creates conditions that allow every person the right to universal health and well-being. Make a gift today and help the COPH to advance the public’s health for the next 30 years and beyond. 

Story by David Brothers, USF College of Public Health; photos courtesy of COPH and various faculty.

Related media:
30th anniversary website

 

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Kids and Families, navigator grants hallmarks of college’s state and national presence https://hscweb3.hsc.usf.edu/health/publichealth/news/kids-and-families-navigator-grants-hallmarks-of-colleges-state-and-national-presence/ Mon, 18 Dec 2023 12:00:23 +0000 http://hscweb3.hsc.usf.edu/health/publichealth/news/?p=20967 First published on July 13, 2015 in observance of the COPH’s 30th anniversary celebration. Jodi Ray is a bundle of energy when she talks about the project that has become her life’s work, Florida Covering Kids and Families, which is a part of the Lawton and Rhea Chiles Center for […]

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First published on July 13, 2015 in observance of the COPH’s 30th anniversary celebration.

Jodi Ray is a bundle of energy when she talks about the project that has become her life’s work, Florida Covering Kids and Families, which is a part of the Lawton and Rhea Chiles Center for Healthy Mothers and Babies.

The founding program director was Mary Figg, a state representative for Hillsborough County.  After a year or two of preliminary maneuvers, the initiative began formally in 1999.  Figg had enlisted Ray, who has a master’s degree in mass communications, the year before to be program coordinator and handle all things media, including assisting her with crafting the successful request for that all-important initial grant.

“My job was to manage a multimedia campaign.  I’ve done a lot of mass communications on this job,” she said.  “In fact, I’d say I do more of that than anything else.”

The project was funded its first seven years by the Robert Wood Johnson Foundation to do outreach enrollment of children eligible for the Children’s Health Insurance Program and Medicaid.  During that time, a staff of two more than doubled to five by 2006, then, when that funding ended, was cut all too literally in half, reduced to a project director, a coordinator and a half-time assistant: essentially, a staff of 2-1/2.  Fortunately, they had a dedicated network behind them.

Jodi Ray

Jodi Ray

“We have a state coalition,” Ray said, “a large collaboration of partners from around the state and local coalitions in almost every community in the state.  We came together and said, ‘Our mission is to get uninsured into coverage.’”

The coalition was initially mandated by the RWJF grant, Ray said.  It remains active today and includes some of its original members.  No question, it answered a critical need in 2006, when half the staff was asked to keep up with an exponential work-load increase created three years earlier.

 

Crying on the phone

 

“In 2003,” she explained, “the state ended all outreach efforts for CHIP.  So they literally boxed everything up and sent it to me.  They gave me their contact lists and all of their partnerships and said, ‘Could you please take this on?’  Now granted, there were no financial resources with that at the time.”

“The state also closed enrollment for CHIP in Florida for 18 months.  As a result of that, we lost over 300,000 kids in the Florida KidCare program.  In one month alone, we lost 40,000 kids.

“There was no statewide outreach initiative except us,” she said, “me and my other 1-1/2 people.  The number of calls I got was unbelievable.  People were calling and crying.  It was terrible.”

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That situation started Ray on an 18-month crusade, talking to newspaper editorial boards, legislators, community leaders, almost anyone who would listen.

Committed to moving forward, she and the coalition began implementing a plan that was as innovative as it was aggressive:  Sign up as many kids as possible to a waiting list.  When the list reached 120,000, the New York Times took notice and gave the state a boatload of blistering press.  Not long after, the governor issued an executive order to enroll all the kids on the list, and open enrollment returned permanently four months later.

In 2007, a new governor, Charlie Crist, declared the uninsured rate among children appalling.  He brought the state agencies together, Ray said, and told them to figure out how to make it better, and fast.

“One of the things they did was decide to give us some resources,” Ray said.

A state contract and marketing materials soon followed, along with help from state agency staffs on routine but time-consuming matters like mailing.  Growth was back, and with it, ramped-up after-school activities and more engagement with local businesses.

The results since have ranged from impressive to remarkable.  Since the first open enrollment period began on Oct. 1, 2013, the project has gained national media coverage for enrolling about 2.5 million previously uninsured Floridians, twice the expectation.

“We expanded to focus on all the newly eligible uninsured to help them get into whatever coverage options are available,” Ray said, “whether under the Affordable Care Act in the marketplace or Medicaid or CHIP.  One way or another, we were going to help people who didn’t have coverage get health insurance so they could get access to health care services.

“Health care services are important, and having preventive care, all those things.  We talk about all those things being necessary, but you’re not getting in the door unless you have health insurance.  So that’s what we focus on: the first step, getting people in the door.”

That may be the focus, but there’s plenty more to do.

“We also do one-on-one application,” she said.  “We have consumers that actually sit down with us and do enrollment.  We do everything that involves connecting people to health coverage.

“We even do some health literacy.  How do you use health insurance?  How do you make an appointment to see a doctor?  For many of the uninsured, these are not obvious.”

“We work with all the agencies on both the state and federal levels that are involved in implementing health coverage, and we get out there and shake the bushes.”

 

Media and more

 

As much effort as is spent on finding the uninsured, many do find FCKF first, Ray said.

“We get cold calls for everything,” she said.  “I used to wonder sometimes how people find us, but I don’t wonder that anymore.  All you have to do is help somebody.  Then that person gives your number to somebody else.  We get a lot of calls by word of mouth.  We helped someone at some point, and even years later, we get a call from that person’s family member or friend who needs help.”

“The things that consumers come in here and tell you are unbelievable, sometimes heartbreaking.  That’s the other thing that’s really tough,” she said.  “I’ve gotten calls that have made me literally get up and walk around the building a few times because the stories are terrible: the family living in a car; the kid who’s got some kind of horrible heart condition; the mother who had CHIP coverage, but something went wrong with her renewal, it got dropped, it’s Christmastime and she has no money because the asthma medication she had to pick up for her son cost $400.”

While grants provide the funding, the University of South Florida and College of Public Health make it work, Ray said.

“Our work has been very well supported by both the College of Public Health and the University.  I say this out loud every day:  I don’t think anybody doing this work could be in a better place.  I don’t think there’s any way Dr. Petersen could support our work any more than she does.  We get so much support from one end of this university to the other, and we worked with everybody through open enrollment.”

Student Health Services, the libraries, the Morsani College of Medicine and the Marshall Center were regular haunts, as were the St. Petersburg and Sarasota-Manatee campuses.

From the beginning, Ray, who became director upon Figg’s retirement in 2003, has been the media go-to person from the beginning, and that responsibility has grown as exponentially as the project itself.

“We do four press conferences a year.  I spend a ridiculous amount of time talking to reporters.  Just in the first open enrollment period alone, I probably did 80 or 90 interviews with reporters from one end of the country to the other.”

The result was major articles in The New Yorker, the New York Times and the Los Angeles Times, to name a few, as well as pieces widely disseminated by the Associated Press and Reuters, as well as personal visits from two national health secretaries.

Click on the image to view related video

Ray on Capitol Hill in a nationally televised discussion.

“During the first open enrollment period, we had the second-largest grant in the country,” Ray said.  “That, in itself, drew attention, and [U.S. Health and Human Services Secretary Kathleen Sebelius] came here, herself, and awarded the grant.  She came to the college, and that’s how I found out we’d gotten the grant.”

It’s little wonder, then, that what began with two people 17 years ago keeps a dozen in the USF office busy with training, policy work, education, outreach, grant-writing, communications, etc.  It’s an office full of multi-taskers, Ray said.

“We all do all of it,” she said.

Given the complexities of health insurance laws and regulations, not to mention a new set of rules for navigators, just keeping up is a task unto itself.

“We do have to make it a point to stay informed.  We’re constantly on webinars and trainings, reading policies and reading new rules.  We have our hands in a lot of different elements of public health, just because we have to.”

The toughest part of the job, she said, is not being able to help everyone.

“We still have a gap of folks who are not going to qualify for coverage they can afford because the state has not expanded Medicaid coverage,” she said.  “I’d like to see us be able to enroll everyone who has no access to health coverage.  I’d like to see that in less than five years, quite frankly.  I would hate for that to be a five-year goal.”

Ray makes it obvious that what she and her colleagues do at Florida Covering Kids and Families is what keeps her pumped with energy.

“It’s all very exciting,” she said.  “We’re right there at the front end of this, and that, in and of itself, is exhilarating.  I feel good about what we’ve been able to accomplish, so it’s all been worth the time and effort – and the stress and the exhaustion – because it’s paid off.  We’re actually having an impact, and people see it.”

 

Every flight needs a navigator

 

The federal navigator initiative aimed at getting people into the new health insurance marketplace has been a major focus of their work the past two years, as well as a major hallmark of their success.

“The navigators are tied specifically to the federal marketplace.” Ray explained, “Some states are not participating in the federal marketplace, but Florida happens to be one of those states that is.”

The federal program provides outreach enrollment funds.  The first funding opportunities began in 2013, Ray said, and her office applied for USF to get an award that would cover the state.  She and her team did all the grant writing.

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“We had already been doing this work on the ground across the state to enroll kids in CHIP and Medicaid,” Ray said, “and many of the partners around the state had come to a consensus that it made perfect sense for us to be the applicant for this grant and take the lead.  So, what we did was look at the model that was already working and find a way to expand on that.”

The result was a $4.2-million award in 2013 to cover 64 of the state’s 67 counties, the exceptions being Broward, Miami-Dade and Monroe, which submitted their own applications separately.

“The second year,” Ray said, “we went back to those partners again and asked them if they would like to join us for the 2014 application.  They said yes the second time around, so the second time around, we covered all 67 counties in Florida.”

The second award was worth $5.3-million.  Ray’s group had secured million-dollar grants for their Children’s Health Insurance Program enrollments, but those, which  had been their largest to date, are easily dwarfed by the Navigator grants.

Most of the funds are vested in the people who get the job done, Ray said.

“A lot of people.  I’m a big believer that priority number one should be the human resource.  The folks on the ground.  The folks who are out there doing the education, the communication, the one-on-one application assistants, the people who know the processes.  We know from our history of doing this and tons of research that these are the folks who keep people from getting lost along the way through the process.”

In one regard, Ray said, the Navigator’s work has only begun with the enrollment stage.

“They help people navigate the enrollment process and get to the point where they can be enrolled and covered, and they’re also key to helping people appropriately use health insurance,” she said.  “We want folks not just to get in, but we want them to keep their coverage and to use their coverage properly.

“When you’re connecting people to health care coverage for the first time, these are not innately understood concepts.  Insurance is actually a pretty complicated idea, and if you’ve never used it, you really can get overwhelmed.  If you have it and you’re not using it, then the tendency to understand its value can be diminished.  The Navigators and the Florida KidCare application assisters on the ground are essential for that piece of it.  It’s not just about filling out the forms.”

The numbers tell just how busy those people on the ground have been.

“The first year, the projected enrollment for the federal health insurance marketplaces in Florida was around 450,000, give or take,” Ray said.  “We ended up enrolling – with all partners across the state, not just the USF partners – almost a million.  We doubled the projections, basically.

“The second year, the last number I saw was about 1.6 million, but that didn’t include the last month, the limited special enrollment period for people who got hit with the tax penalties.”

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As impressive as those figures are, their national rank may be more so, especially given California’s stand as by far the most populous state of the union.

“The first year, every month, we came in second in the country to California,” Ray said.  “This year, our enrollment here in Florida was higher than enrollment in any other state in the country.  It’s a pretty successful initiative in Florida.”

That seems understated, especially considering that it was the work of about 90 Navigators the first enrollment period and around 150 the second round.  Ray was quick to note, however, that Navigators weren’t the only people involved.

“There are more resources that go into managing this than just the enrollment folks,” she said.  “We have IT people involved, we have human resource people involved, we have grant administrators involved.  It’s an undertaking, for sure.  It’s all a team effort.”

 

A niche in the state’s public health

 

The stakes, along with the numbers, will be higher for the third round, since the funding will be for three years.  Ray is undaunted by the change and, in fact, favors it.  For one thing, it will provide greater continuity in enrollment services, she said.

“We won’t have the start-up delays that come with a grant ending,” she explained, “and then waiting for another grant to come in.”

Given the early success but also knowing the nature of the funding world, Ray is cautiously optimistic about future Navigator grants.

“We’re keeping our fingers crossed,” she said.  “I feel like we’ve done a good job.  I think our outcomes have been really high.  Our partners at the federal level seem very pleased with the work that we’re doing.

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“Florida certainly has been a shining star all the way through this.  Not because I was optimistic, but because I believed we were doing the right thing and that we knew what we were doing, I’m not surprised.  Because we didn’t go into this making up a plan of action.  We went into it with a sense of how it can be done, what the best practices were.  We had learned our lessons along the way.  We didn’t have to reinvent the wheel to do this.  All our collaborative partners made a big difference, too.

“I feel pretty good going into years three through five.  It’s going to be harder going into these years, because we’ve enrolled so many of the low-hanging fruit, so we really have to hone in on who we’re missing and whatever we need to do to make sure we’re not leaving people behind.

“This is our niche for the state of Florida in public health.  Whether it’s obesity or diabetes or getting cancer screenings, it’s very difficult for people to do anything about those things we talk about in public health if they don’t have health insurance.  So, I think we’re doing something valuable in contributing that first step to addressing some of these important public health issues that are so important.”

 

Story by David Brothers, College of Public Health.  Graphics courtesy of Florida Covering Kids and Families, CSPAN and Jodi Ray.

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Chiles Center promotes health for all women and babies https://hscweb3.hsc.usf.edu/health/publichealth/news/chiles-center-stands-tall-for-women-and-babies/ Sun, 17 Dec 2023 19:32:19 +0000 http://hscweb3.hsc.usf.edu/health/publichealth/news/?p=20985 First published on June 4, 2015 in observance of the COPH’s 30th anniversary celebration. It was January 1998, and the Florida Board of Regents had just promoted one of USF’s fledgling entities to major status with sublimely understated efficiency. Following authorizations for a BS in dance education, a degree of […]

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First published on June 4, 2015 in observance of the COPH’s 30th anniversary celebration.

It was January 1998, and the Florida Board of Regents had just promoted one of USF’s fledgling entities to major status with sublimely understated efficiency.

Following authorizations for a BS in dance education, a degree of undetermined level in occupational therapy and an MS in physical therapy, it was the last of four single-sentence items in the typically dry language of officialdom, replete with redundancy and excessive capitalization, on a State University System memo to Dr. Thomas Tighe, then USF provost: “Established the Type I Lawton and Rhea Chiles Center for Healthy Mothers and Babies as a Type I Center (sic).”

Lawton and Rhea Chiles Center logo

The rationale for the Center’s status elevation cited the state’s “tremendous progress in improving the health status of pregnant women and infants, largely through the leadership of Gov. and Mrs. Chiles and Charles Mahan,” who was then USF College of Public Health dean.  Marked improvement in the state’s infant mortality rate was among the leading factors, along with the Center’s performance the previous two years as a Type IV center.

Mahan had envisioned a research, program and policy institute for maternal and infant health as early as 1988, according to the Center’s official timeline.  The Center’s originally intended location was the University of Florida, Mahan said, but that was before the state had established its first college of public health at USF.  By the time the Center was created a few years later, USF, with the only COPH in the state, had become the obvious location, and Mahan had been named COPH dean.

Dr. Charles Mahan

Charles Mahan, MD, former USF College of Public Health dean

“Gov. and Mrs. Chiles had a lot of allegiance to the University of Florida, where they met and where he got his law degree,” Mahan said.  “I was state health officer on loan from the medical school at Florida, and I was supposed to go back there, and the Chiles Center was supposed to be there.”

But having served in the same administration, Mahan was friends with Betty Castor, who had been state secretary of education under Chiles and had since become president of USF.  Mahan said she called him and personally asked him to be the dean of COPH.  He accepted, and the first “steal” from the University of Florida only naturally led to the second.

USF was the better location for the Chiles Center, Castor told the governor, as it had the only college of public health and was headed by a dean who had served him as state health officer.  It also had a Healthy Beginnings program in place that arguably was already doing some of the work the Chiles Center would do.

Sam Bell and Betty Castor, former USF president and Florida Secretary of Education

Dr. Betty Castor, former USF president and Florida secretary of education.  To her left is her husband, former Florida state Rep. Samuel P. Bell III.

The Florida Healthy Start Program had been created by the legislature in 1991, under the urging of Chiles, and from its inception, had included a Healthy Beginnings Program at USF.  So when Mahan was appointed COPH dean in February 1995, he was at the right place at the right time to begin realization of his vision.  A year later, the Board of Regents established the Center, and Mahan served as its founding director in addition to his duties as COPH dean.

A $2-million federal grant followed in 1997 that was specifically aimed at reducing infant mortality in Hillsborough County.  In December of that year, a gala event at Busch Gardens honored the governor and his wife and formally launched the Center.  Additional state funding came in 1998 for construction of a building and a $600,000 annual operating budget.

Florida first lady Rhea Chiles (third from right) and her and the governor's daughter, also named Rhea (fourth from right) at the Chiles Center's groundbreaking ceremony.

Former Florida first lady Rhea Chiles (third from right) and her and the late governor’s daughter, also named Rhea (fourth from right), and son Ed (center) at the Chiles Center’s groundbreaking ceremony.

“President Castor invited Gov. and Mrs. Chiles down to USF, and we toured the campus and got them to put their names on the Chiles Center,” Mahan recalled.  “And then, Gov. Chiles was great about taking me to Washington and meeting all the senators who were his friends and raising money for the building.”

That journey for federal support brought home another $800,000 for the building.  The governor and first lady then spearheaded a series of fundraisers in Daytona Beach, Lakeland, Pensacola, Tallahassee and West Palm Beach.

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“The Center was originally housed in office space near Tampa International Airport on Mariner Drive,” recalled Dr. Linda A. Detman, research associate for the Center.  “I believe that was from 1996 to 1998.  The Center’s first on-campus location was in FMHI, what is now labeled on maps as the College of Behavioral & Community Sciences building.  We also had a pair of temporary trailers for added office space between FMHI and the Westside Conference Center.”

Gov. Lawton Chiles (right) and daughter Rhea with Dr. Harold Varmus, then director of the National Institutes of Health.

Gov. Lawton Chiles (right) and daughter Rhea with Dr. Harold Varmus, then director of the National Institutes of Health, at the dedication of Lawton Chiles House (not related to the Chiles Center).

The Center’s impressive home since 2001 puts plenty of inspiration on display for visitors and staff alike:  A photo gallery of Gov. and Mrs. Chiles, including framed moments with presidents Clinton, Carter and Bush the first; a replica of the governor’s Tallahassee conference room for his use whenever he visited; even a bronzed pair of “Walkin’ Lawton’s” famous shoes.

Walking Lawton Shoes

After all, inspiration is what it’s all about.  Over the years, the Chiles Center’s health care initiatives have racked up impressive victories, to say the least.

“At the Chiles Center, Florida Covering Kids and Families and its collaborators across the state exceeded the federal goal for Florida in enrolling people for health care coverage in the federal health insurance marketplaces,” said Dr. William M. Sappenfield, Chiles Center director and Department of Community and Family Health chair and professor.  “During the first open enrollment, about 500,000 more individuals enrolled over the initial target and reached more than 1.6 million after the second enrollment period.  Moreover, because of the success of projects like this, Florida now enrolls more people through this important health insurance program than any other state.”

William M. Sappenfield, MD, MPH

William M. Sappenfield, MD, MPH, director of the Chiles Center

Sappenfield also points to one of the Center’s most recent projects, the Florida Perinatal Quality Collaborative, which has radically reduced elective early deliveries (before 39 weeks of gestation).

“Babies electively delivered before 39 weeks are at higher risk of poor outcomes, including respiratory troubles and difficulties feeding, and are at higher risk of learning, behavioral and school-related problems in childhood,” explained Detman, who oversees the project.

“It continues to make a measurable difference in the quality of health care that mothers and babies are receiving,” Sappenfield said, “through improving newborn health care at birth and reducing death and morbidity to obstetric hemorrhage.”

Another recent Chiles Center project is the Obstetric Hemorrhage Initiative begun in October 2013 with 31 Florida and four North Carolina hospitals.  The participating Florida hospitals represent more than one-forth of the state’s delivery hospitals and nearly two-thirds of all births statewide, Detman said, adding that maternal deaths from postpartum hemorrhage are the leading cause of maternal mortality in the state.

Linda Detman, PhD

Linda Detman, PhD, program manager for the Chiles Center’s Florida Perinatal Quality Collaborative

“We are fortunate to have the enthusiasm and dedication of perinatal professionals across the state who want to be engaged in improving outcomes for mothers and infants, and we plan to grow in the number of hospitals actively engaged in one or more of our projects,” she said.

Though funding issues put an end to the Center’s branch office in Tallahassee years ago, the original main office – now an imposing office building – on the USF Tampa campus continues to thrive and achieve.

“As was initially dreamed, the Chiles Center continues to improve the health and health care of women, children and families in Florida,” Sappenfield said.  “We will continue to build upon and expand these successful collaborations to succeed in our mission of improving their health and health care.”

Gov. Chiles visits COPH and its dean, Dr. Charles Mahan, in 1995.

Gov. Chiles visits COPH and its dean, Dr. Charles Mahan, in 1995.

“We worked with Gov. and Mrs. Chiles for many years to devise and implement programs and ideas to improve the pregnancy outcomes for women and babies,” Mahan said.  “The LRCC is designed to carry out these efforts and continue to design and improve new ones for future generations.”

 

Story by David Brothers, College of Public Health.

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USF Health addresses provider well-being at IPE Day 2023 https://hscweb3.hsc.usf.edu/health/publichealth/news/usf-health-addresses-provider-well-being-at-ipe-day-2023/ Wed, 22 Nov 2023 20:14:06 +0000 https://hscweb3.hsc.usf.edu/health/publichealth/news/?p=40539 Students, staff and faculty from across the various University of South Florida and USF Health colleges gathered at the Center for Advanced Medical Learning and Simulation (CAMLS) for the USF Health 6th Annual Interprofessional Education Day.  In the wake of a global pandemic, burnout and a variety of other mental […]

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Students, staff and faculty from across the various University of South Florida and USF Health colleges gathered at the Center for Advanced Medical Learning and Simulation (CAMLS) for the USF Health 6th Annual Interprofessional Education Day. 

USF Health IPE Day 2023. (Photo courtesy of USF Health)

In the wake of a global pandemic, burnout and a variety of other mental health problems are contributing factors to hospitals being understaffed. This year’s theme “Caring for Caregivers: Fostering Mental Health and Wellness in Interprofessional Teams” focused on solutions to help combat those issues and improve the quality of patient care across the profession.   

“Our USF IPE Day working group felt it was critical to focus on this topic given the current challenges that our health care system is facing with health care professionals leaving their professions, increased provider burnout and high rates of mental health issues, including depression and suicide,” said Haru Okuda, MD, FACEP, FSSH, executive director of CAMLS and associate vice president of the USF Health Office of Interprofessional Education and Practice.

Approximately 700 people (500 virtually, 200 in person) attended the morning presentations by industry experts.  Jennifer Bickel, MD, FAAN, FAHS, chief wellness officer at Moffitt Cancer Center and professor of oncologic sciences in the USF Health Morsani College of Medicine, was the first featured speaker of the morning. Her presentation “Organizational Wellness: Expanding the Horizon of Well-being” highlighted key statistical data on the volume of patients seen by a provider experiencing burnout and steps the National Academy of Medicine is taking to increase wellness across the workforce.  

Richard Westphal, PhD, RN, FAAN, PMHCNS/NP-BC, followed Dr. Bickel.  Dr. Westphal is a professor at the University of Virginia School of Nursing and co-director of the Wisdom and Wellbeing Program at UVA Health.  His presentation “Stress First Aid: Nurturing Resilience in Health Care Professionals” focused on sources of mental stress, how the mind reacts to the stress and team-based solutions centered around well-being. 

Judy Davidson, DNP, RN, MCCM, a nurse scientist at the University of California-San Diego, was the final featured speaker of the morning. Her presentation “Saving Lives: Suicide Prevention and Health Care Interventions” focused on the suicide rates of health care professionals, re-imagining some of the available interventional tools and changing the mental health-related questions on licensing boards. 
 
The morning sessions ended after Donna Petersen, ScD, MHS, CPH, dean of the USF Health College of Public Health, senior associate vice president of USF Health and chief health officer of USF, led an interprofessional panel discussion themed “Unlocking Wellness: Exploring a Toolkit for Inner Balance and Resilience.”  Panelists gave their perspectives on the importance of health care professionals working with a healthy work-life balance and how a better work-life balance will lead to better work environments and more positive patient outcomes. 
 
Panelists: 
–        Kelly Allegro, PT, DPT, board-certified clinical specialist in neurologic physical therapy, co-director of clinical education at the USF Health School of Physical Therapy and Rehabilitation Sciences
–        Kristin Kosyluk, PhD, assistant professor of Mental Health Law and Policy in the Department of Mental Health Law and Policy at the Louis de la Parte Florida Mental Health Institute, director of the STigma Action Research (STAR) Lab
–        Abraham A. Salinas-Miranda, MD, PhD, MACE, CDVS, assistant professor, director of the Harrell Center for the Study of Family Violence, associate director of the USF Health College of Public Health Center of Excellence in Maternal and Child Health Education Science and Practice
–        Chris Simmons, PhD, LCSW, associate director and associate professor, USF College of Behavioral and Community Sciences School of Social Work

Anthony Masys, CD, PhD, associate professor at the USF Health College of Public Health.

Kicking off the afternoon was Anthony Masys, CD, PhD, associate professor at the USF Health College of Public Health and an international expert in applied systems thinking, design thinking and futures thinking. He gave his presentation titled “Strength-Based Approach: Appreciative Inquiry.” Appreciative inquiry is more commonly known as a strength-based approach to systems change as it emphasizes generating positive ideas instead of identifying negative problems.  

Anthony Masys, CD, PhD, associate professor at the USF Health College of Public Health. (Photo courtesy of USF Health)

Part of the appreciative inquiry model is using rich pictures to help diagram a way of relating personal experiences and perceptions to situations by linking a series of concepts.  
 
Dr. Masys’ presentation provided the foundation of the group activity and team competition for the event. 

Students split into interprofessional teams of nine to put the concept of appreciative inquiry into practice. Students shared good and bad examples of well-being in their workspaces and colleges and offered solutions on how to enhance the good examples and improve the bad examples.  
 
With the guidance of their faculty preceptors, teams used rich pictures to generate mind maps that illustrated how they plan to improve the overall provider well-being of an organization. Using a “Shark Tank” format, the teams presented their concepts to the sharks in hopes they will buy their concept. 

Sharks (judges):
–        Karen Aul, PhD, RN, CNE, CHSE, USF Health College of Nursing
–        Jennifer Bickel, MD, FAAN, FAHS, Moffitt Cancer Center
–        Somer Burke, EdD, MPH, CPH, USF Health College of Public Health
–        Joe Ford, JD, USF Health Shared Student Services
–        Vickie Lynn, PhD, MSW, MPH, USF College of Behavioral and Community Sciences
 
The IPE Day group activity was designed to encourage interprofessional collaboration among learners through hands-on activity. Teams worked together to conceptualize a strategic vision for how wellness can be operationalized to support organizational and personal wellness. The goals of the activity were to:
–        Understand the application of appreciative inquiry as a strength-based approach to navigating various solutions in the health care domain.
–        Apply a system-thinking approach via rich pictures to support ideation in exploring the problem space from an interdisciplinary perspective.
–        Translate insights from the rich pictures into a mind map to develop a strategic implementation strategy supporting wellness. 
 
One by one, teams presented their concept to the sharks. Teams had three minutes to make compelling arguments about why their concept is the best. 

The sharks narrowed down the field to three teams who then had to prepare a one-minute elevator pitch of their concept to give to the audience. Audience members voted for the winner electronically at the end of the pitches. When the votes were counted, Team Five emerged as the winner. The team’s approach focused on a solution that centered around employees finding balance within their work environment. 

Winning team:
Erini Serag-Bolos, PharmD, associate professor at the USF Health Taneja College of Pharmacy (Preceptor)
Camilla Cardona, USF Health Morsani College of Medicine Physician Assistant Program
Hayden Euper, USF Health School of Physical Therapy and Rehabilitation Sciences
Christopher Guskie, USF Health Morsani College of Medicine
Rebekah Minter, USF Health Athletic Training Program
Madison Moua, USF Health College of Public Health
Paul Munoz, School of Social Work, College of Behavioral and Community Sciences
Amiah Price, USF Health College of Nursing
Jenna Sabbagh, USF Health Taneja College of Pharmacy

The winning IPE team. (Photo courtesy of USF Health)

The names of the winning team will the engraved on the IPE Day trophy.  As the team preceptor, Dr. Serag-Bolos will keep the trophy in her office until the USF Health 7th Annual IPE Day. 

Story reposted from USF Health



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USF’s Exploratory Curriculum program helps put undecided students on a path to success https://hscweb3.hsc.usf.edu/health/publichealth/news/usfs-exploratory-curriculum-program-helps-put-undecided-students-on-a-path-to-success/ Wed, 22 Nov 2023 20:02:02 +0000 https://hscweb3.hsc.usf.edu/health/publichealth/news/?p=40605 When Chedeline Dorelus decided to enroll at USF for the fall 2016 semester, she had nearly 30 college credits from high school and a plan to earn an English degree on a pre-law track. Late that summer, Dorelus experienced doubts. She began feeling uncertain about whether she should attend law […]

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When Chedeline Dorelus decided to enroll at USF for the fall 2016 semester, she had nearly 30 college credits from high school and a plan to earn an English degree on a pre-law track.

Photo courtesy of USF Newsroom

Late that summer, Dorelus experienced doubts. She began feeling uncertain about whether she should attend law school or pursue something in the health field—perhaps a medical degree. She went online, changed her major to undeclared and entered USF’s Exploratory Curriculum (ECM) program. The program offers students the option to complete general education requirements while exploring unfamiliar academic disciplines and career fields.

At the suggestion of an ECM counselor, she took an elective course in public health, sparking an interest that ultimately guided her college and professional path.

COPH grad Chedeline Dorelus. (Photo courtesy of USF Newsroom)

“That class really cemented my decision as a major, and from then on I’ve been involved in public health,” said Dorelus, who earned bachelor’s and master’s degrees in public health from USF and became a senior human services program specialist for Florida Health.

She is now program director with Champions for Children at Layla’s House, a community-based learning and resource center that supports expectant parents and parents and caregivers of young children.

Exploratory programs, such as ECM, provide students more time and information to make what’s often a crucial decision while staying on track for a timely graduation. Although national data for such programs can be difficult to find due to inconsistencies in the way individual schools report on undeclared majors, USF data show that students who enrolled in ECM have experienced, on average, higher graduation rates than those who previously began their college careers as undeclared majors.

Shane Combs, an ECM advisor and an instructor in the Office of Undergraduate Studies, said the program’s success in improving outcomes for undeclared students helps to combat the myth that they are somehow less academically skilled, less passionate about college or less dedicated to graduating from USF.

For Dorelus, ECM provided the resources and environment to help her find the right fit for a major and a career. Her program counselor worked with her to create a document that helped her identify an academic program “that would be the intersection of my passion and skills,” she said.

Like Dorelus, students who enroll in ECM arrive directly from high school. Many share the same uncertainties about how to make seemingly monumental decisions about their futures amid an evolving employment landscape.

“For me, what’s even more important, is not just teaching them how to choose a major, but how to make a choice,” Combs said. “On the surface level, we know that who we are at 18 years old will not be the person we are at 40 years old. So how do I choose a major now when I can’t predict the future?”

Shane Combs. (Photo courtesy of USF Newsroom)

Combs says that’s more true now than ever, with some students likely to land jobs in industries or with companies that don’t exist today, and much more likely than their parents or grandparents to have multiple, distinct careers during their lifetimes.

Students who enroll in ECM are required to select a major after 36 credits, which usually means they are in the program for a full academic year—one fall, spring and summer semester.

They choose from one of five pathways—art and humanities; business; global and social sciences; health and natural sciences; and math and technology—but remain free to register for classes outside of their pathway or, ultimately, select an unrelated major.

At any given time, there are usually 250 or more students enrolled, most of whom have met Combs or another ECM advisor before they visited campus for the first time. Early contact is particularly helpful for students interested in STEM fields, helping to ensure they earn the necessary prerequisites while continuing to explore options.

An important part of their ECM experience is connecting with university resources, such as the Center for Leadership and Civic EngagementEducation Abroad and the Center for Career & Professional Development, along with research opportunities through USF’s Office of High Impact Practices and Undergraduate Research and learning about student clubs and organizations.

“Students now enrolling in college are starting internships much earlier than before,” Combs said. “They’re interested in networking and shadowing, and also in volunteer work. They come to campus ready to get engaged and make a difference immediately. They feel they can’t afford to wait four years to get a piece of paper before they start making a change in the world around them.”

Combs points out that while some students might arrive on campus uncertain about a major, they are already determined to find ways to affect change in their local and global communities.

“They are ready to learn and ready to make a difference, and now we want to teach them research and critical thinking skills,” Combs said. “That’s the secret sauce of college.”

Allison Crume, USF’s dean of Undergraduate Studies and associate vice president of Student Success, said the ECM program is another example of how forward-thinking institutions can meet the needs of students whose lives have been shaped by their experiences during the pandemic and will enter a rapidly evolving workforce upon graduation.

“We are proud to collaborate with academic programs across USF to offer Exploratory Curriculum Major pathways,” Crume said. “Students have the opportunity to engage in focused areas of interest as well as gain interdisciplinary skills. ECM gives students space to explore courses and careers to help them identify a successful academic plan.”

Story reposted from USF Newsroom


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USF works to increase awareness, support for students with accessibility needs https://hscweb3.hsc.usf.edu/health/publichealth/news/usf-works-to-increase-awareness-support-for-students-with-accessibility-needs/ Wed, 22 Nov 2023 19:50:47 +0000 https://hscweb3.hsc.usf.edu/health/publichealth/news/?p=40586 October is National Disability Employment Awareness Month, and about one in four people in the United States has some type of disability according to the Centers for Disease Control and Prevention. As many as 80% of disabled individuals have invisible disabilities that can include ADHD, learning disabilities, psychological conditions or mental […]

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October is National Disability Employment Awareness Month, and about one in four people in the United States has some type of disability according to the Centers for Disease Control and Prevention. As many as 80% of disabled individuals have invisible disabilities that can include ADHD, learning disabilities, psychological conditions or mental health concerns.

Deborah McCarthy, director of USF’s Office of Student Accessibility Services, and undergraduate student Taylor Edmonson visit outside the Marshall Student Center with her service dog, Finn. (Photo courtesy of USF Newsroom)

These statistics also apply across college campuses, where students are preparing to enter the workforce amid learning environments where accessibility has become a more routine aspect of the classroom.

“Students arriving at college campuses now have grown up with the idea of inclusion,” said Deborah McCarthy, director of USF’s Office of Student Accessibility Services (SAS). “They’re used to the reality that someone in a wheelchair was in their kindergarten class, or that someone with autism was in their math class. They view accessibility as a communal responsibility and are eager to be proactive. This new viewpoint creates an exciting opportunity.”

And yet, many students with disabilities still do not seek help for various reasons, including stigma. That represents a complex challenge for student accessibility leaders like McCarthy.

Below are some ways USF works to support student accessibility, reduce stigma, raise awareness of available resources and empower individuals with disabilities to share their experiences and concerns.

Student Accessibility Services

McCarthy’s office serves approximately 3,100 students across the three USF campuses—around five times the number it served in 2009—and provides them with services and support from enrollment through graduation.

SAS works with faculty to accommodate students through Universal Design for Learning, a framework meant to ensure that course materials and activities are accessible and inclusive for all students, regardless of their abilities, backgrounds or preferred learning styles.

This can include providing accessible textbooks, Braille, American Sign Language interpreters, extended time testing, note-taking technologies and transcription services.

Photo courtesy of USF Newsoom

When the COVID-19 pandemic sent colleges online in 2020, the shift to platforms like Microsoft Teams to connect faculty, staff and students brought unexpected benefits, such as improved captioning for students with hearing impairments.

McCarthy said the pandemic sped up efforts at USF and across the nation to increase the use of technology that supports accessibility and helped people think about what an in-person university means and what accommodations still need to be made.

SAS also serves as a resource for the broader campus community with a goal of promoting an environment where accessibility and Universal Design are central to the USF experience.

“Disability advocate Alice Wong points out that accessibility is really about hospitality,” McCarthy said. “You don’t invite someone into your home for dinner if you’re not sure they can get into your house. It’s not just ramps and curb cuts. It’s about what it means to be hospitable.”

SAS encourages all students, faculty and staff to participate in AccessiBull, a series of disability awareness events to help educate the USF community and reduce stigma. The office also annually administers the Johnson Scholarship for Students with Disabilities to provide financial support.

Presidential Advisory Committee on Accessibility

Formed in 2021, the USF Presidential Advisory Committee on Accessibility is chaired by McCarthy and advises President Rhea Law on matters pertaining to ability, accessibility and disability for faculty, staff and students.

The advisory committee also evaluates and monitors the university environment for related problems and issues, and it’s a way for multiple areas of USF to come together to embrace accessibility.

Since its inception, the committee has partnered with USF’s Center for Innovative Teaching and Learning to enhance accessibility and training for online courses and faculty trainings.

The committee co-sponsored USF’s second annual production of “This is My Brave,” a student performance about mental health and disability, and is focusing on updates to USF’s Americans with Disabilities Act policies.

Employment Support

SAS and partners like USF’s Center for Career & Professional Development offer a variety of resources to assist students with employment opportunities.

Information about the U.S. Department of Labor’s Workforce Recruitment Program is available through the SAS website. The program, managed by the Labor Department’s Office of Disability Employment Policy and the U.S. Department of Defense, connects employers with postsecondary students and recent graduates with disabilities. The apply date is Oct. 12.

The USF Center for Career & Professional Development offers articles and videos sharing tips and advice for students with disabilities who are entering the workforce, as well as resources such as career coaching and, on USF’s Tampa campus, 15-minute drop-in visits for students to answer basic career-related questions.

Recent campus career fairs offered a half-hour exclusive time slot with access limited to students needing accommodation so they could navigate the fair without crowds and with minimal sensory overload.

Student Government Accessibility Task Force

Last year, USF students Simone Till and Kevin Moore urged student government leaders to create a Campus Accessibility Task Force. Their intent was to enhance the disability culture at USF by raising awareness and empowering students.

Till and Moore spearheaded the creation of a survey last fall asking students to share their experiences and concerns and received 182 responses. The findings will help student government look for ways to guide more students toward resources available through SAS and advocate for increased support for disabled individuals.

Till arrived at USF three years ago with an acute understanding of the challenges facing students with disabilities. She experienced hearing loss during her childhood that eventually led to her use of hearing aids.

Because of her long hair, Till’s hearing aids aren’t readily visible. Her sister, however, has cerebral palsy, causing speech and mobility challenges that make her disability more apparent.

“Growing up helped me understand that when you approach disabilities, it’s really a huge umbrella,” Till said. “You have to think about it from a very holistic standpoint.”

Jillian Heilman, the task force’s faculty advisor at the time, credited Till, Moore and other student government leaders for responding to what they saw and heard from peers and pushing to make the task force a reality.

“Students started to reach out to us,” said Heilman, an adjunct professor in the USF Rehabilitation Counseling and Disability Sciences Program who researches disability impact, advocacy and awareness. “It was a grassroots effort that solidified students’ need to be heard.”

Till and Moore graduated in May, and one of the students taking over leadership of the task force is Chrissy Zimmer, a College of Public Health graduate student who has utilized accessibility services because of a spinal condition.

Zimmer calls Heilman “a remarkable advocate,” and says McCarthy’s team at SAS has made “phenomenal improvements to its website,” including the addition of webinars and other resources.

She said the task force is planning another survey this fall. There are also plans to create a peer-to-peer mentoring platform and promote a greater student body presence at events focused on access and raising awareness.

“The task force would love to get students more involved and make them aware of services available to them, and to help able-bodied students learn how they can become allies,” Zimmer said. “These are small ways that we can ignite change.”

Story reposted from USF Newsroom

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Step inside a different world: International programs give COPH students valuable insight, training https://hscweb3.hsc.usf.edu/health/publichealth/news/step-inside-a-different-world-international-programs-give-coph-students-valuable-insight-training/ Wed, 22 Nov 2023 17:53:44 +0000 https://hscweb3.hsc.usf.edu/health/publichealth/news/?p=40596 November is International Education Month How does health care differ in industrial versus nonindustrial countries? In socialist versus capitalist societies? In rural versus urban settings? What health inequities do different populations in different parts of the world face? USF College of Public Health (COPH) students can get answers to those […]

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November is International Education Month

How does health care differ in industrial versus nonindustrial countries? In socialist versus capitalist societies? In rural versus urban settings? What health inequities do different populations in different parts of the world face?

USF College of Public Health (COPH) students can get answers to those questions by participating in a study abroad program.

In 2024, the COPH will be offering international study programs to Panama, Canada, London and Japan. These for-credit programs are open to both undergraduate and master’s students and generally last about a week. They give students the opportunity to study public health with a cultural context, examining how different countries handle things such as disaster preparedness, preventative health measures and public health policy. Students are also given time to tour and engage in community service projects and research.

Students who have been on the programs say the experience has been eye-opening.

“Personally, I plan to pursue a career in global health and program management, so gaining experience traveling with a public health mindset and learning about different sites that are conducting public health work, such as the Pan American Health Organization/World Health Organization (PAHO/WHO), was super important for me,” said Nupur Kothari, a BSPH student who traveled to Panama. “Being able to participate in research and data collection in Panama helped translate the education I have gained in the COPH to actual practice.”

BSPH student Nupur Kothari, center, on a visit to the Red Cross in Panama. (Photo courtesy of Kothari)

Hannah Harburg, an MPH student concentrating in epidemiology, said her experience in Japan was “transformative.”

“Exploring Japan for the first time altered my outlook on life,” Harburg said. “Gujo Hachiman is an area I found so beautiful, I cried. As I explored the quiet river town, I knew this was going to be a moment I would cherish for the rest of my life. The storm drain water was so clean you could feed the carp that swam in it. This trip reaffirmed my commitment to researching public health. I gathered ideas and learned problem-solving skills through active information synthesis, diversified group work and insightful debates.”

River in Gujo Hachiman in Japan. (Photo courtesy of Harburg)

Erin Millsapps, a Coverdell Fellow who served in the Peace Corps in South Africa as a community HIV/AIDS outreach coordinator, recently returned from a summer international field experience (IFE) in Gqueberha, South Africa.

The Peace Corps Coverdell Fellowship program at the COPH is a graduate fellowship program awarding financial assistance to selected returning Peace Corps volunteers who are pursuing an MPH or MSPH.

MPH student Erin Millsapps stands in front of her living quarters with her host grandmother, Koko Nora, and Nora’s dog, Bruno, and cat, Pumpkin. (Photo courtesy of Millsapps)

“During my IFE, my peers and I focused on addressing health disparities in ENT [ear, nose and throat] health through community engagement,” said Millsapps, who is an MPH student concentrating in epidemiology and global health. “These endeavors, emphasizing interdisciplinary teams and cultural competency, not only achieved project goals but also strengthened my ability to meet COPH competencies. Grateful for the opportunities provided by the Coverdell Fellowship and USF/COPH, I am empowered to make a meaningful impact in the field of public health.”

For more information about COPH international study programs and Peace Corps requirements, click here.

Story by Donna Campisano, USF College of Public Health

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COPH student and first-generation college student receives WLP scholarship https://hscweb3.hsc.usf.edu/health/publichealth/news/coph-student-and-first-generation-college-student-receives-wlp-scholarship/ Wed, 22 Nov 2023 17:48:28 +0000 https://hscweb3.hsc.usf.edu/health/publichealth/news/?p=40557 A daughter of migrant farmworkers, Jazmin Sanchez’s story touched the hearts of many at the 17th Annual USF Women in Leadership & Philanthropy (WLP) Fall Symposium on Oct. 4. Sanchez, a USF College of Public Health BSPH student, was selected as this year’s recipient of the WLP Lolita Sauza Visot […]

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A daughter of migrant farmworkers, Jazmin Sanchez’s story touched the hearts of many at the 17th Annual USF Women in Leadership & Philanthropy (WLP) Fall Symposium on Oct. 4.

Sanchez, a USF College of Public Health BSPH student, was selected as this year’s recipient of the WLP Lolita Sauza Visot Memorial Scholarship and student speaker for the sold-out symposium.

The scholarship, for full-time undergraduate students, pursuing all majors, in all colleges, on all campuses, is renewable up to eight semesters. Preference is given to a student who demonstrates financial need and is engaged with the Mexican-American Student Association or the Boricua Student Association at USF.

Jazmin Sanchez and her father, Felipe, at her high school graduation. (Photo courtesy of the USF Newsroom)

Sanchez’s remarks inspired the nearly 1,000 attendees as she shared her journey to a bright future.

In her first year of junior high school, Sanchez was introduced to university life and lecture halls. Sponsored by a program that prepares students for college, she took her first tour at the University of South Florida sparking the popular question: “What do I want to do when I grow up?”

She recalls the day she told her parents that she wanted to be a farmer, a sentiment to their careers as their strength inspired her. Her parents laughed together at the idea but encouraged her, nonetheless. As she grew older, Sanchez recognized her deep compassion for those around her and decided that, whichever career she chose for herself, she wanted her degree to give her the strength to help and inspire those most in need. She found herself deciding between social work, nursing, emergency medicine and business.

Thanks to the guidance of Ms. Olle, Sanchez’s counselor since middle school, she was introduced to the USF College Assistance Migrant Program (CAMP)—an initiative designed to assist students from migrant and seasonal farmworker backgrounds in their first year of college and transitioning to complete their bachelor’s degree. This changed Sanchez’s entire trajectory. She originally planned to attend community college, but CAMP gave her hope that attending a university immediately after high school would be possible. Sanchez says she is so grateful she took the leap of faith and is now in her junior year at USF and pursuing a degree in public health.

The connections she created before and during her time at USF helped her find communities such as the USF Latino Scholarship Program (LSP) and WLP. These programs provide students with a sense of comfort as they help prepare them for a professional career but also create a family environment. With the support of WLP and LSP, Sanchez grew confident in herself and her identity as she learned how to navigate through the professional world. Shaking an interviewer’s hand, portraying confidence in an online interview, practicing proper dining etiquette and preparing an elevator pitch now come naturally to her.

Ready to tackle the outside world, Sanchez knows that she will not be forgotten even after graduation, just as she will never forget the generosity of those who have guided her along her journey and set her up for success.

Story by Brooke Russo, USF Advancement Communications and Marketing intern

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GivingTuesday: Empowering the future of public health https://hscweb3.hsc.usf.edu/health/publichealth/news/givingtuesday-empowering-the-future-of-public-health/ Mon, 13 Nov 2023 13:30:01 +0000 https://hscweb3.hsc.usf.edu/health/publichealth/news/?p=40516 This GivingTuesday, the USF College of Public Health (COPH) highlights two campaigns. The COPH Alumni Scholarship Fund is dedicated to student scholarship while the Founder’s Fund supports the education, research and service mission of the COPH. GivingTuesday is a global movement that encourages people to do good and give back. […]

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This GivingTuesday, the USF College of Public Health (COPH) highlights two campaigns. The COPH Alumni Scholarship Fund is dedicated to student scholarship while the Founder’s Fund supports the education, research and service mission of the COPH.

GivingTuesday is a global movement that encourages people to do good and give back. According to the organization’s website, it is observed on the Tuesday after Thanksgiving in more than 85 countries around the world and serves as a reminder to pay it forward.

COPH Alumni Scholarship Fund

In the ever-evolving landscape of higher education, scholarships stand as beacons of hope, offering students the financial support they need to advance the public’s health. The COPH Alumni Scholarship Fund, which recently achieved its initial goal of $25,000, is now officially endowed—and it’s not stopping there. With the unwavering commitment of the COPH’s Dean Donna Petersen  and the entire alumni community, the fund has set its sights on the next milestone—$50,000. The fund is already halfway there!


Leaders of the COPH Alumni Society meet to handwrite and mail thank-you notes to alumni who made a contribution to the Alumni Scholarship Fund. (Photo by Liz Bannon)

This endowment level ensures the perpetuity of the scholarship, which means one student each year will have an opportunity to pursue their education and future careers with a $1,000 scholarship. Help us reach our next benchmark by making a tax deductible contribution here.

Founder’s Fund

The late Samuel P. Bell III established the Founder’s Fund to support the education, research and service mission of the COPH.

Considered the  ‘Godfather’ of the college, Bell was the biggest cheerleader the COPH had,” Petersen said. “Many members of the college community have memories of him relentlessly asking people both near and far to give to the college. This year’s theme calls for donors to give ‘any amount, to any account.’”

To honor Bell’s commitment to the COPH, consider making a tax-deductible contribution to the Founder’s Fund. In doing so, the college is better positioned to live out it’s tagline “our practice, our passion” for years to come.

By helping these funds reach their goals, donors are not just contributing to a scholarship, they are investing in the future of public health. Every gift has a ripple effect, creating a positive transformation in the broader community.


Story by Liz Bannon, College of Public Health

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PHEARLESS inaugural cohorts announced https://hscweb3.hsc.usf.edu/health/publichealth/news/phearless-inaugural-cohorts-announced/ Mon, 13 Nov 2023 13:00:56 +0000 https://hscweb3.hsc.usf.edu/health/publichealth/news/?p=40495 Fifteen teams of rising public health and community leaders from around the country have been selected to participate in the inaugural cohort of the Public Health Regenerative Leadership Synergy (PHEARLESS) initiative. Supported by an investment of more than $8.5 million from The Kresge Foundation, the Robert Wood Johnson Foundation and […]

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Fifteen teams of rising public health and community leaders from around the country have been selected to participate in the inaugural cohort of the Public Health Regenerative Leadership Synergy (PHEARLESS) initiative.

Supported by an investment of more than $8.5 million from The Kresge Foundation, the Robert Wood Johnson Foundation and the de Beaumont Foundation, the PHEARLESS initiative integrates regenerative leadership education and experiential learning with innovative collaborative tools that will help public health and community leaders build the skills they need to co-create sustainable solutions that advance health equity and well-being for all.

As a holistic, strengths-based and adaptive approach to leadership, regenerative leadership focuses on creating positive change and restoring balance in complex living systems. By creating positive relationships and nurturing the interconnected elements within a system, regenerative leaders aim to generate outcomes that benefit everyone.

“PHEARLESS leaders know how to forge partnerships that result in community-led public health efforts on the ground,” said Monica Valdes Lupi, managing director of Kresge’s Health Program. “Authentic community engagement can improve the public’s health for generations to come.”

Each four-person team includes two rising public health leaders and two rising community leaders. Together, the cohort will form a network that will learn from one another and help create new models for community-led efforts to improve equitable health outcomes community-wide.

“Strong partnerships between government and community are necessary to achieve meaningful change and improve health outcomes. Through the PHEARLESS program, we look forward to facilitating and strengthening such partnerships in communities across the country, and I am excited to welcome our inaugural cohort,” said Brian C. Castrucci, president and CEO of the de Beaumont Foundation.

Through the 12-month PHEARLESS experience, comprising four learning modules and a culminating capstone activity, participants will develop the mindset and skills to transform systems, structures and policies, in partnership with community, toward a just and equitable future. Each four-person team will receive a $100,000 grant to support their activities.

The cohort includes teams from the following communities:

  • Albuquerque, New Mexico
  • Buffalo, New York
  • Colorado City, Arizona
  • Columbia, South Carolina
  • Hillsborough, Florida
  • Jackson County, Missouri
  • Lee County, Mississippi
  • Long Beach, California
  • Minneapolis, Minnesota
  • Mobile, Alabama
  • New Orleans, Louisiana
  • Philadelphia, Pennsylvania
  • Saint Johnsbury, Vermont
  • San Francisco, California
  • Seattle, Washington

The University of South Florida (USF) College of Public Health (COPH) and Muma College of Business (MCOB) co-lead the design and implementation of the training and technical assistance. The COPH also partners with the Association of State and Territorial Health Officials, the Big Cities Health Coalition, and the National Association of County and City Officials as an interdisciplinary support network.

“Today’s complex community health issues require learning and acting together. PHEARLESS leaders will not only develop themselves as leaders but also work respectfully in partnership to inclusively engage the public, build civic muscle and create the conditions in which all can thrive,” said Dr. Marissa Levine, director of the COPH’s Center for Leadership in Public Health Practice.

Questions? Contact COPH-CLPHP@usf.edu

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