QUANTITATIVE HEALTH CARE ASSESSMENT (QHCA)

Cross Department Option

Departments of Epidemiology and Health Systems and Policy

Fieldwork Registration Worksheet

Instructions: Please complete the worksheet and obtain a signature on page 3 OR attach an email from your Academic Advisor or Fieldwork Faculty Advisor issuing permission to register. Submit to Fieldwork Coordinator for processing.

Student Name:

Student A #:

Academic Advisor:

Fieldwork Faculty Advisor (If applicable):

Core Courses (15 Credits)

Course Number / Course Name / # of Credits / Semester Completed / Grade
PHCO 0501 / Health Systems & Policy / 3
PHCO 0502 / Principles & Methods of Epidemiology / 3
PHCO 0503 / Introduction to Environmental Health / 3
PHCO 0504 / Introduction to Biostatistics / 3
PHCO 0505 / Health Education & Behavioral Science in Public Health / 3

Required Department Courses (21 Credits)

Course Number / Course Name / # of Credits / Semester Completed / Grade
BIST 0654 / Biocomputing I / 3
BIST 0661 / Regression Methods for Public Health Studies / 3
EPID 0563 / Introduction to Outcomes Research / 3
HSAP 0615 / Health Care Economics / 3

-ALSO- Choose ONE of the Following Two Courses

Course Number / Course Name / # of Credits / Semester Completed / Grade
EPID 0656 / Intermediate Epidemiologic Research / 3
EPID 0657 / Applied Methods in Epidemiologic Research / 3

Rutgers School of Public Health Quantitative Health Case Assessment

Fieldwork Registration Worksheet

Student Name:Click here to enter text.

Student A #: Click here to enter text.

Academic Advisor:Click here to enter text.

Fieldwork Faculty Advisor (If applicable):Click here to enter text.

-ALSO- Choose ONE of the Following Four Courses

Course Number / Course Name / # of Credits / Semester Completed / Grade
HSAP 9554 / Pharmacoeconomics (RU) / 3
EPID 0672 / Pharmacoepidemiology & Therapeutic Risk Management / 3
EPID 0674 / Introduction to Pharmacovigilance and Regulatory Affairs / 3
EPID 0591 / Topics in Comparative Effectiveness / 3

-ALSO- Choose ONE of the Following Five Courses

Course Number / Course Name / # of Credits / Semester Completed / Grade
HSAP 0661 / Health Care Policy / 3
HSAP 0614 / Health Services and Policy Research Methods / 3
HSAP 0671 / Topics in Health Systems and Health Care Policy / 3
HSAP 0519 / Managing Health Care Delivery Organizations / 3
HSAP 0663 / Issues in Private and Public Health Insurance / 3

Electives (3 Credits): Please see QHCA MPH Curriculum for Recommended Electives

http://sph.umdnj.edu/departments/epidemiology/index.html

Course Number / Course Name / # of Credits / Semester Completed / Grade
.

Student Name:

Student A #:

Academic Advisor:

Fieldwork Faculty Advisor (If applicable):

Fieldwork I

Semester eligible to register:

QHCA students must meet the following criteria for Fieldwork I registration eligibility:

Completed five (5) CORE courses

Have an average GPA of 3.0 or higher

Completed the following:

·  BIST 0654: Biocomputing I; and

·  BIST 0661: Regression Methods for Public Health Studies; and

·  EPID 0563: Introduction to Outcomes Research

–OR–

·  EPID 0656: Intermediate Epidemiological Research Methods

ADVISOR SIGNATURE:______

Fieldwork II

Semester eligible to register:

QHCA students must meet the following criteria for Fieldwork II registration eligibility:

Completed all Fieldwork I requirements

Have an average GPA of 3.0 or higher

NOTES: