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CHEP 801.3: Epidemiology II

This course is intended to build upon the foundational knowledge gained in CHEP 800 (Epidemiology) and CHEP 805 (Biostatistics) – building upon topics of bias, epidemiologic study design, inferential and descriptive statistics, and statistical model building. Course topics include: causation, bias, multivariable modelling, critical appraisal, study design, and “new” techniques in epidemiology (machine learning and predictive modelling). Methods of instruction will feature lectures and interactive lab sessions. Focus will be on the understanding of modern epidemiological practice and analytical skills in order to conduct independent public health practice and research.

Prerequisites

CHEP 800 (Epidemiology) or PUBH 800 (Epidemiology) AND CHEP 805 (Biostatistics I) or PUBH 805 (Biostatistics I); or permission of the instructor

Learning Outcomes

By the completion of this course, students will be able to

  • Apply concepts of causal reasoning in epidemiology research, including the use of Directed Acyclic Graphs and a counterfactual approach.
  • Critically assess epidemiological study design, analytical methods and results.
  • Construct a research question, devise an appropriate study design and conduct data analyses
  • Conduct appropriate data management and visualization activities
  • Effectively communicate research findings, both orally and in writing
  • Critically assess and apply modern epidemiologic methods, such as causal inference and machine learning, appropriately

Land Acknowledgement

I acknowledge our shared connection to the land and recognize that First Nations and Métis peoples on Treaty 6 Territory and all Indigenous peoples have been and continue to be stewards for social justice, equity, and land-based education. In the spirit of reconciliation may we all strive to learn and support the work of Indigenous communities as allies and return their land.

COVID-19

The Department of Community Health and Epidemiology strives to be a leader in COVID-19 prevention. This is both an individual and collective challenge. If you feel sick or unwell, please do not come to class. Every accommodation will be made to support your learning if you are not able to come to class in person. If University of Saskatchewan policy regarding COVID-19 change during the course, I will update you as soon as possible and we will adapt the course as needed.

Artificial Intellgience

There is no general policy on AI tools at the University of Saskatchewan (December 11, 2023). The University has developed high level guidance based on the European Network for Academic Integrity (ENAI) recommendations. They are summarised below

  1. Acknowledge AI tools: “All persons, sources, and tools that influence the ideas or generate the content should be properly acknowledged” (p. 3). Acknowledgement may be done in different ways, according to context and discipline, and should include the input to the tool.
  2. Do not list AI tools as authors: Authors must take responsibility and be accountable for content and an AI tool cannot do so.
  3. Recognize limits and biases of AI tools: Inaccuracies, errors, and bias are reproduced in AI tools in part because of the human produced materials used for training.

AI Rules for this course

In general, my opinion is that you should exploring these tools, what they can do, and how you can integrate them into your work. These tools are great for editing, formatting, generating ideas, and writing very basic code. Not sure where to start, here is a list of tools https://www.futurepedia.io/. It's critical that when you use these tools you are very aware of bias and that you intervene to correct the text. Here are my general rules for AI in this course.

  • Can use AI tools for any or all parts of the work.
    • If you do you must cite your work (as above).
    • If you do you must include a 500 word reflective essay about the experience as part of your self-evaluation.
  • Be very careful with reference. Many of these tools just make up random references.
  • I will not use tools like GPTZero to detect whether you have used AI tools or not. We are making a agreement to be honest with each other here. This is small class. We have that luxury.
Week Date Topic Data Work
1 January 10 Intro/Epi Review Intro R/Stata
2 January 17 Descriptive Epi and Study Design Data Wrangling
3 January 24 Bias Data Visualization
4 January 31 Confounding Quantitative Bias Adjustment
5 February 7 Direct Acyclic Graphs (DAGs) Causal Quartet
6 February 14 Causal Inference Counterfactuals
7 February 21 Reading Week
8 February 28 Epi Communication Logistic Regression
9 March 6 Overview of Statistical Models Linear Regression
10 March 13 Model Assumptions, Diagnosis, and Fitting Model Assumptions
11 March 20 Interaction/Effect Measure Modification Effect Measure Modification
12 March 27 Spatial Statistics + Multilevel Modelling Multilevel Modelling - Coming Soon
13 April 3 Student Presentations
  • Subject to change depending on speed

Required Resources

Readings/Textbooks

There is no one text for this course – lectures benefit from the following texts and articles. Students wishing to pursue employment as an epidemiologist and/or conduct independent epidemiological research may wish to purchase one or more of the resources; reading relevant sections of textbooks in the U of S library holdings is perfectly acceptable. Using the 3rd edition of the book is acceptable as well. However, versions older than the 3rd will not include many of the topics we cover in the class.

Szklo M, Nieto FJ. Epidemiology: Beyond the Basics (4th edition). Burlington, Mass: Jones & Bartlett, 2018. Textbooks are available on reserve at the Health Sciences library or you may wish to purchase one or more resources from the University of Saskatchewan Bookstore for future reference: http://www.usask.ca/bookstore/

Hernán MA, Robins JM (2020). Causal Inference: What If. Boca Raton: Chapman & Hall/CRC. Free Online.

Other Required Materials

Use of a statistical software program (Stata, R) is required for this course.

Course examples will be provided in Stata and R. Statistical software, including Stata, is available in the health sciences computer lab for all students with a valid USask NSID and password.

Remote access: students can access statistical software programs, including Stata, using the virtual computer laboratory https://vlab.usask.ca/EricomXml/accessportal/start.html#/login

Grading Scheme

Assignment Grade
Data Wrangling and Descriptive Statistics 10%
Bias 15%
DAG (Directed Acyclic Graphs) 15%
Logistic Regression – Focus on confounding 15%
Linear Regression – Focus on effect measure modification 15%
Epi Communication – Part 1 (One Pager) 15%
Epi Communication – Part 2 (Oral Presentation) 15%
Total 100%

Evaluation Components

Assignment 1: Data Wrangling and Descriptive Statistics

Value: 10% of final grade
Due Date: January 26, 2024
Description: Students will be expected to create an epidemiological plan for monitoring the impact of COVID-19 at the population-level using a data-driven approach. Assignment details, including a template and specific requirements, will be provided.

Assignment 2: Bias

Value: 15% of final grade
Due Date: February 9, 2024
Description: Students will perform the detection and description of selection and information bias and evaluate the extent of bias.

Assignment 3: DAG

Value: 15% of final grade
Due Date: March 1, 2024
Description: Students will structurally evaluate confounding and bias using Directed Acyclic Graph.

Assignment 4: Epi communication 1

Value: 15% of final grade
Due Date: March 15, 2024 Description: Students will interpret and create a written communication document from the results of a regression analysis.

Assignment 5: Logistic regression and confounding

Value: 15% of final grade
Due Date: March 29, 2024
Description: Students will perform model fitting and diagnosis for logistic regression, followed by the investigation, interpretation, and visualization of confounding.

Assignment 6: Linear regression and effect measure modification

Value: 15% of final grade
Due Date: April 12, 2024
Description: Students will perform model fitting and diagnosis for linear regression, followed by the investigation, interpretation, and visualization of interaction and effect measure modification.

Assignment 7: Epi communication 2

Value: 15% of final grade
Due Date: April 3, 2024
Description: Students will present on an epidemiological topic of interest to them and provide critical information for communicating to different interest groups in public health.

Course Data

In this course we will use the CanPath Student Dataset that provides students the unique opportunity to gain hands-on experience working with CanPath data. The CanPath Student Dataset is a synthetic dataset that was manipulated to mimic CanPath’s nationally harmonized data but does not include or reveal actual data of any CanPath participants.

The CanPath Student Dataset is available to instructors at a Canadian university or college for use in an academic course, at no cost. CanPath will provide the Student Dataset and a supporting data dictionary.

  • Large sample size (Over 40,000 participants)
  • Real-world population-level Canadian data
  • Variety of areas of information allowing for a wide range of research topics
  • No cost to faculty
  • Potential for students to apply for real CanPath data to publish their findings

University of Saskatchewan Grading System (for graduate courses)

Information on literal descriptors for grading at the University of Saskatchewan can be found at: https://students.usask.ca/academics/grading/grading-system.php#GradingSystem Please note: There are different literal descriptors for undergraduate and graduate students.

More information on the Academic Courses Policy on course delivery, examinations and assessment of student learning can be found at: http://policies.usask.ca/policies/academic-affairs/academic-courses.php The University of Saskatchewan Learning Charter is intended to define aspirations about the learning experience that the University aims to provide, and the roles to be played in realizing these aspirations by students, instructors and the institution. A copy of the Learning Charter can be found at: http://www.usask.ca/university_secretary/LearningCharter.pdf

The following describes the relationship between literal descriptors and percentage scores for courses in the College of Graduate Studies and Research:

90-100 Exceptional

A superior performance with consistent strong evidence of

  • a comprehensive, incisive grasp of subject matter;
  • an ability to make insightful, critical evaluation of information;
  • an exceptional capacity for original, creative and/or logical thinking;
  • an exceptional ability to organize, to analyze, to synthesize, to integrate ideas, and to express thoughts fluently;
  • an exceptional ability to analyze and solve difficult problems related to subject matter.

80-89 Very Good to Excellent

A very good to excellent performance with strong evidence of

  • a comprehensive grasp of subject matter;
  • an ability to make sound critical evaluation of information;
  • a very good to excellent capacity for original, creative and/or logical thinking;
  • a very good to excellent ability to organize, to analyze, to synthesize, to integrate ideas, and to express thoughts fluently;
  • a very good to excellent ability to analyze and solve difficult problems related to subject matter.

70-79 Satisfactory to Good

A satisfactory to good performance with evidence of

  • a substantial knowledge of subject matter;
  • a satisfactory to good understanding of the relevant issues and satisfactory to good familiarity with the relevant literature and technology;
  • a satisfactory to good capacity for logical thinking;
  • some capacity for original and creative thinking;
  • a satisfactory to good ability to organize, to analyze, and to examine the subject matter in a critical and constructive manner;
  • a satisfactory to good ability to analyze and solve moderately difficult problems.

60-69 Poor

A generally weak performance, but with some evidence of

  • a basic grasp of the subject matter;
  • some understanding of the basic issues;
  • some familiarity with the relevant literature and techniques;
  • some ability to develop solutions to moderately difficult problems related to the subject matter;
  • some ability to examine the material in a critical and analytical manner.

<60 Failure

An unacceptable performance.

Program Requirements

  • Percentage scores of at least 70% are required for a minimal pass performance in undergraduate courses taken by graduate students;
  • Percentage scores of at least 70% are required for a minimal pass performance for each course which is included in a Ph.D. program;
  • Percentage scores of at least 70% are required for a minimal pass performance in all courses used toward JSGS Public Policy and Public Administration programs and all core courses for Master of Public Health students, whether included in a Ph.D. program or a Master's program;
  • For all other graduate courses, percentage scores of at least 60-69% are required for a minimal pass performance for each course which is included in a Master's program, provided that the student's Cumulative Weighted Average is at least 70%;
  • Graduate courses for which students receive grades of 60-69% are minimally acceptable in a Postgraduate Diploma program, provided that the Cumulative Weighted Average is at least 65%;
  • Students should seek information on other program requirements in the Course & Program Catalogue and in academic unit publications.

Submitting Assignments

Submit via Canvas.

Student Feedback

Will occur throughout the course via anonymous “start/stop/continue” assessments following lectures/lab. Also welcome via email or in-person at any time.

Integrity Defined (from the Office of the University Secretary)

The University of Saskatchewan is committed to the highest standards of academic integrity and honesty. Students are expected to be familiar with these standards regarding academic honesty and to uphold the policies of the University in this respect. Students are particularly urged to familiarize themselves with the provisions of the Student Conduct & Appeals section of the University Secretary Website and avoid any behavior that could potentially result in suspicions of cheating, plagiarism, misrepresentation of facts and/or participation in an offence. Academic dishonesty is a serious offence and can result in suspension or expulsion from the University.

All students should read and be familiar with the Regulations on Academic Student Misconduct (https://secretariat.usask.ca/documents/student-conduct-appeals/StudentAcademicMisconduct.pdf) as well as the Standard of Student Conduct in Non-Academic Matters and Procedures for Resolution of Complaints and Appeals (http://www.usask.ca/secretariat/student-conduct-appeals/StudentNon-AcademicMisconduct.pdf)

For more information on what academic integrity means for students see the Student Conduct & Appeals section of the University Secretary Website at: http://www.usask.ca/secretariat/student-conduct-appeals/index.php

Examinations with Access and Equity Services (AES)

Students who have disabilities (learning, medical, physical, or mental health) are strongly encouraged to register with Access and Equity Services (AES) if they have not already done so. Students who suspect they may have disabilities should contact AES for advice and referrals. In order to access AES programs and supports, students must follow AES policy and procedures. For more information, check www.students.usask.ca/aes, or contact AES at 306-966-7273 or [email protected].

Students registered with AES may request alternative arrangements for mid-term and final examinations. Students must arrange such accommodations through AES by the stated deadlines. Instructors shall provide the examinations for students who are being accommodated by the deadlines established by AES.

Student Supports

Student Learning Services

Student Learning Services (SLS) offers assistance to U of S undergrad and graduate students. For information on specific services, please see the SLS web site http://library.usask.ca/studentlearning/.

Student and Enrolment Services Division

The Student and Enrolment Services Division (SESD) focuses on providing developmental and support services and programs to students and the university community. For more information, see the students’ web site http://students.usask.ca.

Financial Support

Any student who faces challenges securing their food or housing and believes this may affect their performance in the course is urged to contact Student Central (https://students.usask.ca/student-central.php).

Aboriginal Students Centre

The Aboriginal Students Centre (ASC) is dedicated to supporting Aboriginal student academic and personal success. The centre offers personal, social, cultural and some academic supports to Métis, First Nations, and Inuit students. The centre is also dedicated to intercultural education, brining Aboriginal and non-Aboriginal students together to learn from, with and about one another in a respectful, inclusive and safe environment. Students are encouraged to visit the ASC’s Facebook page (https://www.facebook.com/aboriginalstudentscentre/) to learn more.

International Student and Study Abroad Centre

The International Student and Study Abroad Centre (ISSAC) supports student success in their international education experiences at the U of S and abroad. ISSAC is here to assist all international undergraduate, graduate, exchange and English as a Second Language students and their families in their transition to the U of S and Saskatoon. ISSAC offers advising and support on all matters that affect international students and their families and on all matters related to studying abroad. Please visit students.usask.ca for more information.