MPH student Stacia Simmons talks about her Applied Practice Experience



Q: Are your experiences different from what you expected?

A: Yes. with everything being shut down due to COVID-19, I wasn’t sure what to expect as far as my experience. I originally expected to be doing work with the Narcan and Prep program at CUPHD, however that shifted once Illinois was ordered to shut down. Shortly after, I was notified that everything would be done remotely and that my role at CUPHD would have to change. Fortunately, the Champaign Public Health Department offered me a position to work onsite as a contact tracing intern. In addition, Howard Brown Health Center in Chicago also offered me a remote contact tracing intern position, and I gladly accepted both positions. My experience so far has been amazing in that the work that I am doing directly aligns with my career interest which is infectious disease prevention/treatment. Therefore, being able to gain firsthand public health experience and to also be able to do my part in helping stop the spread of covid19 has been wonderful. It is also great in that working for two different health departments allows me to serve two different populations and it’s also very interesting to see the differences in approach in regard to the roles of contact tracers between both health departments. Both have exceeded beyond my expectations. Overall, it’s a blessing to be interning at both departments.  

Q: You have worked in two facilities doing contract tracing. What differences have you noticed between them? 

A: There is a big difference between the population that we serve through CUPHD than at HBHC. Chicago is a much bigger city with a lot more cases, therefore the roles of a contact tracer are slightly different also how things are structured. At CUPHD, the contact tracing unit is split into teams. They have a group of staff who conduct interviews, a group of staff that complete contact tracing and another group of staff that handle data entry and logistics. Contact tracers at CUPHD are in charge of completing daily wellness check calls to isolation and quarantine cases, while interviewers conduct interviews with confirmed cases to identify close contacts. At HBHC, there is one big team of contact tracers whose role is to conduct interviews and identify close contacts however, they do not follow up with cases as CUPHD does. With so many confirmed cases and a need for more contact tracers within the Chicago area, much of our time spent as contact tracers are obtaining information about close contacts. 

Q: Does your APE work lead you to think about a different career path?

A: No, in fact it reassures me that I am in the right career path for me. 

Q: What happened to your original APE?

A: Originally, it was planned for me to take part in a different role at CUPHD, however things shifted to working remotely. Fortunately, they have still allowed me to work onsite as a contact tracer instead. 

Q: Are you working remotely?

A: For HBHC, yes, I am but, for CUPHD, I work onsite. 

Q: Has anything been frustrating about your change in APE status?

A: In the beginning I was a bit nervous because I wasn’t sure what to expect, however things have turned out very well for me. I am fortunate to have not experience anything frustrating about the change. 

Q: What are you missing out on because of the pandemic, in terms of working face-to-face with people?

A: In working remotely with HBHC it doesn’t allow for me to have the onsite experience as I have with CUPHD, however I am still able to interact and network with other contact tracers as we all have a weekly meeting where we all get to touch base. Overall, it works out that I am able to work remotely from home for HBHC, seeing that I reside in the Champaign area. 

Q: What advice do you have for future students who might have disrupted internships or APEs?

A: Make the best out of every experience. Yes, it can be very frustrating to have your internship disrupted, however there are other opportunities out there for you to take advantage of. Public health is a broad field filled with plenty of opportunities and it is vital that you put yourself out there and connect and network with others in which will open more opportunities for you later. Be open and flexible to change because it could be a blessing in disguise. 

Q: What other ways has COVID-19 affected you? Have you traveled? Have you been able to go home, see family?

A: COVID-19 has definitely made it interesting in my household as I balance internship duties, and being creative in keeping life interesting and fun for my wonderful seven-year-old son. I haven’t traveled much as I am very busy with both internships and also working part-time as a preschool teacher. I am what you call a “towny”—Champaign is where I was born and raised, and luckily all of my family still resides here in town as well so I am able to see them.   

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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MPH student Edson Flores talks about his Applied Practice Experience



Q: What are you doing this summer?

A: Partnering with a current PhD student, we are conducting bilingual cognitive interviews to increase the strength and reliability of a questionnaire targeting Mexican immigrants in the Midwest. Previous coursework from the MPH program has taught me the influence intersectionality has on patterns and choices people make especially when it comes to the foods they consume. I am fortunate to have received a well-rounded education from our MPH faculty. I am actively applying my Public Health knowledge throughout this summer internship!

Q: How are your experiences different from what you expected? 

A: Originally, I expected to go to my summer APE for 7-8 hours every weekday working in a facility. However, my APE is remote which means there is a lot more independence when completing the work. Most of the work is done virtually, even the check-ins, which is something I was not anticipating.   

Q: Are you doing something different for your APE than what you trained for? 

A: No. My APE is research-based and that is something I am very interested in. I am part of a research lab on campus working with one of our MPH faculty so I am fortunate to have found a summer internship where I can use the skills I learned. 

Q: Does your APE work lead you to think about a different career path?  

A: Like mentioned earlier, my APE placement involves data collection and data analysis. My career path involves practicing and publishing my own research, therefore, my APE work is providing me with additional experience before I enter my PhD program. 

Q: What are you missing out on because of the pandemic, in terms of working face-to-face with people? 

A: One noticeable factor that is affected due to the pandemic is the inability to work face-to-face with participants. My APE involves administering questionnaires which were traditionally meant to be done in person. However, due to the current circumstances, we are using phone or video calls instead. Ideally, I would have liked to have met with the participants so they could have had a familiar face throughout the process. 

Q: What advice do you have for future students who might have disrupted internships or APEs? 

A: My advice to future students who may find themselves with disrupted APEs is to be creative. One thing that this pandemic has taught me was that there are alternative ways to produce the same work. My original plan was to administer questionnaires in person, but we had to think creatively and figure out new ways to achieve the same results. Our faculty are very resourceful so if you ever find yourself in that position, do not hesitate to use your resources!

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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MPH alums are on the front line of the pandemic battle



Graduates of the Master of Public Health degree program in the College of Applied Health Sciences are finding themselves on the front line in the battle against COVID-19. And thanks to their University of Illinois education, they are better-equipped to handle a pandemic for which few could have been prepared.

Ken Borkowski, a 2012 MPH graduate, is working for the Michigan Department of Health and Human Services, conducting contact tracing with known cases of COVID-19 within the Metro-Detroit area. He credits his ability to succeed in the job in part because of what he learned in the MPH program.

“Going back to the basics of EPI 101, it kind of goes back to how this disease moves, and collecting all the information that’s necessary to give us accurate models of how things are going to look and progress, and what do we need to do to inform the public-health work that we do here in Michigan.”

Borkowski’s job involves calling people dealing with COVID-19—or their family members if the patient is too ill—and collecting information.

“Some of the key things that we’re looking at now is onset date of symptoms, as well as have people been able to quarantine and then did they go to any sort of high-risk areas such as nursing homes, long-term-care facilities, childhood daycare centers, and so on.”

Teresa Castaneda, who graduated from the MPH program in 2019, has a similar job as a communicable disease investigator for the Champaign-Urbana Public Health District, and also gives credit to her Illinois experience.

“The (epidemiology) knowledge and biostatistics prepared us for how a pandemic is going to come in waves, how we can track cases. There’s really no way to prepare for this, but just knowing the science and the (epidemiology) behind it really helps,” she said.

Castaneda started at CUPHD as a case manager for HIV patients, and was working with a communicable diseases investigator for routine communicable disease cases.

“I assist her when we have someone who tests positive for e-coli or salmonella, or hepatitis B or C, so I’m used to doing that type of investigation.” But she wasn’t surprised when the pandemic hit, or by getting pulled into that type of investigation.

“I’ve been involved in these conversations since right around Christmastime,” she said. “We’ve been having ‘When-it-comes-to-Champaign-County conversations,’ not ‘If-it-comes-to-Champaign-County conversations.”’

Derrius Carter is also a 2019 MPH grad and working for CUPHD in contact tracing and as a public information officer. Part of his job is akin to what Borkowski and Castaneda are doing, but Carter also has a public-facing role.

“What we do is create and provide guidance,” Carter said. “How to grocery shop, how long people should stay home.” Like Castaneda, Carter’s background was more involved with HIV and other infectious disease.

“But we have to be mindful about how all the variables intersect, and create avenues in which we can educate people about both HIV and COVID-19.”

One of Carter’s task is engaging in community-based risk reduction.

“Like using dating apps,” he said. “Just because COVID-19 is around, it doesn’t mean people aren’t being sexually active; so talking about how to reduce their risk of contracting COVID-19, in addition to contracting HIV.”

Like Borkowski and Castaneda, Carter credits his MPH education for getting him ready as he could be.

“We had some classes that touched on emergency preparedness, but I don’t think anybody can prepare you for doing the work,” he said. “Moreso learning the different mechanisms to respond. But when you’re actually in it, it’s a little bit different.”

One thing the MPH alums agree on is that their knowledge and healthcare experience have caused them to approach their personal lives with a high degree of COVID-19-related care.

“Because I take this very seriously, I have not been in a grocery store in so long,” Carter said. “I just feel like it makes the most sense. Limiting my risk. I haven’t been to the gym in quite some time. I knew gyms weren’t practicing social distancing.”

Castaneda also tries to limit her time outside.

“Definitely going less frequently (to the grocery store),” she said. “My husband and I, one of us goes once a week. I pretty much go to work, and go to the store once a week.”

The MPH alums are heeding their own advice, but they are most concerned that some people are listening to advice from less-reputable sources.

“Misinformation is most alarming for me,” Carter said. “I’ve gotten calls from people asking, ‘Oh, I can hold my breath for a minute. Does that mean I don’t have COVID-19?’ And I’ve gotten calls asking if a specific demographic is immune.

“And that’s alarming to me because then it means people aren’t taking it as seriously. (Director of the National Institute of Allergy and Infectious Diseases) Dr. (Anthony) Fauci has been continuously been on a media campaign to spread information about COVID-19, but it’s Facebook articles that people are adhering to, and not his guidance.”

Castaneda agreed.

“The public’s response … I didn’t expect the craziness.”

The Illinois graduates remain hopeful the crisis can end in the upcoming months, but are imploring people to follow state and federal guidelines.

“Pandemics come in waves, and we see that historically,” Castaneda said. “So I don’t think when we get to the end of the downturn of this one, that will be the end of COVID-19, but social distancing and washing your hands are the best things you can do for yourselves.

“Look at the amount of flu outbreaks we have every year, and think about what social distancing and hand-washing could do to those. I do hope in a couple of months we will return to some normalcy,” she said.

“My advice for anybody who wants good information is follow your local health department or the state, we always have the best stuff.”

Now engaged in the worst pandemic since the outbreak of H1N1 in 2009, Michigan-native Borkowski is grateful for what he learned at Illinois.

“There’s been times where people that ask me, ‘Do you regret going out of state for school and doing your degree elsewhere and so on? And given everything that my schooling has led me to and got me into the field that I’m in and working in the job that I’m currently working, it was all well worth it. I definitely appreciate knowing that I have such a profound impact on the community that I’m trying to help and serve.”

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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