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Mr Epidemiology

No, I'm not a skin doctor

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comprehensive exams

Level up! Mr Epid is now Dr Epid!

My old lab got me a cake to celebrate!
My old lab got me a cake to celebrate!

I’m back! I took an extended hiatus from the blog while I finished up my PhD, but, at the end of March, I successfully defended my PhD, and after making the changes suggested by the examining committee I submitted in the middle of April and started working. Those of you following along on Twitter will recognize the change in my Twitter handle from @MrEpid to @DrEpid; those of you who know me in real life will have heard me go on about it for the last few months as I prepare. For those wondering, I will eventually change the URL of my blog as well so they all match 🙂

For those unaware of the process, the PhD defence is an oral exam. At Queen’s (the process may differ at other universities), you submit your thesis, and then have to wait (a minimum) of 25 business days for the exam. The exam consists of 4 examiners; an examiner external to your university, one external to your department, one from your department, and the final examiner is your department head (or a department head delegate). You also have a chair from another department from your institution, as well as your supervisors there. After you give a 15-20 minute presentation, the examiners ask their questions. Typically, there are two rounds of questions, after which you leave, and the examiners deliberate. You’re then called back in, and they let you know their decision, and any changes you have to make before submitting your final thesis. My examiners were amazing, and while the questions were tough, they were fair. I actually really enjoyed the discussion I had with my examiners during my defence, and they ranged from the details of my analysis, to the concept of “ethnic identity” and what it actually means in terms of my research.

I want to thank everyone for their support over the past 4 and a bit years. As per prior precedents (Janiszewski, 2010; Saunders, 2013), I will be copy-pasting the acknowledgements section from my thesis below. I’d also like to thank the PLOS Blogs network, especially Victoria Costello for giving me the opportunity to join the network, and Travis and Peter for their support and encouragement when I started blogging. In addition, thank you to my co-authors Beth and Lindsay here who picked up the slack when I took a hiatus this year to focus on finishing up.

Finally, a special thank you to all the readers of the blog. It’s been a privilege to write for you, and it means a lot when you tell me how much you enjoy my work. Thank you, and I’m looking forward to getting back into writing more regularly.

Acknowledgements

I would like to start by thanking my supervisors, Dr. Will Pickett and Dr. Ian Janssen. I am grateful to have had the opportunity to learn from you both, and appreciate your support through my PhD journey. Your honesty, integrity, and willingness to always provide me feedback and support was always appreciated. Will, I look forward to our teams meeting in the playoffs again (hopefully with better results for me this time!)

I would also like to thank those in the Department of Community Health and Epidemiology/Public Health Sciences and the Clinical Research Centre for their support, with a special thank you to Lee Watkins and Deb Emerton for their help. Thank you also to the Clinical Research Centre Student Group. Your antics, customized t-shirts, snack breaks, and random dance parties always kept me entertained, and it’s been a pleasure working with all of you. The Thought Tub is richer for having you.

This work would not have been possible without the financial support of Queen’s University, the Ministry of Colleges, Training and Universities Ontario Graduate Scholarship, and the Canadian Institutes of Health Research Frederick Banting and Charles Best Canada Graduate Scholarships Doctoral Award.

I would also like to thank my friends and colleagues, especially Anne, Kim, Raymond, Sarah, Alison, Hidé and Marion who have been unwavering in their support over the years. I also owe a special debt of gratitude to Rim, Lydia, Liam, Hoefel, Brian and the Gong Show/Danger Zone family for ensuring that I always get some physical activity, and that yes, I do even lift.

Finally, thank you to my family. Your love, support, guidance, and willingness to listen to me at all times of the day have allowed me to complete this project. Thank you.

So you want to be an Epidemiologist…

Last week, my Gradifying co-author Amanda highlighted how her degree is structured. Today, I’ll be talking about the degrees offered by the Department of Public Health Sciences.

There are six factors that differentiate programs: the degree structure, courses, comps, research project requirements, teaching and timelines.

 

The degree itself

In my program, research projects are wildly different in terms of substantive research area, and students come in with very different backgrounds. My lab buddy in my Masters had a degree in engineering, I had a background in Psychology, another colleague had a degree in political science. With these different interests comes different theses. I’ve seen students do molecular projects that are most similar to biochem/bio projects, students who have either obtained or are in the process of obtaining their MD that are clinical in scope (note: clinical research projects are also performed by non-clinicians), and then there are projects like mine that draw heavily from psychology and sociology. The intricacies are driven by the interests of the student and the supervisor. There is also the Master’s of Public Health program that is a course-based, professional degree offered within the Department of Public Health Sciences.

 

Courses requirements

For the MSc in Epidemiology program, students have to take 4 core courses, and 3 elective courses. Usually, students will complete all but one elective in their first year, and will take one elective in their second year. Core courses include biostatistics and research methods, both of which become vital to your career as an epidemiologist. In addition to this, they are expected to complete a Masters Research Thesis.

The Masters of Public Health program is structured as a professional program where students get a broad background in public health. Students in this program take seven core courses and three electives, as well as a skills class (that I have guest lectured). Finally, they complete a 16 week practicum over the summer after their first year.

The PhD is completely different. We have one full-year seminar course, and one advanced biostatistics course. The course requirement is relatively light in that regard – if you want further, specific, training, you can seek that out yourself.

 

Comps

As I walk through the valley of the shadow of comps, I will fear no evil …

In the PhD Epi program, comps are scheduled to occur in the summer of your first year. They consist of a 4 hour open-book written exam that covers basic epidemiology principles. Following this, you are given a paper in your substantive area, and given two weeks to prepare two presentations. This forms the oral exam portion of the comps process, and is given to three professors in the department. For the first, the candidate is expected to present a 20 minute presentation where they summarize and critically evaluate the paper. Following this, they are asked questions about the paper and how the authors evaluated core epidemiology concepts. The second part of the exam requires the student to design and present an appropriate follow up study, addressing the shortcomings of the previous paper. The process takes between 90 minutes and 2.5 hours.

Typically, comps occur in late-June to early-July. The cohort of PhD students will typically study together from around April onwards, and there’s a certain solidarity that develops from going through this process together.

 

Research Project Requirements

For the MSc Epidemiology program, students are required to submit a 2 page outline of their project. Upon approval of the outline, they then prepare and submit a 20 page proposal. The proposal forms the basis of an open oral defence, where peers can ask questions. There is also a designated faculty member who acts as a reviewer for the project. Once the student passes their oral proposal defence, they can then continue with their project. Finally, they have a Masters thesis defence, where they present their work to an examining committee, consisting of 1) a professor external to the department, 2) one internal to the department, and 3) the department head (or someone in their stead).

The PhD in Epidemiology follows a very similar process, except everything is bigger. Students submit a 5-6 page outline, followed by a 20 page proposal of the project. Again, the proposal is followed by an oral exam, with two faculty members acting as reviewers as opposed to one in the Masters program. Once approval has been granted, the candidate now proceeds with their project, culminating in a PhD dissertation. This is defended to a committee consisting of a professor external to Queen’s in addition to the members of the Masters defence committee.

At both the outline and proposal stage, students are given feedback that they can consider with their supervisors as they move forward. Due to the variability in projects, there are no expectations around the number of manuscripts that you should produce, although I’ve seen Masters students produce 1-2 from their thesis work, and more if they did RA work. Doctoral candidates aim for 3-4 core manuscripts, and again, produce more if they work as an RA. These can be written while in the program, which results in a “manuscript-style” thesis (see mine here), or a “traditional” thesis, where, after defending, the student will prepare manuscripts for publication. My Masters was a manuscript based thesis, and my PhD will be as well, but this really varies on the project and whether this is feasible for you. My PhD fits nicely into four self-contained projects, and so publishing as I go was the best way to approach my PhD (you can read more about the first study from my PhD here, and the Queen’s press release here).

 

Teaching and Supervising

There’s no undergraduate program in epidemiology, and so teaching opportunities are limited. That being said, there are lots of opportunities to be a TA for graduate courses, and there are undergraduate courses that are offered. Many of the TA positions include opportunities to lecture and lead small group tutorials, which makes them a lot of fun and rewarding. Perhaps the most fun is the ability to really tailor your tutorials and classes to your own style and interests – I’ve taught several classes using data from the NHL to illustrate basic statistical concepts (what are the average number of goals scored, what’s the modal number of goals scored, why are they different).

 

Timelines

This is really left up to the student and supervisor – the department asks for progress reports by semester, but the onus is on the student and the supervisor to stick to the timelines set out in the proposal. I meet with my supervisors as required, and so we have gone 2-3 months without meeting in person if I’ve been working on a specific aspect of the project, and more often if I need feedback from them as I’m working through something. However, we touch base by email often, and this works well for us. Your mileage may vary – other students and supervisors work best with regularly scheduled meetings.

 

So while this is my experience in graduate school, I would suggest meeting with the department and potential supervisors if you are interested in joining the Department of Public Health Sciences. These are some of the core requirements and expectations, but these do change over time, and so if you’re finding this a year or more from now, be sure to check what the current requirements are.

 

This post was originally published on Gradifying

On overcoming writer’s block

This is a cinder block.
This is a cinder block.

The setting is your office. You’re bathed in the dull glow of your computer screen, staring at a blank page in Word, trying to write a paper.

Blink.

Blink.

The cursor is watching you, mocking you, laughing at your inability to get words out.

Blink.

Blink.

Your mind locks up as you wonder “what do I have to say?” The more you try to force out words, the harder it becomes, and eventually the frustration leads to you sitting there, at your desk with your head in your hands, wondering how you’ll ever finish.

Blink.

You then Google “how to overcome writers block” and end up on this post.

The official name for this is the "? block"
The official name for this is the “? block”

Writer’s block is a tough thing to deal with, but one we’ll all have to tackle at some point – either at the start of our training while we’re writing outlines and proposals, at the end when we’re writing up manuscripts and theses, or afterwards, as we’re working on papers and other documents. So the question becomes, how do you deal with it?

Now, I’m going to state the obvious here, but it’s a necessary point: The hardest part of writing is starting to write. Once you start though, it becomes infinitely easier to get content out onto the page. To help you kick start your writing process, I’m going to give you a few tips, and as always, I’d love to hear what you do to overcome writers block when it hits in the comments.

1) Isolate yourself. Remove all distractions – phone, coworkers, cats, get rid of it all. You want to be able to focus exclusively on writing. The fact is that if you have an easy out, you’re more likely to take it, i.e. “I’m stuck, I wonder if anything has changed on Facebook in the past 3 minutes? And this Buzzfeed article seems great, and look at what this cat is doing…” It’s tough to start writing, and removing distractions means you’ll struggle through those tough parts rather than put it off and do something else. You need to power through this part.

2) Talk it out. This one sounds strange, but is one of my favourites and has been hugely effective for me. Occasionally, I’ll close my office door, stand up, and pretend I’m giving a talk about whatever it is I’m writing about. Now only does this get you thinking about the topic at hand, but without the intimidation of the cursor and blank word document staring at you, it is easier to just get your ideas out. Be organic: stand up, pace back and forth, talk like you normally would, and don’t focus on the minutia of your project. Talk about the broad strokes and the flow of your arguments, and see if they helps you over the initial hurdle.

Alternative: Grab a coworker, go for coffee, and outline your paper/idea to them. Tell them their job is not to have a conversation with you – their job is to ask questions and prod you when you get stuck, and help you jump start your writing. Obviously, you owe them coffee/donut(s) for listening to you 🙂

TUPAC SHAKUR
Tupac Shakur released a song called “My Block” (click to listen)

3) Write an outline. For those who don’t like talking things out, this is an effective alternative. Sketch down the key points you want to make in each paragraph, and write as much information about each paragraph as you can without losing momentum. Even if you do talk it out, this is a good way to conceptualize your work. By the end, you should have something like this:

Paragraph 1: Open with a scene about writers block
Paragraph 2: Describe writers block, transition into list
Paragraph 3: Start outlining key points
etc

This is an engine block.
This is an engine block.

4) Start writing. Don’t think about grammar, phrasing, punctuation or language rules. Just get words out. Ignore word choices, ignore making things sound “professional.” Just get those ideas out and onto the page. At this point you want to have something out there to look at and critique, and hopefully, if you followed steps 1 through 3, you’ve got a few ideas up your sleeve now. Remember: the ideas don’t have to flow. You can write two distinct paragraphs, making two very different points, and that’s fine. You can go back later and fine tune things. Again, all you’re trying to do here is get something out onto the page that you can work with.

5) Do something else. Up until this point, I’ve talked about isolating yourself and focusing on writing. Here, I’m going to suggest leaving it, but with one caveat. Go and do something else that gets you moving, but not something that engages you entirely – something like cooking, cleaning, going for a run, lifting weights etc. Something that allows you to get yourself up, but without taking your full attention. There’s a reason why we have our best ideas in the shower, and turns out it’s because of the combination of 1) the release of dopamine, 2) being relaxed, and 3) being distracted enough that your subconscious can engage and work on a problem, results in you being more creative (science here)

mutombofingerwag
Dikembe Mutumbo was famous for his ability to block

Before you know it, you’ve got an outline, some body text and a fleshed out idea of what you want to say, and that’s half the battle right there. After you’ve got a skeleton to work with, it becomes a lot easier to start writing, and begin building your arguments.

How do you deal with writer’s block?

This piece was published simultaneously on Gradifying.

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