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Preparing Health, Medical and Science Journalists for the Future
Journalist Resources
2005 | 2004 | 2003 | 2002 | 2001 | 2000 | 1999 | 1998 | 1997 | 1996 | 1995 | 1994

Fostering Advanced Education and Training: Initiatives for Higher Education in Health, Medical and Science Journalism

Core Studies
Internships,Field Visits and Mentoring
Mentoring Programs
Internships and Practical Assignments
New Approaches to Teaching and Field Work

The faculty, students and journalism professionals in the program identify curriculum priorities and innovations at the universities and colleges to improve the education and training of future print and electronic journalists in the health, medical and science specializations. The following is a sampling of some of the ideas and my additional suggestions for broader consideration after three years of directing the program.

Core Studies

Students should have strong basic reporting, editing and writing skills, and a good overview of the history and major trends in science, medicine and health. General understanding is needed in biostatistics, epidemiology, research methodologies and statistical analysis to distinguish solid from incomplete or questionable research findings.

They should master library research methods to quickly access multiple sources from respected research journals, the general and trade press. The uses of databases from online and compact disk materials is essential, as is knowledge of the Internet. In 1996, the Merck awards seminars at Rutgers added hands-on Internet and online workshops at the School of Communication, Information and Library Studies computer laboratories, and with specialists from the university's libraries and journalism/communication faculty as instructors.

Shannon Martin, a Rutgers University assistant professor in the Department of Journalism and Mass Media and a former reporter who specializes in online resources for journalists, participated in the Rutgers workshop and illustrated web sites that can be found on health and medical information through Netscape searches.

She and colleagues at the workshop including Jon Oliver, Assistant Dean in SCILS for computer resources, and Nancy Roth, then an assistant communication professor in the school who demonstrated interactive communications media, all cautioned the students to treat information on the World Wide Web and the Internet with a very critical eye as to source and reliability. How frequently was the information updated, and were reliable sources used and clearly documented?

Martin cautioned that misinformation in a newspaper article can be instantly recorded in a database with dozens of other publications unknowingly repeating it almost immediately. She makes her students check and recheck sources and quotes, and says: "They simply should use the online references as a vehicle for knowing it exists, but not as a carved in stone truthful(ness)." It is also important to "cite, cite, cite attribute, attribute, attribute," to properly credit the intellectual property of others, she said.

Myoung Chung Wilson and Helen Hoffman, library specialists at Rutgers University, led an afternoon hands-on session in the computer laboratory in which health and medical resources were shown in online and Internet modes, and the participants then conducted individual searches.

This practical computer exposure, with more advanced workshops and seminars introduced as people progress in skills competence, is a valuable part of any science journalism program.

Journalism students should complete their major and a second area of studies or dual major which provides opportunities for broader liberal arts and special studies in the health, medical and science fields. Collaborative courses co-taught by the journalism program and the medical school or selected science departments should be encouraged. This could also foster mentoring efforts between scientists and medical/health specialists and advanced journalism majors or professional journalists wishing to develop specialization.

Future journalists should master newer media interactive technologies and multimedia skills for combining text, audio, video and graphics as new career opportunities open up in the computer based online and Internet worlds of cyberspace. Fundamental training in the audio and visual communication sectors will give students greater options to consider careers in print, television or radio, as well as the emerging newer media.

Quality writing is a prized skill that should be nurtured by reading contemporary and classical literature, a lifelong habit nourished in college. Business and financial journalism is increasingly intertwined with scientific, medical and health reporting, and students should have a grasp of this interaction.

Ethics and the range of social, economic and political responsibilities of both journalists and the people they cover in health, medicine and science ought to be high on the study agenda. Alliances can be developed with institutes that focus on ethics, or with philosophy departments within the colleges.

Many of these topics converge in the current development of managed health care policy and implementation, which should be a prime topic of study and attention. During the first three years of our program, national policy initiatives to transform health care were under vigorous debate and major health maintenance plans were launched, sharply altering the composition of health care well into the next century. There was common agreement in the seminars with professional journalists that managed care will remain at the top of the news media's agenda, and innovative ways must be found to explain the issues, and put them in human terms of how individuals and families are affected.

Within the universities, journalism departments will find it useful to link up with other disciplines such as sociology, economics, history, political science, social work and community development to examine these topics and give their students a wider view of the issues.

Stephen Solomon, an Associate Professor in the Department of Journalism at New York University who has served in the university's Science and Environmental Reporting Program, believes the coverage of the Clinton legislation was a watershed in health/medical reporting-involving interrelationships with business, finance and government, sometimes with special interest advertising taking the upper hand. He faults the news media for not fully informing and explaining the issues. He urged the participants to analyze and learn from this experience, as the managed care and health policy issues return again and again.

Internships, Field Visits and Mentoring

A regular part of the awards program has been a visit with top research scientists at Merck & Co., Inc. each year. The scientists share their latest research in such areas as AIDS or osteoporosis, and the students and faculty have freewheeling discussions on the research, the methods and process of bringing new products to market and the societal implications. They also see the latest technologies such as elaborate computer modelling of cell structures that become targets for pharmaceutical intervention and talk with the specialists who create these tools.

The field visits are highly rated each year, and spark discussions about the importance of building such field visits into every journalism program concerned with health and science coverage. This can be done with guest lectures by outside experts, but is no substitute for field visits where the students see the scientists at work, and talk with them on their home ground.

Jon Ziomek, Associate Professor, Assistant Dean and Graduate Editorial Director at Northwestern's Medill School of Journalism, said his school is trying to recruit more students with science backgrounds, and also to get the journalism students into the laboratories alongside the scientists. He wants to see more emphasis on science journalism, with the classes better connecting with the broader, "big picture" issues of science. He also wants students in the science journalism classes to learn more about the business side of the health and medical industries.

Ziomek does not necessarily want science writers to be from the sciences, but feels they need a strong science background to reassure the public about the competence of a science or health journalist. Solomon agrees and says in longer, indepth stories, greater science background helps the journalist see the subtleties, shadings and nuances that might otherwise be missed.

Kenneth Goldstein, a recently retired professor at the Columbia University Graduate School of Journalism who has participated in the seminars for the last three years, said a comprehensive approach is important in areas such as environmental coverage, where not only the health and science issues, but the economics, politics and social values must be better understood by the students.

At Columbia, Goldstein devoted two days a week to an intensive science writing seminar in the spring, and brought the students on field visits for close-in discussions with scientists and interviews for stories. New York City is a good laboratory for science reporting. Goldstein emphasizes health reporting in his program and he uses visits to Mt. Sinai hospital to cover geriatrics and gerontology, for example, or class meetings with science journalists.

"Essentially, we learn by doing. You do science, you do writing, you cover stories," Goldstein says. "Start with relevance which is the key thing in every story. To get people to read a story you have to find some way of telling them why they need to know about it," he advises the students.

He values reporting told through the experiences of people affected by the larger health issues, laced with analogy, metaphor and simile in a language people can understand. He emphasizes the importance of multiple sources that are clearly cited in the stories. His students read deeply into the health and science journals and special publications, and contact groups such as the Scientists in the Public Interest.

As a young student, Goldstein himself went through a one-year special science journalism program at Columbia, doing intensive courses, even dissecting a body in anatomy. He favors a good masters program with a science reporting course, and then a one-year return to the university by journalists for an intensive fellowship to study science and reflect on the science journalism performance.

Christopher Callahan, Assistant Dean at the University of Maryland School of Journalism, said he learned a lot by listening to the students and others at the Merck seminar. He believes priorities include a focus on analytical thinking that will enable you to translate complex science issues into understandable ones; attention to the impact on readers; ability to find sources; internships and practical experience; and bringing a healthy skepticism to reporting.

He said it is necessary to create high quality journalists before letting them specialize; science writers should write stories that simply hold up as good journalism, aside from the topic, and a double major in science and journalism will be useful, with a life-long effort by journalists to continue learning and expand their knowledge in health and science.

Mentoring Programs

The seminar participants recommended that mentoring programs be established so that advanced undergraduate and graduate students can link up with specialists in their primary interests of health, medicine or science, and deeply explore issues from the multidimensional perspectives of how to best present news reports.

These programs can be not only for students, but newer journalists in the field who wish to develop or upgrade their knowledge as future reporting or editing specialists. These might also counterbalance a mood of distrust that some people describe between the sources-the health, medical and science communities-and the journalists when it comes to fears of being misquoted or misreported on one hand, and the concern by journalists of being manipulated or given partial or incorrect information. Some suggest it is not so much fear of being misquoted, as unhappiness with incomplete stories lacking adequate information on the sources for the research and the relevant methodology and statistics to put the story in context.

Howard Bray, Director of the Knight Center for Specialized Journalism at the University of Maryland's School of Journalism, who participated in the inaugural year of the awards program, believes that journalists at newspapers must present not only news and information that readers want, but introduce them to new topics that are unfamiliar but important to them. In this sense, reporters and editors play a significant role as an early warning device for developing issues.

To do this well, journalists need to be updated with specialized knowledge, and Bray said that at his center there is periodic attention to health and science issues. Through intensive seminars of several days to two weeks, Bray shows the connections, the context, content and perspective on topics such as cancer research or nuclear energy. The Knight seminars present the science and technology, the economics and the political dimensions while spotlighting the many pressure groups impacting on a science or medical issue.

Internships and Practical Assignments

Internships are of great importance to the students in developing their journalistic skills in the health and science fields, as well as practical reporting and writing assignments in their regular classes. Daniel Drolette, an NYU student winner, said that paid internships were especially important because they not only helped with school costs but also because the sponsoring organization took students more seriously if they were contributing stipends for the interns.

Several students advised shopping for the best internship as you would in seeking a job. Be sure there is a clear understanding of the duties and the opportunities to learn and develop skills, and know the quality of supervision and mentoring that a good internship should provide.

Linda Richards, a Columbia student winner, was a health educator and nutritionist before deciding to be a science journalist: "One of the main reasons I wanted to come do it is that I would feel the frustration of myself and also my clients who decided they didn't want to believe anything they have read, with all of the conflicts (in the reporting of research science findings)."

Lori A. Wolfgang, a student winner from University of Maryland, found it satisfying to research scientific studies appearing in the news media and measuring the accuracy of the statistics and research findings as reported. She also identified skills many students repeatedly cite as high priority-the ability to understand where scientists are coming from, and solid interviewing skills to get the best from them.

Rachel Donner, an award winner from Northwestern, brought a bicultural sensibility to the discussions as a Canadian studying science journalism in the United States. For her, an important issue was to translate complex scientific subjects into clearly understandable ones. Donner feels not having a science background helps since it forces her to approach stories with a need to understand them from the lay person's perspective, and put the reporting in a meaningful context of people's lives.

Brenda K. DeKoker, a student winner from New York University, displayed the feisty enterprise that drives many young journalists. She heavily researched a story on drugs used to induce abortion, stumbled on significant breaking news angles and was able to get Newsday in New York to use the story.

But the doctor who was the source of the story was disappointed with the tone in the published story, feeling the report seemed to water down his revelations. Undaunted, DeKoker went back to the doctor and interviewed him again_this time about the deficiencies he felt were in the story, and thus turned a negative into a positive learning experience for herself.

Kristen Bole, a Columbia student winner, welcomed the opportunity for field visits with scientists, and said the science writers have to be aware of needs of people on the streets. In her Columbia program, coverage of the South Bronx is done on a regular basis with publication of a weekly paper for the redeveloping urban area. "Find out what people are really interested in and find out what really affects people's lives. And if lead poisoning is a major issue in their community, then that is what you should write about," she said.

Victoria Forlini, a Northwestern student winner, described practical assignments in science reporting that helped her: from writing about the nature of a curve ball in baseball with interviews of players, baseball managers, physicists and little leaguers, to a review of science books and articles written about research findings. She pushed to get more science into her basic "boot camp" reporting course. She was also delighted in having a Pulitzer Prize winner from the Chicago Tribune teaching a science reporting course at the same time his major series on breast cancer ran in the paper, and was analyzed in class.

Gautam Kar, a Rutgers student winner, said it is important to get experience in the field and he did so as a student writing health related issues for the university student newspaper, and also preparing materials for radio and cable television. He later did an internship with a major medical foundation in its communications division. He wants to see more interaction between the journalism department and science units at the universities, and greater opportunities for evening courses on basic science issues.

Brenda Rios, a student winner from the University of Maryland, favors studying core journalism with a secondary level of studies in science and library sciences. She wants to see more science stories that appeal to the interest of young people, and health care reform stories that dwell less on the politics of the story and more on how it will affect people. She thinks students should apply early for internships and not be afraid to spell out what they expect from the intern experience.

Rios covered health and environmental stories in the Maryland state house, reporting through the college news bureau. Her initial interest in health reporting was sparked by a story on problems of sanitation and street vendors in Mexico City, and then a story at a women's prison in Lexington, Kentucky, where prisoners lacked proper gynecological examinations.

William E. Burrows, who participates in the Merck program, and is professor and director of the Science and Environmental Reporting Program at New York University, says his students are immersed in issues such as microbiology, toxins and the environment, genetic engineering and DNA. They write intensively, participate in role-playing press conferences, and use the materials in feature writing classes.

"We tell our people you are a human being first, a journalist second and a science writer third," Burrows said, disabusing the students of any illusions that they are scientists, and reminding them they are reporters helped by good science background: "A `journalist' in my estimation is a reporter who is dead. [The news] has got be reported; that is what you do and you have got to love it. If you do not love it, don't do it. That has to be repeated constantly."

Burrows worked for the Washington Post and The Wall Street Journal and has authored a number of books on space exploration and the nuclear arms race.

New Approaches to Teaching and Field Work

Robert Logan, Professor and Associate Dean at the University of Missouri School of Journalism, who specializes in health/medical journalism, was concerned with the ability of students to understand and evaluate issues in epidemiology and toxicology or to understand basic statistics. He volunteered six years ago to teach a graduate research methods course and focused less on general mass communication research and more on how to be a good science writer with these additional tools, and with help from a national computer reporting project at the school.

Logan says you need to teach the next generation of reporters how to evaluate evidence, and at the same time change the whole process of how the public understands technology, medicine and the entire cluster of issues on science and the environment. A goal is to transform the debate among the many competing interests in government, the private sector, corporations and the medical research industry to better address quality of life issues.

"How do you change journalism fundamentally so that you end up not abandoning what we are talking about but also change journalism so that you actually show that you care about the quality of public life so that you expand and improve it, so that you engage people in public life and public discussion about science, health and environmental policy?" Logan asked.

Logan has set a goal for himself in the next decade of his academic career to change journalism education: to see if "we can invigorate and train ourselves, invigorate and train our profession-can we convince people that caring and nurturing for public life is just as much a worthy endeavor as getting the facts straight, and writing with care, and writing with a perspective in context?"

The seminar participants discussed how journalists can play a more direct role in linking community and people concerns with the reporting, and one student award winner, Anita Srikamswaran, a student from Northwestern University who was studying to be a science writer and was already a licensed medical doctor, said there is a movement in community health services to let the people of the community speak out on what is of concern to them.

Joan London, a faculty member at University of Maryland, said a public information science course at her college includes assignments for the students to interview not only the scientists as sources, but also the readers to get a better idea of what their concerns and health interests are in shaping the information.

The threads of such discussions woven throughout the three years of the Merck program are sections in a larger quilt: the major discussions taking place within the news industry today on issues of civic journalism. The idea of journalists putting aside their traditional role as omniscient observers removed from the fray, and engaging a community of interests in the identification of key issues that need reporting, public discourse and action-with story ideas percolating up from the community as well as being reported from above.

How to create this synergy of community interests without jeopardizing the role journalism cherishes as a disinterested observer free of special interests needs future experimentation as we seek ways to improve health and medical coverage, and make it more meaningful to readers and audiences.

Developing More Flexible Models of Study and Research

In examining new formats and structures for teaching health and science to journalists, I discussed the programs I direct as a professor at the Journalism Resources Institute at Rutgers University. The JRI has several research scholarships for undergraduate and graduate students and internships to support their involvement in real-life projects that the JRI is administering.

Merck student award winners like Elana Shapochnikov have done advanced research into newer media technologies and how they are affecting the reporting of medical and health issues, or how science information can be better disseminated with newer media.

She combined her journalism interests with her language proficiencies and completed an analysis of Russian coverage of health and medical issues in major Moscow newspapers. This project linked her honors program studies in comparative literature and Slavic studies with journalism. She is now going to law school to combine her interests with health journalism and legal studies and is looking toward a future career in communication law.

Another Rutgers winner, Stefanie Wilsey, is a public health major who also wrote extensively for the student daily newspaper in New Brunswick, The Targum, and is doing research at the JRI. In the fall of 1996, she was in England as part of a semester abroad which included observing coverage of health issues by the British press. She returned to do media research into coverage of the AIDS issue at our Journalism Resources Institute.
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