Rafael Bredy, MD, MBE,  MScCR
Assistant Professor of Public Health Program and Medicine Department
 



 
 

 

Bio

Dr. Rafael E. Bredy-Domínguez is a Physician with post doctoral studies in Catholic Theology, Bioethics and Clinical Research. Dr. Bredy studied Medicine and did his Internal Medicine Residency Program training in the Universidad Central de Venezuela. He has a Bachelor degree in Catholic Theology from the Pontificia Universidad Católica Javeriana in Colombia. Dr. Bredy-Domínguez has a Master Degree in Bioethics from Instituto Tecnológico de Santo Domingo in consortium with Pan-American Organization of Health and Universidad Complutense in Spain. He has a postdoctoral Master in Science in Clinical Research from University of Puerto Rico.

Dr. Bredy-Domínguez is Assistant Professor of Public Health Program and Medicine Department in Ponce School of Medicine and Health Science. In Public Health Program, Dr. Bredy-Domínguez is responsible of the Bioethics courses and is responsible of the Research Conferences and is advisor for original presentations and case reports in Residency Programs ascribed to Ponce School of Medicine and Health Science Consortium.

Rafael Bredy CV
 

Courses
 
Dr. Bredy is responsible of MPH Bioethics, Public Health and Law and DPH Bioethics Public Health and Law

MPH Bioethics, Public Health and Law course introduces the participant in the evaluation of the values or axiological context in the analysis of Public Health situations at the moment of apply eductive/inductive methodology in the process of solving such dilemmas. Is designed taking in consideration the need of including the Public Health Code of Ethics in the process of the synthesis of the reality in Public Health phenomena. The curse is divided in three clusters: Principles of Bioethics, Bioethics in Public Health and applied Bioethics in Public Health. The course is an experience of dialog, motivation, description, induction and skills development.

The competencies and learning objectives that addresses the course accordingly to the Association of Schools of Public Health (ASPH) are the following:
  •  J. The ability to demonstrate ethical choices, values and professional practices implicit in public health decisions; consider the effect of choices on community stewardship, equity, social justice and accountability; and to commit to personal and institutional development.
     
    • J.2. Apply basic principles of ethical analysis (e.g. the Public Health Code of Ethics, human rights framework, other moral theories) to issues of public health practice and policy.
       
    •  J.7. Analyze the potential impacts of legal and regulatory environments on the conduct of ethical public health research and practice.
       
    • J.8. Distinguish between population and individual ethical considerations in relation to the benefits, costs, and burdens of public health programs.
       
    • J.9. Embrace a definition of public health that captures the unique characteristics of the field (e.g., population-focused, community-oriented, prevention-motivated and rooted in social justice) and how these contribute to professional practice.

       
  • H. The ability to create and communicate a shared vision for a changing future; champion solutions to organizational and community challenges; and energize commitment to goals.
     
    • H.6. Demonstrate transparency, integrity, and honesty in all actions
       
    • H.8. Apply social justice and human rights principles when addressing community needs.

      Upon culmination of this course, it is increasingly important that the student of a MPH be able to identify and analyze ethical issues in Public Health situations; balance the claims of personal liberty with the responsibility to protect and improve the health of the population; and act on the ethical concepts of social justice and human rights in public health and practice.
       

DPH Bioethics, Public Health and Law course introduces the DPH participant in the consideration of values in the process of judge making at the moment of modify or correct the research with human subject’s decisions. The course will be divided in three clusters: principles of bioethics, bioethics in research with human subjects and institutional review board. The course is an experience of dialog, motivation, description, induction and skills development..

The competencies and learning objectives that addresses the course accordingly to the Association of Schools of Public Health (ASPH) are the following:

  • A. The ability to influence decision-making regarding policies and practices that advance public health using scientific knowledge, analysis, communication, and consensus-building.
     
    • A.2. Influence health policy and program decision-making based on scientific evidence, stakeholder input, and public opinion data
       
  • G. The ability to identify and analyze an ethical issue; balance the claims of personal liberty with the responsibility to protect and improve the health of the population; and act on the ethical concepts of social justice and human rights in public health research and practice.
     
    • G.2. Differentiate among the administrative, legal, ethical, and quality assurance dimensions of research and practice.
    • G.3. Design strategies for resolving ethical concerns in research, law, and regulations.
    • G.4. Develop tools that protect the privacy of individuals and communities involved in health programs, policies, and research.
    • G.7. Demonstrate cultural sensitivity in ethical discourse and analysis.
       
  • Also addresses the following learning objectives:
    • C.3. Conduct community-based participatory intervention and research projects.
    • C.6. Implement culturally and linguistically appropriate programs, services, and research.
    • D.7. Weigh risks, benefits, and unintended consequences of research and practice.
    • J.7. Analyze the potential impacts of legal and regulatory environments on the conduct of ethical public health research and practice.

    Upon culmination of this course, it is increasingly important that the student of a DPH be able to identify and analyze ethical issues in Research related situations. Also the student will be able to identify and analyze ethical issues related with research with human subjects, to identify the role of values as element of analysis in clinical research practice, to understand the Federal regulations of research ethics and to structure a comprehensive IRB proposal submission to PSM&HS Institutional review Board.

 

Courses that could teach:


Reseach and Methods in Epidemiology. This is an introductory course to research knowledge and skills in Epidemiology. Three basic core elements structure the course: Foundation of research, based in the concepts of Evidence Based in Public Health and Research, Methodology of Research in Epidemiology, and, Ethics and Regulation of Research in Epidemiology. Four clusters structure the course: Foundations, Methodology, Regulation and Practical exercises. Upon culmination of this course, it is increasingly important that the student of a MPH be able to: ESTIMATE (Comprehension objective) the value of Research and Evidence Based Public Health in analyzing and solving Public Health actuations, RECOGNIZE (Knowledge objective) the different components of a research projects and the different mythology associated with research activity in Epidemiology, DEVELOP (Application objective) the draft of a research project and RECOGNIZE (Comprehension objective) the processes associated with ethical regulation in Epidemiology research.

The competencies and learning objectives that addresses the course accordingly to the Association of Schools of Public Health (ASPH) are the following:

Core competencies
• A. BIOSTATISTICS: Biostatistics is the development and application of statistical reasoning and methods in addressing, analyzing and solving problems in public health; health care; and biomedical, clinical and population-based research.
• J. PROFESSIONALISM: The ability to demonstrate ethical choices, values and professional practices implicit in public health decisions; consider the effect of choices on community stewardship, equity, social justice and accountability; and to commit to personal and institutional development.

Competencies/learning objectives
• A. 3. Describe preferred methodological alternatives to commonly used statistical methods when assumptions are not met.
• A. 7. Apply descriptive and inferential methodologies according to the type of study design for answering a particular research question.
• J. 3. Apply evidence-based principles and the scientific knowledge base to critical evaluation and decision-making in public health.
• J. 7.Analyze the potential impacts of legal and regulatory environments on the conduct of ethical public health research and practice

Reinforcing learning objectives
• C. EPIDEMIOLOGY: Epidemiology is the study of patterns of disease and injury in human populations and the application of this study to the control of health problems.
o C. 4. Explain the importance of epidemiology for informing scientific, ethical, economic and political discussion of health issues.
o C. 5. Comprehend basic ethical and legal principles pertaining to the collection, maintenance, use and dissemination of epidemiologic data.
Health Disparities. This is an introductory course about disparities in health. The course is designed to empower the participant with ethics and social criteria at the moment to elaborate judgments related with health in individual and population. The course presents the presence of disparities/inequities as a reality in the health population. Three basic core elements structure the course: Healthy People 2020 and Cultural Competence, Social Determinants of Health, and, Health Equity and Prevention. Upon culmination of this course, it is increasingly important that the student of a MPH be able to: ESTIMATE (Comprehension objective) the value of social influences in community and individual health disparities determinants, ESTIMATE (Comprehension objective) that cultural competence alone can not address health disparities, RECOGNIZE (Knowledge objective) the different components of a research projects and the different methodology associated with research activity in Public Health, and, DEVELOP (Application objective) a personal dissertation about the identification of a Puerto Rican social component as a determinant of local health disparity.

The competencies and learning objectives that addresses the course accordingly to the Association of Schools of Public Health (ASPH) are the following:

Core competencies
• E. SOCIAL AND BEHAVIORAL SCIENCES: The social and behavioral sciences in public health address the behavioral, social and cultural factors related to individual and population health and health disparities over the life course. Research and practice in this area contributes to the development, administration and evaluation of programs and policies in public health and health services to promote and sustain healthy environments and healthy lives for individuals and populations.
• G. DIVERSITY AND CULTURE: The ability to interact with both diverse individuals and communities to produce or impact an intended public health outcome.

Competencies/learning objectives
• E. 2. Identify the causes of social and behavioral factors that affect health of individuals and populations.
• G. 2. Describe the roles of, history, power, privilege and structural inequality in producing health disparities.
• G. 3. Explain why cultural competence alone cannot address health disparity.

Reinforcing learning objectives
• C. EPIDEMIOLOGY: Epidemiology is the study of patterns of disease and injury in human populations and the application of this study to the control of health problems.
o C. 3. Describe a public health problem in terms of magnitude, person, time and place.
• J. PROFESSIONALISM: The ability to demonstrate ethical choices, values and professional practices implicit in public health decisions; consider the effect of choices on community stewardship, equity, social justice and accountability; and to commit to personal and institutional development.
J. 2. Apply basic principles of ethical analysis (e.g. the Public Health Code of Ethics, human rights framework, other moral theories) to issues of public health practice and policy.
 

Research Interest
 
Dr. Bredy’s research interest is focused in:
  • Gut Microbiota Obesity Related High Blood Pressure
     

Top