Karen Lutfey Spencer, PhD, Professor in the Department of Health and Behavioral Sciences, grew up in Denver. She shares that in the two decades she spent away, “the city really metamorphized away from being a cow town in the time I was gone, but I love the mountains and the opportunities to enjoy the outdoors. My husband and I spend a lot of time around the state, camping, riding bikes, hot springing, visiting friends and hanging out with our blue heeler.”
Karen was trained in sociology. Her first job was in a sociology department, but she has always found herself part of a multidisciplinary environment, starting with a Robert Wood Johnson Foundation postdoc. After working in a soft money position, she joined the Health and Behavioral Sciences department in 2012. Karen shares, “Since health is such a multifaceted issue, I have found it gratifying and intellectually stimulating to consider it from a multidisciplinary perspective. I have benefitted enormously from spending time with colleagues in economics, anthropology, biostatistics, psychology, medicine, ethics, and political science, so staying with a department like HBS was a natural decision.”
Karen’s work centers on healthcare processes and outcome disparities that arise from systems that we tend to assume improve health. She relates, “I have used qualitative and quantitative methods to investigate a range of conditions, including coronary heart disease, diabetes, schizophrenia, and end-of-life. For the past several years I have been focused on using in-depth interviews with patients, caregivers, providers, and doulas to study how people make end-of-life hospice decisions.” Karen has made important contributions to the field of medicine such as challenging practitioners to rethink concepts like “patient compliance,” which strips patients of the ability to make decisions about their own care. For a full discussion of this work check out this article.
Out of the many classes Karen has taught, she tells me that the graduate Applications course is one of her favorites to teach. The Applications course offers students the opportunity to focus on their individual research interests in preparation for writing their dissertation prospectus/proposal. Karen relates, “It’s humbling but also stimulating to try to learn about new topics and provide feedback even when a dissertation is not in my area of expertise. I really like seeing students developing their projects and helping support them as they transition out of traditional coursework and into the less structured arena of dissertating (and beyond!).” I took this course with Karen and benefitted tremendously from her mentorship during and after the course.
Karen shares that at the undergrad level she has “recently gotten very excited about asynchronous learning and have been teaching Social Determinants of Health (PBHL 4040) online. I enjoy trying to match material formats to what I think students might be most likely to use successfully in a self-directed format. (I’m working hard on my video editing skills.)”
When I asked Karen if she has advice for someone who is considering a PhD she tells me, “My main advice is to really consider why you need or want a PhD. There is a lot of romance around having those initials behind your name, but the reality can mean something very different. I would encourage anyone considering it to talk with people about their experiences and the career/life consequences.”