Not accepting new students

University of British Columbia

M. Ehsan Karim

Associate Professor in Health Data Science

  • School of Population and Public Health, University of British Columbia
  • Scientist, Centre for Advancing Health Outcomes, St. Paul’s Hospital
  • Associate Member, UBC Department of Statistics

He develops causal inference and machine learning methods that turn large health administrative databases into reliable real-world evidence.

Portrait of Dr. M. Ehsan Karim
MSFHR / Health Research BC Scholar 2018–2023 · AMS UBC OER Champion 2024–2025
Peer-reviewed publications
140+
PI research funding
$1.32M
Trainees supervised
36
Invited presentations
58
Books & open textbooks
6
Citations
2,700+
Biography

About

Dr. M. Ehsan Karim is an Associate Professor in Health Data Science in the School of Population and Public Health at the University of British Columbia, a Scientist at the Centre for Advancing Health Outcomes (St. Paul’s Hospital), and an Associate Member of UBC Statistics. He held a Michael Smith Health Research BC Scholar Award from 2018 to 2023 and was promoted to Associate Professor with tenure in July 2025.

He earned his PhD in Statistics from UBC, supported by an MS Canada studentship, and completed postdoctoral training in epidemiology and biostatistics at McGill University with a fellowship from the Canadian Network for Observational Drug Effect Studies (CNODES).

His research program develops and applies causal inference and machine learning methods to answer real-world comparative effectiveness questions from non-randomized data, with a central focus on large health administrative databases and multiple sclerosis as a key application area. An advocate for open education, he authored the open-access textbook Advanced Epidemiological Methods, teaches UBC’s PhD capstone methods course, and was named a UBC OER Champion for 2024–2025.

Announcements

News & Highlights

  • 2026–2031

    Co-principal investigator on a new five-year CIHR Project Grant ($794,990) that uses target trial emulation to evaluate novel prescribing practices for opioid use disorder in the context of a volatile drug supply.

  • Jun–Sep 2026

    Posted ten new methods preprints on arXiv, spanning survey-weighted and adaptive TMLE, target trial emulation for time-varying treatments, plasmode simulation benchmarks, and a guide reconciling AIPW, TMLE, and double machine learning for applied researchers.

  • Mar–Jul 2026

    Published a single-author invited review on prescription time-distribution matching and immortal time bias in Current Opinion in Epidemiology and Public Health, and a book chapter on effect modification in non-randomized studies; a study evaluating TMLE for survival outcomes was accepted in the Journal of Statistical Research.

  • June 2026

    Gave invited UBC seminars on AI in health research: “When AI Sounds Right but Gets Research Wrong” at the Centre for Health Services and Policy Research, and “Who Needs a Statistician Anymore?” at the School of Population and Public Health.

  • May–Jun 2026

    Taught the “AI and LLMs — Research Perspective” workshop (62 participants) at the Statistical Society of Canada Annual Meeting in Hamilton, where he also organized a session on advances in causal inference and gave invited talks on TMLE variants and on modernizing biostatistics education.

  • 2026–2027

    Awarded a UBC OER Affordability Grant ($24,996) to develop Health Data Science in the AI Era, an open educational resource for reproducible research and knowledge translation.

  • July 2025

    Promoted to Associate Professor with tenure, UBC School of Population and Public Health.

Research Program

Research Themes

  • Causal Inference Methods

    Develops and evaluates methods for estimating treatment effects from non-randomized data — including targeted maximum likelihood estimation (TMLE) with single and double cross-fitting, marginal structural models, propensity score approaches, and target trial emulation. His work tackles time-dependent confounding, treatment-confounder feedback, and immortal time bias in longitudinal studies, and benchmarks estimators with plasmode simulations built from real health data.

  • Machine Learning & AI for Health

    Investigates when machine learning genuinely improves causal estimation — from Super Learner weight estimation to deep-learning propensity score architectures such as Dragonnet and autoencoders. The goal is rigorous, verifiable use of AI in health research rather than black-box prediction.

  • Real-World Evidence & Pharmacoepidemiology

    Advances the methodology of real-world evidence generation, including high-dimensional propensity score (hdPS) techniques and their machine learning and doubly robust extensions for residual confounding control. This program also addresses non-adherence and per-protocol effects in pragmatic clinical trials. He is co-principal investigator of a CIHR-funded program of target trial emulations evaluating prescribing practices for opioid use disorder with linked British Columbia administrative data.

  • Health Administrative Data

    Builds statistical strategies for the scale and messiness of population-level administrative databases — proxy adjustment, missing data, survival prediction, and disease-specific comorbidity indices — so routinely collected health data can support trustworthy inference.

  • Multiple Sclerosis Applications

    Applies these methods where they matter: comparative effectiveness of MS therapies, an MS-specific Comorbidity Summary Index (MSCSI), and a risk prediction algorithm for the MS prodrome to enable earlier detection. Supported by CIHR and MS Canada.

  • Survey & Longitudinal Methods

    Develops guidance for analyzing nationally representative complex surveys (Canadian, US, and international) and longitudinal cohorts, including propensity score analysis and design-based, survey-weighted TMLE in the complex survey context, and small-sample inference for stepped-wedge designs.

Funded by Canadian Institutes of Health Research (CIHR) · Natural Sciences and Engineering Research Council of Canada (NSERC) · MS Canada · Michael Smith Health Research BC · BC SUPPORT Unit

Scholarship

Selected Publications

A selection from 140+ peer-reviewed articles spanning causal inference methodology, machine learning for health, and high-impact applied work.

  1. Prescription time-distribution matching and immortal time bias: promise, failure modes, and time-aware alternatives

    Karim ME.

    Current Opinion in Epidemiology and Public Health 2026 (advance online) Invited review

  2. LASSO-based survival prediction modeling with multiply imputed data: a case study in tuberculosis mortality prediction

    Hossain MB, Sadatsafavi M, Johnston JC, Wong H, Cook VJ, Karim ME.

    The American Statistician 80(1), 77–88, 2026 Prediction

  3. Towards robust causal inference in epidemiologic research: employing double cross-fit TMLE in right heart catheterization data

    Mondol MH, Karim ME.

    American Journal of Epidemiology 194(10), 2813–2819, 2025 Causal inference

  4. Buprenorphine/naloxone vs methadone for the treatment of opioid use disorder

    Nosyk B, Min JE, Homayra F, et al. (incl. Karim ME).

    JAMA 332(21), 1822–1831, 2024 High-impact applied

  5. Key considerations for choosing a statistical method to deal with incomplete treatment adherence in pragmatic trials

    Hossain MB, Karim ME.

    Pharmaceutical Statistics 22(1), 205–231, 2023 Pragmatic trials

  6. Recommendations for the use of propensity score methods in multiple sclerosis research

    Simoneau G, Pellegrini F, Debray T, et al., Karim ME.

    Multiple Sclerosis Journal 28(9), 1467–1480, 2022 Guidance Senior author

  7. Dealing with treatment-confounder feedback and sparse follow-up in longitudinal studies: application of a marginal structural model in a multiple sclerosis cohort

    Karim ME, Tremlett H, Zhu F, Petkau J, Kingwell E.

    American Journal of Epidemiology 190(5), 908–917, 2021 Causal inference

  8. Can we train machine learning methods to outperform the high-dimensional propensity score algorithm?

    Karim ME, Pang M, Platt RW.

    Epidemiology 29(2), 191–198, 2018 Machine learning

  9. Estimating inverse probability weights using super learner when weight-model specification is unknown in a marginal structural Cox model context

    Karim ME, Platt RW, and the BeAMS study group.

    Statistics in Medicine 36(13), 2032–2047, 2017 Machine learning

  10. Comparison of statistical approaches for dealing with immortal time bias in drug effectiveness studies

    Karim ME, Gustafson P, Petkau J, Tremlett H, and the BeAMS study group.

    American Journal of Epidemiology 184(4), 325–335, 2016 Methods

  11. Marginal structural Cox models for estimating the association between beta-interferon exposure and disease progression in a multiple sclerosis cohort

    Karim ME, Gustafson P, Petkau J, et al.

    American Journal of Epidemiology 180(2), 160–171, 2014 SER Top-10 Article of 2014

  12. Association between use of interferon beta and progression of disability in patients with relapsing-remitting multiple sclerosis

    Shirani A, Zhao Y, Karim ME, et al.

    JAMA 308(3), 247–256, 2012 High-impact applied

140+ peer-reviewed publications · 2,700+ citations · h-index 27 (citations and h-index: Google Scholar, October 2026)

141 peer-reviewed journal articles (one in press), plus 16 refereed conference proceedings.

View all on Google Scholar →
Open Scholarship

Books & Software

Books, open textbooks & chapters

Research software

  • svyTable1 Survey-weighted descriptive statistics and diagnostic tables R package · 2025
  • ReSliceTMLE Resampling-based targeted maximum likelihood estimation R package · 2025
  • TB Mortality Risk Calculator Mortality risk prediction for people diagnosed with TB R Shiny app · 2024
  • Crossfit Sample splitting (cross-fit) for TMLE in causal inference R package · 2023
  • simMSM / genMSM / iptw Simulation and weighting tools for marginal structural models R & Stata · 2020
Education

Teaching

  • SPPH 604 — Application of Advanced Epidemiological Methods

    Developer & sole instructor · PhD level · 3 credits

    UBC’s PhD capstone methods course, developed by Dr. Karim and taught since 2018 to more than 100 doctoral students. Covers causal inference, propensity scores, mediation analysis, machine learning, survey data analysis, and missing data — with hands-on tutorials that extend it to 65 contact hours (versus the standard 39), bridging the methodological gap for SPPH doctoral trainees.

  • SPPH 381H — Health Data Science: AI and Knowledge Translation

    Developer · Undergraduate

    A comprehensive toolkit for applying data science to health research, featuring “Zero to AI Co-Pilot” pedagogy, a verification-first assessment framework for auditing AI-generated code, and OCAP®/CARE integration for Indigenous data sovereignty.

  • MEDI 504A — Emerging Topics in Experimental Medicine

    Co-instructor · Graduate · 1.5 credits · 2021–2022

    Part of a Faculty of Medicine health data science initiative, spanning multi-omics, machine learning and AI in clinical research, and large administrative datasets in population health.

Open education

Most of Dr. Karim’s course content is published as Open Educational Resources, freely available to UBC students and a global audience — including the Advanced Epidemiological Methods textbook and the Health Data Science: AI and Knowledge Translation course materials. His OER work has been supported by UBC OER Fund Implementation and Affordability Grants (~$50,000).

Recognition

  • AMS UBC OER Champion Award, 2024–2025 — recognizing open educational resource contributions
  • Faculty of Medicine Merit Awards (teaching, research and service), four consecutive years, 2021–2024
  • More than a dozen conference workshops and webinars delivered nationally and internationally, from SER and the Statistical Society of Canada to R/Medicine
Mentorship

Trainees & Mentorship

Supervision status · in effect since October 2026

Not accepting new students

Dr. Karim has reached his supervision capacity and is not accepting new students until further notice.

This applies to all prospective graduate students — master’s and doctoral — in the School of Population and Public Health and the Department of Statistics, including visiting graduate students. Any change will be posted on this page.

Please do not send supervision inquiries in the meantime — because of their volume, he is unable to respond to them individually. Prospective applicants are encouraged to consult the School of Population and Public Health’s guidance on finding a supervisor (PhD, MSc) and the Department of Statistics graduate admissions page to identify other potential supervisors.

Graduate students
22
Postdoctoral fellow
1
Undergraduate trainees
13

Dr. Karim has supervised graduate students in both the School of Population and Public Health and the Department of Statistics, building their skills in data science, causal inference, and health analytics. His trainees’ theses span machine learning for survival prediction, the multiple sclerosis prodrome, comorbidity index development, and methods for pragmatic trials — and former trainees have gone on to positions at Harvard, McGill, McMaster, and the BC Centre for Disease Control.

Support & Recognition

Funding & Awards

CAD $1.32M in research funding as principal investigator since 2017, plus $1.59M as co-principal investigator on two CIHR grants.

Selected grants as Principal or Co-Principal Investigator
Funder · Program Years Project Amount
CIHR · HIV/AIDS & STBBI Clinical Trials Research Network, Phase 2 · Co-PI 2025–2029 Skills Training for Real-world InterVention Evaluation in STBBIs (STRIVE-STBBI) $800,000
CIHR · Project Grant · Co-PI 2026–2031 Target trial emulations of novel prescribing practices for opioid use disorder in the context of a volatile drug supply $794,990
Michael Smith Foundation for Health Research · Scholar Award 2018–2023 A causal inference framework for analyzing large administrative health care databases, with a focus on multiple sclerosis $450,000
MS Canada · Discovery Research Grant 2023–2026 Development and validation of the Multiple Sclerosis-specific Comorbidity Summary Index (MSCSI) $199,859
CIHR · Project Grant 2024–2025 A risk prediction algorithm for prodromal multiple sclerosis $153,000
NSERC · Discovery Grant 2018–2025 Improving causal inference methods in statistics for analyzing big data $126,000
BC SUPPORT Unit · Real-World Clinical Trials Methods Cluster 2018–2021 Developing and evaluating causal inference methods for pragmatic trials $100,000
MS Canada · Catalyst Research Grant 2024–2026 Reducing residual confounding in MS research: a machine learning approach $29,976

Selected awards & distinctions

  • Michael Smith Foundation for Health Research Scholar Award, $450,000 (2018–2023)
  • AMS UBC OER Champion Award (2024–2025)
  • Faculty of Medicine Merit Award, UBC — four consecutive years (2021, 2022, 2023, 2024)
  • First-authored article named among the top 10 “2014 Articles of the Year” in the American Journal of Epidemiology — Society for Epidemiologic Research (2015)
  • Editorial Contribution Award and Author Service Award, BMC Medical Research Methodology (2025)
  • Exemplary Reviewer (top 20), Epidemiology (2020)
  • Best Reviewer, Pharmacoepidemiology and Drug Safety (2015 and 2017)
  • Outstanding Academic Performance Award, UBC Faculty of Medicine (2019, 2020)
Academic Community

Service

Editorial roles

  • Associate Editor, Pharmacoepidemiology and Drug Safety (2025–present)
  • Editorial Board Member, BMC Medical Research Methodology (2024–2025)
  • Associate Editor, Journal of Statistical Research (2020–present)

Peer review

Reviewer since 2013 for more than 60 journals in biostatistics, epidemiology, and public health (over 200 completed reviews) — including Biometrics, Statistics in Medicine, Epidemiology, American Journal of Epidemiology, and BMJ. Recognized as Exemplary Reviewer (Epidemiology, 2020) and Best Reviewer (Pharmacoepidemiology and Drug Safety, 2015, 2017).

Grant review

CIHR Project Grant committees (2023–2025) and College of Reviewers (2024–2028) · NSERC Discovery Grants, Mathematics and Statistics (2018–2024) · MS Canada · Dutch Research Council (NWO) · MS Research Australia · Health Research Council of New Zealand · Fonds de recherche du Québec.

Conference leadership

Frequent chair and organizer of sessions on causal inference and machine learning at JSM, the Statistical Society of Canada (every year since 2023), CSEB, and ICSA-Canada, and a member of the Scientific Committee for the 2027 CSEB Conference in Ottawa.

Correspondence

Contact

ehsan.karim@ubc.ca

Dr. Karim is not accepting new students and is unable to respond to supervision inquiries (see the supervision notice). For all other matters, email is the fastest way to reach him.

Mailing address

School of Population and Public Health, UBC
216 – 2206 East Mall
Vancouver, BC V6T 1Z3, Canada