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About the Council on Linkages Between Academia and
Public Health Practice
The Council
on Linkages Between Academia and Public Health Practice is
comprised of leaders from national organizations representing the
public health practice and academic communities. The Council grew
out of the Public Health Faculty/Agency Forum, which developed
recommendations for improving the relevance of public health
education to the demands of public health in the practice sector.
The need for this improvement, and for public health professionals
to place a higher value on practice-specific training and research,
were documented by the Institute of Medicine report, The
Future of Public Health. This project is
supported under a cooperative agreement from the Health Resources
and Services Administration.
The Council's
Mission: To improve public health practice and education by refining
and implementing recommendations of the Public Health Faculty/Agency
Forum, establishing links between academia and the agencies of the
public health community, and creating a process for continuing
public health education throughout one's career.
Member
Organizations:
Prologue to the Core Competencies
The Council on
Linkages Between Academia and Public Health Practice is committed to
assisting the U.S. Public Health Service in efforts to implement
components of The Public Health Workforce: An Agenda for the 21st
Century report pertaining to public health competencies. To this end
the Council developed a list of core competencies for public health
professionals. This list represents ten years of work on this
subject by the Council and numerous other organizations and
individuals in public health academia and practice settings. Their
work has been compiled from various source documents and
cross-walked with the Essential Public Health Services. This
cross-walk ensures that the competencies help build the skills
necessary for providing these essential services.
The list has
also been reviewed by over 1,000 public health professionals during
a public comment period. The Council utilized several mechanisms to
receive feedback from reviewers, including e-mail, focus groups,
sessions at various conferences, and the competencies web site. The
comments from public health professionals in a broad array of
disciplines and practice settings have led to this consensus set
of core competencies for guiding public health workforce
development efforts. These competencies will ultimately help guide
curriculum and content development of public health education and
training programs for preparation of practitioners and for the
ongoing development of practitioners in the field. The competencies
may also be used by those in practice settings as a framework for
hiring and evaluating staff.
The core
competencies represent a set of skills, knowledge, and attitudes
necessary for the broad practice of public health. They transcend
the boundaries of the specific disciplines within public health and
help to unify the profession. However, because the list only
captures the cross-cutting competencies for public health practice,
it may not contain competencies that are specific to certain
disciplines within the field. Discipline specific competencies are
necessary for specialized roles within public health. These core
competencies for all public health professionals may be used to
drive the development of such discipline specific competencies.
Moreover, because this list is meant to represent the core, it may
not contain many skills that are necessary for the performance of
certain jobs within certain practice settings. Individuals,
employers, educators, and trainers should use this list as a
starting point for developing a modified list of competencies
that matches their needs. When applied in the work setting, the
competencies listed here as separate are, in fact, practiced in
combinations that are dynamic. Therefore, for hiring, performance
evaluation, or training, users of the competency list will begin to
recognize typical or recurring clusters of competencies that define
performance quality in various programs and job categories.
The
competencies are divided into the following eight domains: Analytic
Assessment Skills, Basic Public Health Sciences Skills, Cultural
Competency Skills, Communication Skills, Community Dimensions of
Practice Skills, Financial Planning and Management Skills,
Leadership and Systems Thinking Skills, Policy Development/Program
Planning Skills. Skills and knowledge levels are listed first within
each domain, followed by important attitudes relevant to the
practice of public health. While attitudes may be more difficult to
measure, they can be part of what is taught and should be included
in curriculum and content development efforts.
This effort of
the Council focuses on core competencies as they apply to front
line staff, senior
level staff, and supervisory
and management staff. Definitions for these job categories
follow. The Council acknowledges that these job categories are
defined broadly and the lines of distinction between them are not
always clear. However, the categories are meant to be flexible and
adaptable to the evolving profession. While core competencies for
clerical or support staff (e.g. clerks; dental, lab, or nursing
assistants; data entry staff; etc.) are also important, they are not
part of this current effort. Including clerical and support staff
would extend the project beyond its scope. The Council also
recognizes that, in many public health settings, job category is
often related to educational background. However, educational level
and years of experience are not included in the job category
definitions because they do not necessarily dictate function within
an organization.
Levels of skill
have been assigned to each competency based on the job category of
the public health professional. The three skill levels are aware,
knowledgeable,
and proficient.
The skill levels for each competency by job category represent the
majority opinion of reviewers of the web site. When almost an equal
number of responses for two consecutive skill levels occurred, the
Council has indicated this by reporting both skill levels. In these
cases the actual level of skill for that competency falls along the
continuum between the two skill levels. A difference of 10% or less
between the number of responses for two consecutive skill levels was
used as the threshold to determine what is an equal number of
responses. Although skill levels do vary by job category, all public
health professionals should at least be aware of these core
competencies.
The Council on
Linkages Between Academia and Public Health Practice adopted the
Core Competencies for Public Health Professionals on April 11, 2001
for a three-year period. The list will be reviewed for potential
revision by April 2004, taking into consideration its use by the
practice and academic communities and the changing nature of public
health practice. To view the final list, click
here.
The Council is
seeking feedback about the utility of the Core Competencies for
Public Health Professionals from users in the field. On this site
you can submit examples of ways you have applied the list of core
competencies to your workforce development efforts or see examples
shared by others. We also welcome comments about the usefulness and
value or limitations of the list.
How to Use This Site
The Council on
Linkages is seeking feedback about the utility of the Core
Competencies for Public Health Professionals from users in the
field. Use the buttons on the left side of each page to:
Definitions
- Core
Competency:
- The
individual skills desirable for the delivery of Essential
Public Health Services. Intended levels of mastery, and
therefore learning objectives for workers within each competency,
will differ depending upon their backgrounds and job
duties.
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- Front Line Staff:
- Individuals
who carry out the bulk of day-to-day tasks (e.g. sanitarians,
counselors, nurses and other clinicians, investigators, lab
technicians, health educators). Responsibilities may include basic
data collection and analysis, fieldwork, program planning,
outreach activities, programmatic support, and other
organizational tasks.
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- Senior Level Staff:
- Individuals
with a specialized staff function but not serving as managers
(e.g. epidemiologists, attorneys, biostatisticians, health
planners, health policy analysts). They have increased technical
knowledge of principles in areas such as epidemiology, program
planning and evaluation, data collection, budget development,
grant writing, etc. and may be responsible for coordination and/or
oversight of pieces of projects or programs.
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- Supervisory and Management Staff:
- Individuals
responsible for major programs or functions of an organization,
with staff who report to them. Increased skills can be expected in
program development, program implementation, program evaluation,
community relations, writing, public speaking, managing timelines
and work plans, presenting arguments and recommendations on policy
issues.
- Aware:
- Basic level
of mastery of the competency. Individuals may be able to identify
the concept or skill but have limited ability to perform the
skill.
- Knowledgeable:
- Intermediate
level of mastery of the competency. Individuals are able to apply
and describe the skill.
- Proficient:
- Advanced
level of mastery of the competency. Individuals are able to
synthesize, critique or teach the skill.
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