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Genomic Competencies For the Public Health Workforce. Workforce Competencies for Effective Practice of Public Health. Skills Knowledge Attitudes. Why Genomics. Now ?. Prevention of Disease and Disability Is a Major Goal of Public Health ----- Current Programs Target
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Genomic Competencies For the Public Health Workforce
Workforce CompetenciesforEffective Practice of Public Health • Skills • Knowledge • Attitudes
Why Genomics Now ?
Prevention of Disease and Disability Is a Major Goal of Public Health ----- Current Programs Target Modifiable Lifestyle & Environmental Factors “One Size Fits All” ? Effectiveness
Human Genome Project Mapping & Sequencing of ALL Human Genes • Understand Biological Basis of Diseases • Predict Disease Susceptibility Before Symptoms • Interventions Targeted to Disease Biology • Pharmacotheraphy Individualized Prevention – “Individually Sized”
To be proactive! • Technology will produce inexpensive and efficacious genomic risk tests • The Future: Environmental Health evaluating relative risk to toxicants for a community • The Future: Health Educators directing their focused messages to the high risk
Heart Disease Cancer Stroke COPD Injury Pneumonia / Influenza Diabetes Suicide Kidney Disease Chronic Liver Disease Heart Disease Stroke Pneumonia HIV / AIDS COPD Diarrhea Perinatal Tuberculosis Trachea/bronchus/lung cancer Traffic Accidents Genetics Plays a Role in Most Disease(small in some, large in others) CDC WHO
Why CDC ? / Why Now ? Public Health Workforce Initiative Opportunities while competencies being developed
Joint Effort • Office of Genetics and Disease Prevention • Public Health Practice Program Office • Public Health Practitioners in the Field
Team Leaders • Laboratory Lou Turner • Administration Deborah Klein-Walker • Clinicians Kristine Gebbie / Mary Ellen Mortensen • Health Educators Karen Greendale • Environmentalist Robert Marino • Epidemiologist Peter D. Rumm
OGDP Stephen Margolis Kim Geissman Tim Baker Ruth Thornburg Betsy Gettig PHPPO Andy Faucett Joe Boone Ira Lubin Eunice Rosner Bin Chen Karen Mulawski Ana Stankovic Laurina Williams CDC Support Facilitators Stephanie Bailey Morry Fiddler Kevin “Doc” Klein
The Process • March 2000 – Team Leaders Meet • August 2000 – Teams Meet and Draft 6 Sets • Drafts Revised & Combined – Email & Conference Call • March 2001 – Team Leaders Meet – Edit & Cut – Format • April 2001 – Outside Review by 60+ Associates of Team Members • May 2001 – Comments Combined – Team Leaders Review by Email • June 2001 –Document Released on OGDP Web Site Team Leaders & Members Kept Involved Ownership
May 2001 – Team Leaders Decide Combine Similar Competencies Concentrate on Doable – 5 year plan Three Categories / Eight Lists I. All Public Health Workers II. Over-Arching for Professional Positions III. Six Specific to Specialty - Concentration Current Design
Working Web Site for Project • Home • History • Staff • Teams • Resources • Work in Progress
How To Use This ToolNot a “Gold” Standard Discussion Point As Position Specific Competencies Written or Reviewed
Three Basic for All Public Health • Demonstrate basic knowledge of the role that genomics has in the development of disease • Identify the limits of his/her genomic expertise • Make appropriate referrals to those with more genomic expertise
Eight for All Professionals • Apply the basic public health sciences … utilizing the genomic vocabulary … • Identify ethical and medical limitations … • Maintain knowledge on the development of genetic advances • Identify the role of cultural, social, behavioral, environmental and genetic factors in … disease • Participate in strategic policy planning … • Collaborate … to solve genomic related problems • Participate in the evaluation of … genomic services in public health • Develop protocols to insure informed consent and .. protection
List For Each Specialty • Leaders / Administrators – 9 • Clinicians – 5 • Epidemiology / Data Management – 9 • Health Educators – 7 • Laboratory – 7 • Environmental - 6
Where We Go From Here! • Convert competencies to curricula and then to multiple training modalities • Continue to get buy-in from public health community • Assist others in creating competencies • Work with professional organizations to incorporate genomic competencies
Genomic Competencieson the Webwww.cdc.gov/genetics/default.htm Questions / Comments Andy Faucett aif3@cdc.gov