genomic competencies for the public health workforce
TRANSCRIPT
Genomic Competencies
For the
Public Health Workforce
Workforce Competenciesfor
Effective Practice of Public Health
Skills
Knowledge
Attitudes
Why Genomics
Prevention of Disease and DisabilityIs a Major Goal of Public Health
-----Current Programs
TargetModifiable Lifestyle & Environmental Factors
“One Size Fits All”? Effectiveness
Human Genome ProjectMapping & 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
Genetics Plays a Role in Most Disease(small in some, large in others)
Heart Disease
Cancer
Stroke
COPD
Injury
Pneumonia / Influenza
Diabetes
Suicide
Kidney Disease
Chronic Liver Disease
Heart DiseaseStrokePneumoniaHIV / AIDSCOPDDiarrheaPerinatalTuberculosisTrachea/bronchus/lung cancerTraffic Accidents
CDC WHO
Why CDC ? / Why Now ?
Public Health Workforce InitiativeOpportunities while competencies being developed
Joint EffortOffice 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 EducatorsKaren Greendale
Environmentalist Robert Marino
Epidemiologist Peter D. Rumm
Team MembersAdministration Clinician Health
EducatorLaboratory Environmental Epidemiology
Robert Jones Elizabeth Tilson
Karina Boehm
Eric Blank Susan Metcalf Robert Teclaw
Kathy Peppe Alan Gutmacher
Kathleen Minor
Frances Downes
Luann White Jennifer Woodward
Jean Chabut Theresa Long
Kathy Vincent
Katherine Kelly
Elaine Krueger Robert Rolfs
Joe Kimbrell Andy Faucett
Scott Zimmerman
Harold Bengsch
Richard Hopkins
Vaughn Upshaw Steve Hinricks
Luanne Williams
Tal Holmes
Michele Puryear Jan Friedman
Bob Fineman
Jesse Huang
CDC Support
OGDPStephen Margolis
Kim GeissmanTim Baker
Ruth ThornburgBetsy Gettig
PHPPO
Andy FaucettJoe BooneIra Lubin
Eunice RosnerBin Chen
Karen MulawskiAna Stankovic
Laurina WilliamsFacilitators
Stephanie BaileyMorry Fiddler
Kevin “Doc” Klein
The ProcessMarch 2000 – Team Leaders MeetAugust 2000 – Teams Meet and Draft 6 SetsDrafts Revised & Combined – Email & Conference CallMarch 2001 – Team Leaders Meet – Edit & Cut – FormatApril 2001 – Outside Review by 60+ Associates of Team
MembersMay 2001 – Comments Combined – Team Leaders Review
by Email
June 2001 – Document Released on OGDP Web Site
Team Leaders & Members Kept Involved
Ownership
Current DesignMay 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
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 ProfessionalsApply the basic public health sciences … utilizing the
genomic vocabulary …Identify ethical and medical limitations …Maintain knowledge on the development of genetic
advancesIdentify the role of cultural, social, behavioral, environmental and genetic factors in … diseaseParticipate in strategic policy planning …Collaborate … to solve genomic related problemsParticipate in the evaluation of … genomic services
in public healthDevelop 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 Web
www.cdc.gov/genetics/default.htmQuestions / Comments
Andy Faucett