[1] [2] John B. Grant Elizabeth Fee [3] ( ) ( ) (1988 ) ( (6) ) 17

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1 1 2 3,4 3,5,* 1980 ( (6) ) [1] [2] John B. Grant * 17 tlchiang@ntu.edu.tw Elizabeth Fee [3] ( ) ( ) ( ) (1988 ) 2010, Vol.29, No.6 477

2 (Association of Schools of Public Health) (Council of Education for Public Health) 1988 The Future of Public Health 2002 The Future of the Public s Health in the 21st Century 2003 Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century Wickliffe Rose Rose Abraham Flexner Flexner [4] ( ) ( ) ( ) Johns Hopkins William Henry Welch Rose Welch Welch 1916 Johns Hopkins School of Hygiene and Public Health HygienePublic Health [5] , Vol.29, No.6

3 (American Public Health Association APHA) 1932 [6] 1935 (Master of Public Health Degree MPH) [7] [3] [3] William Shepard 1941 (Association of Schools of Public Health ASPH) [8] (Council on Education for Public Health, CEPH)[9] , Vol.29, No.6 479

4 40 23,357 7,482MPH 63%[10] (Institute of Medicine IOM) (Committee for the Study of the Future of Public Health) [2] 1980 [2] (the fulfillment of society s interest in assuring the conditions in which people can be healthy) ( ) [11,12] 2001 [11] 1988 [12,13] , Vol.29, No.6

5 2010, Vol.29, No CNN Google Yahoo [2,11,12] (1) (2)(3) 2005 [14] (mission) (goal)(objective) (competence) (learning objectives)(syllabus) [13] (1) 42(2) 5 (3) 7 (4) (5) (6) [14] [15] [16,17] [17,18]

6 [15] 2005 [19] [20] , Vol.29, No.6

7 2010, Vol.29, No (socio-ecological model) [15] ( ) Healthy People 2010 [21] 1988 [2] [12] [22] 54 34

8 2010, Vol.29, No Master of Science ( MS)

9 Institute of Medicine Committee for the Study of the Future of Public Health. The Future of Public Health. Washington, DC: Institute of Medicine, Fee E. The education of public health professionals in the 20th century. In: Gebbie KM, Rosenstock L, Hernandez LM eds. Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century. Washington, DC: The National Academies Press, 2003; Fee E. Disease and Discovery: A History of the Johns Hopkins School of Hygiene and Public Health, Baltimore: The Johns Hopkins University Press, Fee E, Bu L. Models of public health education: choices for the future? Bull World Health Organ 2007;85: Shepard WP. The professionalization of public health. Am J Public Health 1948;38: Leathers WS, McIver P, Smillie WG, et al. Public health degrees and certificates granted in Am J Public Health 1937;27: Fee E. Divorce between theory and practice: the system of public health training in the United States. Cien Saude Colet 2008;13: Council on Education for Public Health. Website information. Available at: Accessed September 29, Association of Schools of Public Health. Annual Data Report Washington, DC: ASPH, Institute of Medicine Committee on Assuring the Health of the Public in the 21st Century. The Future of the Public s Health in the 21st Century. Washington, DC: The National Academies Press, Institute of Medicine Committee on Educating Public Health Professionals for 21st Century. Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century. Washington, DC: The National Academies Press, Chen T. Education for public health worker in the US: challenges and future perspectives. In: Proceedings of Education for Public Health in Taiwan. Taipei: College of Public Health, National Taiwan University, Council on Education for Public Health. Accreditation Criteria: Schools of Public Health. Washington, DC: CEPH, Education Committee, Association of Schools of Public Health. Master s Degree in the Public Health Core Competency Development Project. Washington, DC: ASPH, Merrill J, Btoush R, Gupta M, Gebbie K. A history of public health workforce enumeration. J Public Health Manag Pract 2003;9: Perlino CM. American Public Health Association Issue Brief: The Public Health Workforce Shortage: Left Unchecked, Will We Be Protected? Washington, DC: American Public Health Association, Centers for Disease Control and Prevention. Public Health s Infrastructure: A Status Report. Atlanta,GA: CDC, Johns Hopkins Bloomberg School of Public Health. Self-Study Report, Prepared for the Council on Education for Public Health. Baltimore, MD: Johns Hopkins Bloomberg School of Public Health, Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, JAMA 2004;291: US Department of Health and Human Services. Healthy People 2010: Understanding and Imporving Health. 2nd ed., Washington, DC: US Government Printing Of ce, Public Health Functions Steering Committee. The Public Health Workforce: An Agenda for the 21st Century. Washington, DC: US Department of Health and Human Services, Public Health Service, , Vol.29, No.6 485

10 Millennium education reform in public health: US experiences and lessons for Taiwan WEN-CHI WU 1, TED TL CHEN 2, WEI-JEN CHEN 3,4, TUNG-LIANG CHIANG 3,5,* accompanied by major public health challenges throughout the world, and Taiwan is no exception. Education for Public health began in the United States, and is still the best in the world; however, to meet the new challenges, the United States has undergone major education reforms in public health since the late 1980s. This paper reviewed the historical development of education for public health in the United States as well as the objectives and strategies for millennium education reform in public health. Based on the American experience, we suggested that reforms in Taiwan reform. This would include establishment of an accreditation system, redesign of curriculum, development of a practicum and practical training, and an examination of the core competencies in public health. (Taiwan J Public Health. 2010;29(6): ) Key words: public health, education reform, professionalism, American experience 1 Department of Nutrition and Health Sciences, School of Healthcare Management, Kainan University, Taoyuan, Taiwan, R.O.C. 2 Department of Community Health Sciences, College of Public Health, Tulane University, New Orleans, LA, U.S.A. 3 Department of Public Health, College of Public Health, National Taiwan University, Taipei, Taiwan, R.O.C. 4 Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan Universtiy, Taipei, Taiwan, R.O.C. 5 Institute of Health Policy and Management, College of Public Health, National Taiwan University, No.17, Xu- Zhou Rd., Taipei, Taiwan, R.O.C. * Correspondence author. tlchiang@ntu.edu.tw Received: May 31, 2010 Accepted: Sep 7, , Vol.29, No.6