IOM Committee on Training Physicians for Public Health Careers

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Jennifer Shaw
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1 IOM Committee on Training Physicians for Public Health Careers Harrison C. Spencer, MD, MPH President and CEO Association of Schools of Public Health 1

2 Mission statement: To strengthen, coordinate, and promote the education, research, and service activities of accredited schools of public health. 2

3 ASPH Member Schools combined faculty of over 7,500 educate nearly 20,000 students annually 3

4 New Accredited SPH Growth Number of Schools of Public Health

5 What Makes an Accredited SPH? n CEPH accreditation n Environment and perspective n Independence n Size of faculty and resources n Doctoral degrees n Multidisciplinary n Major research institutions n Strong partnerships with community 5

6 Council on Education for Public Health (CEPH) The Council on Education for Public Health is the accrediting body for schools and programs of public health. 6

7 Degrees Offered n Graduate Degrees (i.e. MS, PhD) n Professional Degrees (i.e. MPH, MHA, DrPH) n Joint Degrees (i.e. MD/MPH, MSW/MPH, MSN/MPH, JD/MPH) n Undergraduate Degrees (BA, BS) 7

8 Undergraduate Public Health Education n IOM recommendation: all undergraduates should have access to education in public health. n Currently, approximately 22 accredited SPH offer at least one undergraduate course in PH n Approximately 15 accredited SPH offer undergraduate degrees in PH 8

n Currently, approximately 22 accredited SPH offer at least one

9 Who Will Keep the Public Healthy? IOM, 2003 The committee recommends that: n All medical students receive basic public health training in the population-based prevention approaches to health; n Serious efforts be undertaken by academic health centers to provide joint classes and clinical training in public health and medicine; and n A significant proportion of medical school graduates should be fully trained in the ecological approach to public health at the MPH level 9

population-based prevention approaches to health; n Serious efforts be undertaken by academic health centers to

10 Tracks for MD s to Become a Public Health Physician n Preventive Medicine Residency n Joint degree n Masters degree prior to medical school n Changes in career direction (e.g., practicing physician changing career focus) n Undergraduate public health study n Others 10

11 n Each year, about 15% of the approximately 6,500 graduates from accredited SPH already have an MD degree about 1,000 per year. n Only about 370 preventive medicine residency positions are available each year. 11

12 Medicine and Public Health Focus Compared Medicine n Individuals n Disease n Diagnosis n Treatment Public Health n Populations n Health n Disease Prevention n Health Promotion 12

13 What is a Public Health Physician? n Education: MD and MPH (or equivalent) n Practical experience n Perspective n Demonstration of competence by assessment 13

14 What An MPH Brings to an MD n Shifts paradigm and perspective n Provides core knowledge n Includes application through a practicum 14

15 What Does a Physician Need to Know to be Designated as a Public Health Physician? 15

16 Training the Public Health Physician ASPH Competencies guide for accredited schools and programs National Board of Public Health Examiners voluntary exam, set for spring,

17 Discipline-Specific Competencies n Biostatistics n Environmental Health n Epidemiology n Health Policy and Management n Social and Behavioral Sciences n Public Health Biology 17

18 Cross-Cutting Cutting Competencies n Communication n Diversity and Cultural Proficiency n Leadership n Professionalism and Ethics n Program Planning and Assessment n Public Health Biology n Systems Thinking 18

Professionalism and Ethics n Program Planning and

19 National Board of Public Health Examiners (NBPHE) n Incorporated in September 2005 n 12 initial members elected from APHA, ASTHO, NACCHO, ATPM, ASPH n First meeting in December 2005 n A nominating committee selected seven at-large board members n Voluntary exam on core curriculum expected to be offered in summer

meeting in December 2005 n A nominating committee selected seven at-large board

20 NBPHE Board Members Representative Members At-large Members n Patricia Buffler,, PhD, MPH n J. Jackson Barnette,, PhD, MA n Terry Dwelle,, MD n Mindy Fullilove,, MD n Bernard Goldstein,, MD n Kristine Gebbie,, DrPH, RN n David I. Gregorio,, PhD, MS n Fernando Guerra,, MD, MPH n Sally Guttmacher,, PhD n n Robert Harmon,, MD, MPH Camara Jones,, MD, PhD, MPH n n Cheryl Healton,, DrPH Edward Mamary,, DrPH, MS n Diane Matuszak,, MD, MPH n Adewale Troutman,, MD, MPH n Alan Melnick,, MD, MPH n Donna Petersen,, PhD n Andrew Sorensen,, PhD, MPH n Walter Tsou,, MD, MPH 20

Gregorio,, PhD, MS n Fernando Guerra,, MD, MPH n Sally Guttmacher,, PhD n n Robert Harmon,, MD, MPH Camara Jones,, MD, PhD, MPH n n Cheryl

21 How Does a Training Program Prepare Physicians to Fulfill Their Roles in Public Health? 21

22 n Provides knowledge and skills n Supervised experience in diverse public health settings n Leadership Development 22

23 n What is a public health physician? n What does a physician need to know or be able to do to be designated a public health physician? n How does the training program prepare physicians to fulfill their roles in public health? 23

24 For further information, contact: ASPH th Street, NW Suite 910 Washington, DC voice: (202) fax: (202) website: 24

The National Board of Public Health Examiners (NBPHE) Status Report

The National Board of Public Health Examiners (NBPHE) Status Report May 2007 Purpose of the exam To ensure that students and graduates from schools and programs of public health accredited by the Council