Genomic Competencies For the Public Health Workforce

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

aif3@cdc.gov