Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-22T04:26:59.354Z Has data issue: false hasContentIssue false
  • English
  • Français

Proposals for Aligning Disaster Health Competency Models

Published online by Cambridge University Press:  25 April 2013

Kenneth W. Schor  and
Brian A. Altman
Get access Rights & Permissions [Opens in a new window]

Abstract

To standardize the key building blocks of disaster health competency models (content, structure, and process), we recommend a reinterpretation of the research, development, test, and evaluation construct (RDT&E) as a novel organizing framework for creating and presenting disaster health competency models. This approach seeks to foster national alignment of disaster health competencies. For scope and completeness, model developers should consider the need and identify appropriate content in at least 4 broad areas: disaster-type domain, systems domain, clinical domain, and public health domain. The whole disaster health competency model should reflect the challenges of the disaster setting to acknowledge the realities of disaster health practice and to shape the education and workforce development flowing from the model. Additional issues for consideration are whether competency models should address response and recovery just-in-time learning and whether the concept of “daily routine doctrine” can contribute to disaster health competency models. The recommendations seek to establish a strategic reference point for disaster competency model alignment within the health workforce.(Disaster Med Public Health Preparedness. 2013;7:8-12)

Keywords

disaster medicinecompetencyworkforceknowledgedisaster education
Type
Special Focus
Information
Disaster Medicine and Public Health Preparedness , Volume 7 , Issue 1 , February 2013 , pp. 8 - 12
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Centers for Disease Control and Prevention, Council of State and Territorial Epidemiologists. Applied Epidemiology Competencies: Preface. 2008. http://www.cste.org/dnn/Portals/0/Applied_Epi_Comps_preface%20FINAL%2011_2008.pdf.Google Scholar
2.Cioffi, JP, Lichtveld, MY, Thielen, L, Miner, K. Credentialing the public health workforce: an idea whose time has come. J Public Health Manag Pract. 2003;9(6):451-458.Google Scholar
3.Hoffmann, T. The meanings of competency. J Eur Ind Train. 1999;23(6):275-285.CrossRefGoogle Scholar
4.Miner, KR, Childers, WK, Alperin, M, Cioffi, J, Hunt, N. The MACH model: from competencies to instruction and performance of the public health workforce. Public Health Rep 2005;120(suppl 1):9-15.Google Scholar
5.Homeland Security Presidential Directive 21: Public Health and Medical Preparedness. 2007. http://ncdmph.usuhs.edu/Documents/HSPD-21.pdf.Google Scholar
6.Schultz, CH, Koenig, KL, Whiteside, M, Murray, R. National Standardized All-Hazard Disaster Core Competencies Task Force. Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Ann Emerg Med. 2012;59(3):196-208.e1.Google Scholar
7. Association of Schools of Public Health, Centers for Disease Control and Prevention. Public Health Preparedness & Response Core Competency Model. 2010. http://www.asph.org/userfiles/PreparednessCompetencyModelWorkforce-Version1.0.pdf.Google Scholar
8. Center for Public Health Preparedness, Columbia University, Mailman School of Public Health, Greater New York Hospital Association. Emergency Preparedness and Response Competencies for Hospital Workers. http://www.ncdp.mailman.columbia.edu/files/hospcomps.pdf.Google Scholar
9.Gebbie, K, Merrill, J. Public health worker competencies for emergency response. J Public Health Manag Pract. 2002;8(3):73-81.Google Scholar
10.Hsu, EB, Thomas, TL, Bass, EB, Whyne, D, Kelen, GD, Green, GB. Healthcare worker competencies for disaster training. BMC Med Educ. 2006;6(19).Google Scholar
11.International Council of Nurses, World Health Organization Western Pacific Region. ICN Framework of Disaster Nursing Competencies. Geneva: International Council of Nurses and World Health Organization, Western Pacific Region; 2009.Google Scholar
12.Walsh, L, Subbarao, I, Gebbie, K, etal. Core competencies for disaster medicine and public health. Disaster Med Public Health Prep. 2012;6(1):44-52.Google Scholar
13.After Action Report: FY2009 TCN 09238 Workshop 3: Building a Framework for the Development of Core Capabilities and Competencies for Medical Disaster Preparedness and Response: A Continuing National Consultation Meeting. McLean, VA: Logistics Management Institute. November 17, 2010. http://ncdmph.usuhs.edu/Documents/YNHWorkshops/YNH-AAR-Workshop3.pdf.Google Scholar
14 Disaster Information Management Research Center. Disaster-Related Competencies for Healthcare Providers. Washington, DC: National Library of Medicine. http://sis.nlm.nih.gov/dimrc/professionalcompetencies.html. Accessed June 10, 2011.Google Scholar
15.Daily, E, Padjen, P, Birnbaum, M. A review of competencies developed for disaster healthcare providers: limitations of current processes and applicability. Prehosp Disaster Med. 2010;25(5):387-395.Google Scholar
16.Slepski, LA. Emergency preparedness and professional competency among health care providers during hurricanes Katrina and Rita: pilot study results. Disaster Manag Response. 2007;5(4):99-110.Google Scholar
17. Defense Acquisition University. ACQuipedia: Your Online Acquisition Encyclopedia: Research Development Test & Evaluation (RDT&E) Funds. 2011; https://acc.dau.mil/CommunityBrowser.aspx?id=29019#policies. Accessed December 12, 2011.Google Scholar
18.DOD Dictionary of Military Terms. http://www.dtic.mil/doctrine/dod_dictionary/. Accessed October 31, 2011.Google Scholar
19.Koo, D, Miner, K. Outcome-based workforce development and education in public health. Annu Rev Public Health. 2010;31: 253-269.Google Scholar
20.King, RV, North, CS, Larkin, GL, etal. Attributes of effective disaster responders: focus group discussions with key emergency response leaders. Disaster Med Public Health Prep. 2010;4(4):332-338.Google Scholar
21. Association of American Medical Colleges, Howard Hughes Medical Institute. Scientific Foundations for Future Physicians: Report of the AAMC-HHMI Committee. 2009. http://www.hhmi.org/grants/pdf/08-209_AAMC-HHMI_report.pdf.Google Scholar
22.Merchant, RM, Elmer, S, Lurie, N. Integrating social media into emergency-preparedness efforts. N Engl J Med. 2011;365(4):289-291.Google Scholar
23.Couig, MP, Vineyard, M, Knebel, A. National public health emergency response. In: Carmona RH, Darling RG, Knowben JE, Michael JM, eds. Public Health Emergency Preparedness & Response: Principles & Practice. Landover, MD: Public Health Service Commisioned Officers Foundation for the Advancement of Public Health; 2010:14-36.Google Scholar
24.Noe, RA. Employee Training and Development, 5th ed. New York, NY: McGraw-Hill/Irwin; 2010.Google Scholar
25.Torre, DM, Daley, BJ, Sebastian, JL, Elnicki, DM. Overview of current learning theories for medical educators. Am J Med 2006;119(10):903-907.Google Scholar
26.Yang, Y, Chen, Y, Chotani, RA, etal. Chinese disasters and just-in-time education. Prehosp Disaster Med. 2010;25(5):477-481.Google Scholar
27.Byrnes, DP. The Belfast experience. In: Cowley RA, ed. Mass Casualties: A Lessons Learned Approach—Accidents, Civil Disorders, Natural Disasters, Terrorism. Proceedings: First International Assembly on Emergency Medical Services. US Department of Transportation, National Highway Traffic Safety Administration; 1982:83-94.Google Scholar
28.Vayer, JS, Ten Eyck, RP, Cowan, ML. New concepts in triage. Ann Emerg Med. 1986;15(8):927-930.Google Scholar
29.Cloonan, CC. “Don't just do something, stand there!”: to teach or not to teach, that is the question-intravenous fluid resuscitation training for combat lifesavers. J Trauma. 2003;54(5):S20-S25.Google Scholar