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Who will keep the Public Healthy? Workshop Summary Who Will Keep the Public Healthy? Workshop Summary Committee on Educating Public Health Professionals for the 21st Century Board on Health Promotion and Disease Prevention Lyla Hernandez, Editor INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES THE NATIONAL ACADEMIES PRESS Washington, D.C. www.nap.edu
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Who will keep the Public Healthy? Workshop Summary THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. Support for this project was provided by Contract/Grant No. 042024 between the National Academy of Sciences and the Robert Wood Johnson Foundation. The views presented in this report are those of the Institute of Medicine Committee on Educating Public Health Professionals for the 21st Century and are not necessarily those of the funding agencies. International Standard Book Number 0-309-08966-2 (Book) International Standard Book Number 0-309-52570-5 (PDF) Additional copies of this report are available from the National Academies Press, 500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800)624–6242 or (202)334–3313 (in the Washington metropolitan area); Internet, http://www.nap.edu. For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu. Copyright 2003 by the National Academy of Sciences. All rights reserved. Printed in the United States of America. The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.
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Who will keep the Public Healthy? Workshop Summary “Knowing is not enough; we must apply. Willing is not enough; we must do.” —Goethe INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES Shaping the Future for Health
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Who will keep the Public Healthy? Workshop Summary THE NATIONAL ACADEMIES Advisers to the Nation on Science, Engineering, and Medicine The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Bruce M. Alberts is president of the National Academy of Sciences. The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Wm. A. Wulf is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine. The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Bruce M. Alberts and Dr. Wm. A. Wulf are chair and vice chair, respectively, of the National Research Council. www.national-academies.org
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Who will keep the Public Healthy? Workshop Summary REVIEWERS This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the NRC’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report: Michael Eriksen, Sc.D., Professor and Director, Institute of Public Health, Georgia State University William C.Livingood, Ph.D., Director, Institute for Health, Policy & Evaluation Research, Duval County Health Department Sheila M.Smythe, M.S., Executive Vice President and Dean, School of Public Health, New York Medical College Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the report nor did they see the final draft of the report before its release. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.
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Who will keep the Public Healthy? Workshop Summary ACKNOWLEDGMENTS The input of many individuals contributed greatly to the planning, conduct, and implementation of the workshop that this report summarizes. The Robert Wood Johnson Foundation (RWFJ) sponsored the meeting and provided important suggestions for its implementation, in particular, Pamela Williams Russo, M.D., M.P.H. Suggestions for issues and questions that should be considered during the workshop were offered by numerous individuals, with special thanks extended to: Elaine Auld, M.P.H.; Palmer Beasley, M.D., M.S.; Ron Bialek, M.P.P.; Patrick Libbey; Maureen Lichtveld, M.D., M.P.H.; William Livingood, Ph.D.; Harrison Spencer, M.D., M.P.H.; Tim Stephens, Michael R.Fraser, Ph.D.; and Kathy Vincent. We wish to express appreciation to the workshop presenters, Kristine Gebbie, Dr.P.H., R.N., J.Michael McGinnis, M.D., and Linda Rosenstock, M.D., M.P.H., for providing an excellent overview of: the recommendations of the report Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century; the importance of public health professional education, and for a discussion of the issues and questions surrounding the implementation of those recommendations. Finally, our thanks go to all those who took time from their busy schedules to attend the workshop and contribute to the discussion.
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Who will keep the Public Healthy? Workshop Summary Contents 1 INTRODUCTION 1 2 WORKSHOP PRESENTATIONS 3 Genesis of the Study, 3 Report Recommendations, 4 Questions and Issues, 6 Centers for Disease Control and Prevention (CDC), 8 Group Presentations, 8 CONCLUSION 15 APPENDICES A COMMITTEE ON EDUCATING PUBLIC HEALTH PROFESSIONALS FOR THE 21st CENTURY 17 B SLIDES ACCOMPANYING PRESENTATION OF REPORT RECOMMENDATIONS 19 C SLIDES ACCOMPANYING PRESENTATION OF QUESTIONS AND ISSUES 31 D WORKSHOP AGENDA 35 E PARTICIPANT LIST 37
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