Columbia University School of Nursing erican Public Health Association October 24, 200 Genetic/Genomic Competencies for Public Health Stephen Margolis, PhD; Kristine M. Gebbie, DrPH, RN; Andrew Faucett, MS, CGC; Genetics Competencies for Public Health Workforce Team
Genetic/Genomic Competencies for Public Health. Stephen Margolis, PhD; Kristine M. Gebbie, DrPH, RN; Andrew Faucett, MS, CGC; Genetics Competencies for Public Health Workforce Team. Columbia University School of Nursing. American Public Health Association October 24, 2001. - PowerPoint PPT Presentation
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Columbia University School of Nursing
American Public Health Association October 24, 2001
Genetic/Genomic Competencies for Public Health
Stephen Margolis, PhD; Kristine M. Gebbie, DrPH, RN; Andrew Faucett,
MS, CGC; Genetics Competencies for Public Health Workforce Team
Why GENOMICSnot Genetics
• Genomics is a new evolving term• Workgroup chose to encourage
“thinking outside the box”
Genetics is currently thought of in relation to conditions:
• That most people working in public health are rarely involved with
• Learning genetics had limited value for a public health career
• Examples include chromosome abnormalities such as Down syndrome and single gene mutations such as Cystic Fibrosis or PKU
GENOMICS refers to those conditions plus ….
• Discoveries from the Human Genome Project (HGP) which show that most adult onset and chronic diseases can be partially caused or prevented by genetic factors
• Environmental factors also play a significant role
• Nature and Nurture, not versus
Two CategoriesRare gene / High risk
• Gene frequency usually less than 10% but risk for disease can be greater than 50%
• HNPCC Colon Cancer• BRCA 1 and 2 Breast Cancer• MODY 1,2,3 Diabetes• Alpha-synuclein Parkinson Disease
Two CategoriesCommon gene / Moderate risk• Genes that are very common in the
general population (30-50%) but only increase the risk moderately and almost always require environmental factors and other genes
• Consistent with other competency definition projects in emerging area of practice A combination of expert opinion and consultation with practice field
• Key dates March 2000 – Team Leaders Meet August 2000 – Teams Meet and Draft 6 Sets Drafts Revised & Combined – Email & Conference Call March 2001 – Team Leaders Meet – Edit & Cut – Format April 2001 – Outside Review by 60+ Associates of Team Members May 2001 – Comments Combined – Team Leaders Review by Email June 2001 – Document Released on OGDP Web Site
Individual competencies
• Complex combination of knowledge, skills and abilities demonstrated by organization members that are critical to the effective and efficient function of the organization (Center for Public Health Practice, Emory University).
Competency categories• All Public Health Workers• All Professional Workers• Specialty/Concentration-Specific
Leaders/administratorsCliniciansEpidemiologistsHealth educatorsLaboratoriansEnvironmental health workers
Competency statements have many uses
• Updating/revising job descriptionsDo appropriate job descriptions include reference to
genomics
• Employee orientation and trainingAs appropriate to program or profession
• Self-assessment by workersAm I able to …
All Public Health workers should
• 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
All Public Health professionals should• Apply the basic public health sciences
… utilizing the genomic vocabulary …• Identify ethical and medical
limitations …• Maintain knowledge on the
development of genetic advances• Identify the role of cultural, social,
behavioral, environmental and genetic factors in … disease
and should
• Participate in strategic policy planning …
• Collaborate … to solve genomic related problems
• Participate in the evaluation of … genomic services in public health
• Develop protocols to insure informed consent and .. protection
Additionally, as appropriate to discipline, agency or program