www.aspher.org Impact of EU Impact of EU Accession on Public Accession on Public Health in Croatia Health in Croatia Towards A European Towards A European Framework for Public Framework for Public Health Competencies Health Competencies Andrija Stampar School of Public Andrija Stampar School of Public Health Health 17 17 th th January 2011 January 2011 Christopher Birt Christopher Birt
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Impact of EU Accession on Public Health in Croatia
Impact of EU Accession on Public Health in Croatia. Towards A European Framework for Public Health Competencies Andrija Stampar School of Public Health 17 th January 2011 Christopher Birt. Competencies. - PowerPoint PPT Presentation
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www.aspher.org
Impact of EU Impact of EU Accession on Public Accession on Public
Health in CroatiaHealth in Croatia
Towards A European Towards A European Framework for Public Framework for Public Health CompetenciesHealth Competencies
Andrija Stampar School of Public Andrija Stampar School of Public HealthHealth
1717thth January 2011 January 2011
Christopher BirtChristopher Birt
www.aspher.org
CompetenciesCompetencies
• these are increasingly under discussion these are increasingly under discussion generally, being applied to many generally, being applied to many professional disciplines;professional disciplines;
• are being applied in health services in are being applied in health services in both medical and non-medical situations;both medical and non-medical situations;
• attempts to apply them to public health attempts to apply them to public health since around 1990.since around 1990.
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What is a What is a competency?competency?
Typically, competencies are Typically, competencies are general descriptions of the general descriptions of the abilities needed to perform a abilities needed to perform a particular role in an organisation. particular role in an organisation. Competencies should be Competencies should be described in terms such that they described in terms such that they can be measured. (can be measured. (Free Management Free Management Library, www.managementhelp.org, June 07)Library, www.managementhelp.org, June 07)
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Approaches in Approaches in PHPH
• USA: Schools of PH defined few general USA: Schools of PH defined few general competencies to inform curricula – top / competencies to inform curricula – top / down approachdown approach
• UK: Faculty of PH defined competencies UK: Faculty of PH defined competencies as basis for determining progress in as basis for determining progress in trainingtraining
• UK: UK PH Skills and Career Framework; UK: UK PH Skills and Career Framework; attempt to define competencies for 7 attempt to define competencies for 7 levels of PH employment – bottom / up, levels of PH employment – bottom / up, starting with workforcestarting with workforce
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What health What health organisations are organisations are now using in UKnow using in UK
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Meanwhile…Meanwhile…
employers are defining ever employers are defining ever more precisely the qualifications, more precisely the qualifications, experience and skills required experience and skills required for specific posts (including in for specific posts (including in PH); in PH they are beginning to PH); in PH they are beginning to use the Skills and Career use the Skills and Career Framework.Framework.
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In USA:In USA:
Competencies sound like essay Competencies sound like essay questions! e.g. questions! e.g.
““Describe how social, behavioural, Describe how social, behavioural, environmental, and biological environmental, and biological factors contribute to specific factors contribute to specific individual and community health individual and community health outcomes.”outcomes.”
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Still in USA…Still in USA…
Other competencies appear to be Other competencies appear to be aspirations! e.g. aspirations! e.g.
“ “Engage in dialogue and learning Engage in dialogue and learning from others to advance public from others to advance public health goals”health goals” or or
““Apply social justice and human Apply social justice and human rights principles when rights principles when addressing community needs”.addressing community needs”.
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So the problem isSo the problem is
that American that American competencies (thus competencies (thus
far) cannot be far) cannot be measured!measured!
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In the ASPHER In the ASPHER programmeprogramme
we were determined that:we were determined that:
• competencies should be precise, competencies should be precise, and as far as possible, and as far as possible, measurable, andmeasurable, and
• competencies should be relevant competencies should be relevant to genuine PH practice, and thusto genuine PH practice, and thus
• competencies should be relevant competencies should be relevant to employers, NGOs, etc.to employers, NGOs, etc.
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The six “core theme” (domain) working
groups
• Methods (epidemiology and biostatistics; qualitative methods);
• Social environment and health;• Physical, chemical and biological environment
and health;• Health policy, organisation, management and
economics;• Health promotion and prevention;• Cross-disciplinary themes, including strategy
making; • Ethics and related themes.
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What might PH What might PH competencies be competencies be for?for?
• standard setting and curriculum setting for standard setting and curriculum setting for education and training based on real PH education and training based on real PH situations;situations;
• standardisation of PH training and practice standardisation of PH training and practice across Europe;across Europe;
• indicators of completion of stages of training;indicators of completion of stages of training;
• role definition and standardisation of PH job role definition and standardisation of PH job descriptions;descriptions;
• matching candidates to PH job vacancies;matching candidates to PH job vacancies;
• mobility of PH professionals across EU borders.mobility of PH professionals across EU borders.
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For this ASPHER For this ASPHER initiative, we initiative, we
considered that:considered that:
•the ASPHER Core Competencies the ASPHER Core Competencies would be designed primarily to would be designed primarily to support PH education and support PH education and training;training;
•however, they would stand or however, they would stand or fall by their relevance (or not) fall by their relevance (or not) to service public health to service public health workforces addressing real life workforces addressing real life public health problems.public health problems.
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Currently ASPHER Currently ASPHER seeks:seeks:
• extension of dialogue between schools and extension of dialogue between schools and employers (e.g. at workshops, etc.);employers (e.g. at workshops, etc.);
• establishment of “independent” Europe-wide establishment of “independent” Europe-wide overseeing body (“Academy”, “Institution” – overseeing body (“Academy”, “Institution” – is there a better title?) responsible for the is there a better title?) responsible for the ongoing production of European lists of ongoing production of European lists of competencies;competencies;
• involvement of wider PH movement in Europe;involvement of wider PH movement in Europe;
• dialogue with and commitment from dialogue with and commitment from governments, health ministries, and PH governments, health ministries, and PH employers.employers.
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Refinement of Refinement of CompetenciesCompetencies
• in 2011, a complete new list of in 2011, a complete new list of competencies will be published;competencies will be published;
• also this year, in 2011, a list of “MPH” also this year, in 2011, a list of “MPH” competencies will be published;competencies will be published;
• later a list of “employer-friendly” later a list of “employer-friendly” competencies will be published;competencies will be published;
• what other tailor-made lists should what other tailor-made lists should follow?follow?
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ASPHER needs to ASPHER needs to share this work with share this work with
the wider PH the wider PH community!community!
ASPHER has been happy to take a lead thus ASPHER has been happy to take a lead thus far, but we have invited the following far, but we have invited the following organisations to work with us to assist organisations to work with us to assist ASPHER to develop the project:ASPHER to develop the project:
EPHA EPHA (European Public Health Alliance)(European Public Health Alliance)
EHN EHN (EuroHealthNet)(EuroHealthNet)
EHMA EHMA (European Health Management Association)(European Health Management Association)
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Governance:Governance:
• we need to prepare for permanent body to lead we need to prepare for permanent body to lead on this;on this;
• with EPHA we shall arrange special meetings in with EPHA we shall arrange special meetings in major cities for main PH stakeholders, and major cities for main PH stakeholders, and meetings with government representatives, meetings with government representatives, etc.;etc.;
• we plan a meeting at the WHO European we plan a meeting at the WHO European Conference 2011, to which EC will also be Conference 2011, to which EC will also be invited, leading to:invited, leading to:
• establishment of an “Academy” or “Institute” establishment of an “Academy” or “Institute” or…. (to be named!)or…. (to be named!)
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Next stagesNext stages
•we continue to refine we continue to refine competencies in workshops competencies in workshops involving all stakeholders;involving all stakeholders;
•appropriate versions (the MPH appropriate versions (the MPH version?) should be translated version?) should be translated into other European languages;into other European languages;
•how should we next develop the how should we next develop the project?project?
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What health What health organisations are organisations are now using in UKnow using in UK
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The UK Skills and The UK Skills and Career Career
Framework Framework • would something like this at a would something like this at a
European level assist PH European level assist PH capacity development?capacity development?
• if so, which organisations should if so, which organisations should be involved?be involved?
• which types of organisations which types of organisations would be likely to use the would be likely to use the product? product?
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Now is time for questions Now is time for questions and discussion – and discussion –