Department of Maternal and Child Health, UNC Gillings School of Global Public Health, Chapel Hill, NC, 27599-7445, USA,
Matern Child Health J. 2013 Oct;17(8):1359-62. doi: 10.1007/s10995-012-1164-y.
To examine the distribution of professional responsibilities as reflected in each level of the MCH Pyramid for 208 graduates of five Maternal and Child Health Bureau (MCHB)-funded training programs-Leadership Education in Neurodevelopmental and Related Disabilities, nutrition, pediatric dentistry, public health, and social work-at the University of North Carolina at Chapel Hill.
Graduates completed a web-based survey, 1-8 years after graduation. For each program, we constructed means of the reported percentages of total work time spent in infrastructure-building, population-based, enabling, and direct health care services.
Although generally consistent with the goals of the training programs, the percentages of time spent in each level of the Pyramid varied substantially among the five programs. For example, for a clinically focused program like pediatric dentistry, 80.2 % of time is spent in direct care services in contrast to 14.8 % for public health graduates. For each program, however, graduates report responsibilities among the different levels of the Pyramid.
Reporting job responsibilities within the MCH Pyramid provides a more informative picture of the contributions of training program graduates than do conventional metrics such as institutional or agency appointments. The fact that graduates from all five programs engage multiple roles is consistent with the MCHB workforce training goal to develop leaders in the field of MCH. Given the central role of the MCH Pyramid in planning and reporting for the MCH Services Block Grant, MCH training programs should include metrics such as graduates' roles according to the MCH Pyramid to assure that training goals are more closely aligned with workforce needs.
检查 5 个由妇幼保健局资助的培训项目（领导力教育在神经发育和相关残疾、营养、儿科牙科、公共卫生和社会工作）-北卡罗来纳大学教堂山分校的 208 名毕业生在妇幼保健金字塔的每个级别上的专业责任分布。
毕业生在毕业后 1-8 年内完成了一项基于网络的调查。对于每个项目，我们构建了报告的基础设施建设、基于人群的、使能和直接医疗保健服务总工作时间的百分比的平均值。
尽管与培训项目的目标总体一致，但五个项目之间在金字塔的每个级别上花费的时间百分比差异很大。例如，对于儿科牙科等临床重点项目，80.2%的时间用于直接护理服务，而公共卫生毕业生的比例为 14.8%。然而，对于每个项目，毕业生都报告了金字塔不同层次的职责。
在妇幼保健金字塔内报告工作责任比机构或机构任命等传统指标更能说明培训项目毕业生的贡献。所有五个项目的毕业生都承担多个角色的事实与妇幼保健局劳动力培训目标一致，即为妇幼保健领域培养领导者。鉴于妇幼保健金字塔在规划和报告妇幼保健服务整笔拨款方面的核心作用，妇幼保健培训项目应包括根据妇幼保健金字塔确定毕业生角色等指标，以确保培训目标与劳动力需求更加一致。
