Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.
Front Public Health. 2024 Mar 4;12:1332412. doi: 10.3389/fpubh.2024.1332412. eCollection 2024.
Effective and precise public health practice relies on a skilled and interdisciplinary workforce equipped with integrated knowledge, values, skills, and behaviors as defined by competency frameworks. Competency frameworks inform academic and professional development training, support performance evaluation, and identify professional development needs. The aim of this research was to systematically identify and examine trends in the extent, nature, and range of the literature related to developing competencies in public health. This includes developing public health competency frameworks, and how competencies are developed and maintained in students and practitioners. We used a scoping review methodology to systematically identify and report on trends in the literature. Two independent reviewers conducted title and abstract and full-text screening to assess the literature for relevance. Articles were included if they were original primary research or gray literature and published in English. No date or geographic restrictions were applied. Articles were included if they focused on developing competency statements or frameworks for public health and/or training public health students or practitioners to develop competencies. The review encompassed a range of methods and target populations, with an emphasis on building competencies through student and professional development. Foundational competency development was a primary focus, and we found a gap in discipline-specific competency research, especially within developing discipline-specific competency statements and frameworks. Several evidence-based practices for competency development were highlighted, including the importance of governance and resources to oversee competency framework development and implementation, and workforce planning. Experiential learning and competency-based training were commonly identified as best practices for building competencies. A comprehensive understanding of public health competency development-through developing and incorporating foundational and discipline-specific competencies, mapping student and practitioner training to competency frameworks, and incorporating best practices-will enable public health to create skills and an adaptable workforce capable of addressing complex public health issues.
有效的、精准的公共卫生实践依赖于一支熟练且跨学科的工作团队,他们具备由能力框架所定义的综合知识、价值观、技能和行为。能力框架为学术和专业发展培训提供信息,支持绩效评估,并确定专业发展需求。本研究的目的是系统地识别和检查与制定公共卫生能力相关的文献的范围、性质和范围的趋势。这包括制定公共卫生能力框架,以及学生和从业者如何发展和维持能力。我们使用范围综述方法系统地识别和报告文献中的趋势。两名独立的审查员进行标题和摘要以及全文筛选,以评估文献的相关性。如果文章是原始的主要研究或灰色文献,并且以英文发表,则将其纳入。没有应用日期或地理限制。如果文章侧重于制定公共卫生的能力陈述或框架,以及培训公共卫生学生或从业者以发展能力,则将其纳入。该综述涵盖了一系列方法和目标人群,重点是通过学生和专业发展来建立能力。基础能力发展是主要关注点,我们发现特定学科能力研究存在差距,特别是在制定特定学科能力陈述和框架方面。突出强调了一些能力发展的循证实践,包括治理和资源的重要性,以监督能力框架的开发和实施以及劳动力规划。体验式学习和基于能力的培训通常被认为是建立能力的最佳实践。全面了解公共卫生能力发展——通过制定和纳入基础和特定学科的能力、将学生和从业者的培训与能力框架相匹配以及纳入最佳实践——将使公共卫生能够培养出有能力应对复杂公共卫生问题的技能和适应性强的劳动力。