Application of a Return of Investment Analysis for Public Health Training by Case Study

Issues of responsibility and blame are very rarely discussed in public health training, but are seldom forgotten in practice. Blame often follows a crisis, and leaders of health agencies should be able to think strategically about how to handle such accusations before being faced with the pain of dealing with them. When the health agency is not at all at fault, officials can make the case for a strong public health response without reservation. When the agency is entirely to blame, a quick and sincere apology can allow the agency to retain credibility. The most difficult situation is when the agency is partly to blame. The goal in this situation is to accept the appropriate amount of blame while working quickly to resolve the crisis.

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Public Health Preparedness of Post-Katrina and Rita Shelter Health Staff

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00007408 ◽

2009 ◽

Vol 24 (6) ◽

pp. 500-505 ◽

Cited By ~ 10

Author(s):

Daksha Brahmbhatt ◽

Jennifer L. Chan ◽

Edbert B. Hsu ◽

Hani Mowafi ◽

Thomas D. Kirsch ◽

...

Keyword(s):

Public Health ◽

Technical Support ◽

Health Staff ◽

Health Training ◽

Health Concerns ◽

Health Authorities ◽

Public Health Training ◽

Clinical Scenarios ◽

Public Health Authorities ◽

Hurricanes Katrina And Rita

AbstractIntroduction:During 2005, Hurricanes Katrina and Rita struck the US Gulf Coast, displacing approximately two million people. With >250,000 evacuees in shelters, volunteers from the American Red Cross (ARC) and other nongovernmental and faith-based organizations provided services. The objective of this study was to evaluate the composition, pre-deployment training, and recognition of scenarios with outbreak potential by shelter health staff.Methods:A rapid assessment using a 36-item questionnaire was conducted through in-person interviews with shelter health staff immediately following Hurricanes Katrina and Rita. Data were collected by sampling at shelters located throughout five ARC regions in Texas. The survey focused on: (1) public health capacity; (2) level of public health awareness among staff; (3) public health training prior to deployment; and (4) interest in technical support for public health concerns. In addition, health staff volunteers were asked to manage 11 clinical scenarios with possible public health implications.Results:Forty-three health staff at 24 shelters were interviewed. Nurses comprised the majority of shelter health volunteers and were present in 93% of shelters; however, there were no public health providers present as staff in any shelter. Less than one-third of shelter health staff had public health training, and only 55% had received public health information specific to managing the health needs of evacuees. Only 37% of the shelters had a systematic method for screening the healthcare needs of evacuees upon arrival. Although specific clinical scenarios involving case clusters were referred appropriately, 60% of the time, 75% of all clinical scenarios with epidemic potential did not elicit proper notification of public health authorities by shelter health staff. In contrast, clinical scenarios requiring medical attention were correctly referred >90% of the time. Greater access and support from health and public health experts was endorsed by 93% of respondents.Conclusions:Public health training for sheltering operations must be enhanced and should be a required component of pre-deployment instruction. Development of a standardized shelter intake health screening instrument may facilitate assessment of needs and appropriate resource allocation. Shelter health staff did not recognize or report the majority of cases with epidemic potential to public health authorities. Direct technical support to shelter health staff for public health concerns could bridge existing gaps and assist surveillance efforts.

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Enhancing Public Health Practice Through a Regional Student Field Placement Program

Pedagogy in Health Promotion ◽

10.1177/2373379917697068 ◽

2017 ◽

Vol 3 (1_suppl) ◽

pp. 73S-80S ◽

Cited By ~ 2

Author(s):

Michelle Carvalho ◽

Lisa C. McCormick ◽

Laura M. Lloyd ◽

Kathleen R. Miner ◽

Melissa Alperin

Keyword(s):

Public Health ◽

Policy Development ◽

Underserved Populations ◽

Public Health Practice ◽

Program Planning ◽

Development Program ◽

Thinking Skills ◽

Executive Summary ◽

Health Training ◽

Public Health Training

Experiential learning links knowledge to real practice through seasoned mentor support, professional reflection, and hands-on experience in authentic work environments. While academic public health programs seek to train the future workforce, the current workforce has a critical need for training as well. The Region IV Public Health Training Center’s Pathways to Practice Scholar program gives public health students the opportunity to apply knowledge to competency-based experiences while fulfilling the current workforce’s short- and long-term human resource needs. Placements are offered in all eight states of the region to broaden opportunities for both agencies and student scholars. On completion of the program, scholars are required to submit an executive summary, reflection statement, photos of the experience, and a draft abstract suitable for submission to a professional conference. Since 2015, 36 scholars have been placed in positions across Region IV, 11 in states other than those of their home universities. Students were placed at state, local, and tribal health departments; area health education centers (AHECs); and other agencies (e.g., primary care settings), and the most common work plan domains selected by scholars were analytic/assessment, policy development/program planning, and leadership/systems thinking skills. Scholars’ perceived confidence increased across all domains with the highest increases in financial planning/management and cultural competency. Program implementation and evaluation findings are described, including types of projects, differences in confidence in performing competency domains, and confidence and interest in working with underserved populations. Evaluation findings indicate that the Region IV Public Health Training Center scholars increased their confidence in performing practice competencies while providing support for public health agencies serving underserved populations.

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Public Health Training on the Prevention of Youth Violence and Suicide

American Journal of Preventive Medicine ◽

10.1016/j.amepre.2005.08.024 ◽

2005 ◽

Vol 29 (5) ◽

pp. 233-239 ◽

Cited By ~ 9

Author(s):

Angela Browne ◽

Catherine W. Barber ◽

Deborah M. Stone ◽

Aleta L. Meyer

Keyword(s):

Public Health ◽

Youth Violence ◽

Health Training ◽

Public Health Training

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A Pipeline to Increase Public Health Diversity: Describing the Academic Enrichment Components of the Summer Public Health Scholars Program

Pedagogy in Health Promotion ◽

10.1177/23733799211046973 ◽

2021 ◽

Vol 7 (1_suppl) ◽

pp. 44S-50S ◽

Cited By ~ 2

Author(s):

Danielle M. Joyner ◽

Eman Faris ◽

Diana Hernández ◽

Joyce Moon Howard ◽

Robert E. Fullilove ◽

...

Keyword(s):

Public Health ◽

Medical Center ◽

Underrepresented Students ◽

Lessons Learned ◽

Public Health Workforce ◽

Columbia University ◽

Biomedical Sciences ◽

Health Training ◽

Public Health Training ◽

Academic Enrichment

A public health workforce that reflects the increasing diversity of the U.S. population is critical for health promotion and to eliminate persistent health disparities. Academic institutions must provide appropriate education and training to increase diversity in public health professions to improve efforts to provide culturally competent care and programs in the most vulnerable communities. Reaching into the existing talent pool of diverse candidates at the undergraduate level is a promising avenue for building a pipeline to advanced training and professional careers in the field of public health. The Summer Public Health Scholars Program (SPHSP) at the Columbia University Irving Medical Center (CUIMC) is a 10-week summer internship program with a mission to increase knowledge and interest in public health and biomedical sciences. Funded by the Centers for Disease Control and Prevention’s (CDC) Undergraduate Public Health Summer Programs, sponsored by the CDC’s Office of Minority Health and Health Equity, SPHSP aims to pipeline underrepresented students into public health graduate programs and careers by providing mentorship, academic enrichment, professional development, and field-based placements. The SPHSP is uniquely positioned to offer scholars a program that exposes them to core public health training components through the joint effort of all four CUIMC schools: public health, dentistry, nursing, and medicine. Here, we describe the program’s academic enrichment components, which provide advanced and multifaceted public health training opportunities. We discuss the impacts of the program on student outcomes and lessons learned in developing and refining the program model.

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Public Health Training Center Evaluation

Health Promotion Practice ◽

10.1177/1524839913509271 ◽

2014 ◽

Vol 15 (1_suppl) ◽

pp. 80S-88S ◽

Cited By ~ 3

Author(s):

Ariela M. Freedman ◽

Sheena Simmons ◽

Laura M. Lloyd ◽

Tara R. Redd ◽

Melissa (Moose) Alperin ◽

...

Keyword(s):

Public Health ◽

Training Center ◽

Health Training ◽

Public Health Training

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Real Workload-Situated Training in COVID-19 Prevention of General Practice Residents in China: A Situated Cognition Study

Frontiers in Public Health ◽

10.3389/fpubh.2021.765402 ◽

2021 ◽

Vol 9 ◽

Author(s):

Rao Xin ◽

Luo Li ◽

Su Qiaoli ◽

Wang Xingyue

Keyword(s):

Public Health ◽

General Practice ◽

Medical School ◽

Cognitive Load ◽

Prevention And Control ◽

Situated Cognition ◽

Health Training ◽

Public Health Training ◽

And Control ◽

And Training

Objective: The participation of general practice (GP) residents in COVID-19 prevention and control tasks touched workload participation in public health and disease prevention and control and was also a rare, valuable training experience for the residents and research material for medical education. This experience contributed to the understanding of three key points: First, was the content of the COVID-19 prevention task suited to them, or did it overload them in the present? Second, their competence in the COVID-19 prevention task reflected whether the early medical school training was sufficient or not. Third, what can be drawn from this study to promote public health training in the future? This study aimed to explore these issues by conducting a real epidemic situated training (REST) program.Methods: A situated cognition study was designed that included situational context design, legitimate peripheral participation, and the construction of a community of practice. The Task Cognitive Load Scale (NASA-TLX Scale) and self-developed questionnaires were adopted to conduct a questionnaire survey of resident doctors in a GP training program from West China Hospital of Sichuan University, and 183 questionnaires were collected. SPSS 23.0 statistical software was used for the statistical analysis of data.Results: The NASA scale showed that the intensity of field epidemic prevention and control (training) was tolerable. In particular, there was statistical difference in the cognitive load intensity of training before and after the epidemic occurred at different time points (P < 0.05). This shows that they were early trained and well-prepared before sudden outbreak of the COVID-19. Before the outbreak of the epidemic, the public health knowledge and training received came from undergraduate education (83.16%), early residents program training (69.47%), online self-study (49.16%), and continuing education (20.53%).Conclusion: Former medical school education and training at the regulatory training stage have a good effect and enable residents to master the skills required for epidemic prevention and control and to physically and mentally prepare for the task. After this stage, epidemic prevention and control training in real situations will make important contributions to the self-assessment and performance improvement of public health training.

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