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Proposals for Aligning Disaster Health Competency Models

  • Kenneth W. Schor and Brian A. Altman

To standardize the key building blocks of disaster health competency models (content, structure, and process), we recommend a reinterpretation of the research, development, test, and evaluation construct (RDT&E) as a novel organizing framework for creating and presenting disaster health competency models. This approach seeks to foster national alignment of disaster health competencies. For scope and completeness, model developers should consider the need and identify appropriate content in at least 4 broad areas: disaster-type domain, systems domain, clinical domain, and public health domain. The whole disaster health competency model should reflect the challenges of the disaster setting to acknowledge the realities of disaster health practice and to shape the education and workforce development flowing from the model. Additional issues for consideration are whether competency models should address response and recovery just-in-time learning and whether the concept of “daily routine doctrine” can contribute to disaster health competency models. The recommendations seek to establish a strategic reference point for disaster competency model alignment within the health workforce.(Disaster Med Public Health Preparedness. 2013;7:8-12)

Corresponding author
Address correspondence and reprint requests to Kenneth W. Schor, DO, MPH, National Center for Disaster Medicine and Public Health, 11300 Rockville Pike, Ste 1000, Rockville, MD 20852 (e-mail:
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1. Centers for Disease Control and Prevention, Council of State and Territorial Epidemiologists. Applied Epidemiology Competencies: Preface. 2008.
2.Cioffi, JP, Lichtveld, MY, Thielen, L, Miner, K. Credentialing the public health workforce: an idea whose time has come. J Public Health Manag Pract. 2003;9(6):451-458.
3.Hoffmann, T. The meanings of competency. J Eur Ind Train. 1999;23(6):275-285.
4.Miner, KR, Childers, WK, Alperin, M, Cioffi, J, Hunt, N. The MACH model: from competencies to instruction and performance of the public health workforce. Public Health Rep 2005;120(suppl 1):9-15.
5.Homeland Security Presidential Directive 21: Public Health and Medical Preparedness. 2007.
6.Schultz, CH, Koenig, KL, Whiteside, M, Murray, R. National Standardized All-Hazard Disaster Core Competencies Task Force. Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Ann Emerg Med. 2012;59(3):196-208.e1.
7. Association of Schools of Public Health, Centers for Disease Control and Prevention. Public Health Preparedness & Response Core Competency Model. 2010.
8. Center for Public Health Preparedness, Columbia University, Mailman School of Public Health, Greater New York Hospital Association. Emergency Preparedness and Response Competencies for Hospital Workers.
9.Gebbie, K, Merrill, J. Public health worker competencies for emergency response. J Public Health Manag Pract. 2002;8(3):73-81.
10.Hsu, EB, Thomas, TL, Bass, EB, Whyne, D, Kelen, GD, Green, GB. Healthcare worker competencies for disaster training. BMC Med Educ. 2006;6(19).
11.International Council of Nurses, World Health Organization Western Pacific Region. ICN Framework of Disaster Nursing Competencies. Geneva: International Council of Nurses and World Health Organization, Western Pacific Region; 2009.
12.Walsh, L, Subbarao, I, Gebbie, K, etal. Core competencies for disaster medicine and public health. Disaster Med Public Health Prep. 2012;6(1):44-52.
13.After Action Report: FY2009 TCN 09238 Workshop 3: Building a Framework for the Development of Core Capabilities and Competencies for Medical Disaster Preparedness and Response: A Continuing National Consultation Meeting. McLean, VA: Logistics Management Institute. November 17, 2010.
14 Disaster Information Management Research Center. Disaster-Related Competencies for Healthcare Providers. Washington, DC: National Library of Medicine. Accessed June 10, 2011.
15.Daily, E, Padjen, P, Birnbaum, M. A review of competencies developed for disaster healthcare providers: limitations of current processes and applicability. Prehosp Disaster Med. 2010;25(5):387-395.
16.Slepski, LA. Emergency preparedness and professional competency among health care providers during hurricanes Katrina and Rita: pilot study results. Disaster Manag Response. 2007;5(4):99-110.
17. Defense Acquisition University. ACQuipedia: Your Online Acquisition Encyclopedia: Research Development Test & Evaluation (RDT&E) Funds. 2011; Accessed December 12, 2011.
18.DOD Dictionary of Military Terms. Accessed October 31, 2011.
19.Koo, D, Miner, K. Outcome-based workforce development and education in public health. Annu Rev Public Health. 2010;31: 253-269.
20.King, RV, North, CS, Larkin, GL, etal. Attributes of effective disaster responders: focus group discussions with key emergency response leaders. Disaster Med Public Health Prep. 2010;4(4):332-338.
21. Association of American Medical Colleges, Howard Hughes Medical Institute. Scientific Foundations for Future Physicians: Report of the AAMC-HHMI Committee. 2009.
22.Merchant, RM, Elmer, S, Lurie, N. Integrating social media into emergency-preparedness efforts. N Engl J Med. 2011;365(4):289-291.
23.Couig, MP, Vineyard, M, Knebel, A. National public health emergency response. In: Carmona RH, Darling RG, Knowben JE, Michael JM, eds. Public Health Emergency Preparedness & Response: Principles & Practice. Landover, MD: Public Health Service Commisioned Officers Foundation for the Advancement of Public Health; 2010:14-36.
24.Noe, RA. Employee Training and Development, 5th ed. New York, NY: McGraw-Hill/Irwin; 2010.
25.Torre, DM, Daley, BJ, Sebastian, JL, Elnicki, DM. Overview of current learning theories for medical educators. Am J Med 2006;119(10):903-907.
26.Yang, Y, Chen, Y, Chotani, RA, etal. Chinese disasters and just-in-time education. Prehosp Disaster Med. 2010;25(5):477-481.
27.Byrnes, DP. The Belfast experience. In: Cowley RA, ed. Mass Casualties: A Lessons Learned Approach—Accidents, Civil Disorders, Natural Disasters, Terrorism. Proceedings: First International Assembly on Emergency Medical Services. US Department of Transportation, National Highway Traffic Safety Administration; 1982:83-94.
28.Vayer, JS, Ten Eyck, RP, Cowan, ML. New concepts in triage. Ann Emerg Med. 1986;15(8):927-930.
29.Cloonan, CC. “Don't just do something, stand there!”: to teach or not to teach, that is the question-intravenous fluid resuscitation training for combat lifesavers. J Trauma. 2003;54(5):S20-S25.
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Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
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