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Training the Global Public Health Workforce Through Applied Epidemiology Training Programs: CDC’s Experience, 1951–2011
Public Health Reviews volume 33, pages190–203 (2011)
The strengthening of health systems is becoming increasingly recognized as necessary for the achievement of many objectives promoted or supported by global public health initiatives. Key within the effort to strengthen health systems is the development of a well-prepared, skilled, and knowledgeable public health workforce. Over 60 years ago, the United States Centers for Disease Control and Prevention (CDC) began the first training program in applied epidemiology, the Epidemic Intelligence Service (EIS), a two-year, in-service training program in epidemiology and public health practice. Since 1951, the EIS has produced well-trained and highly qualified applied or field epidemiologists, many of whom later became leaders within the US public health system. In 1980, the CDC began assisting other countries to develop their own field epidemiology training programs (FETPs), modeling them after the highly successful EIS program. FETPs differ from other training programs in epidemiology in that: (1) they are positioned within Ministries of Health and the activities of the residents are designed to address the priority health issues of the Ministry; (2) they stress the principle of training through service; and (3) they provide close supervision and mentoring by trained field epidemiologists. While FETPs are designed to be adaptable to the needs of any given country, there exist many fundamental similarities in the skills and knowledge required by public health workers. Recognizing this, CDC developed a standard core FETP curriculum that can be adapted to any country’s needs. Countries can further customize FETP trainings to meet their specific needs by adding specialized “tracks” or by targeting different audiences and levels of the health system. Although FETPs require substantial investments in time and resources as well as significant commitment from ministries, CDC’s vision is that every country will have access to an FETP to help build its public health workforce and strengthen its public health systems.
Centers for Disease Control and Prevention. Public health framework for health systems strengthening. Available from URL: http://www.cdc.gov/globalhealth/pdf/HHS_one_pager_factsheet_press_quality.pdf (Accessed 19 August, 2011).
Koo D, Thacker SB. In Snow’s footsteps: commentary on shoe-leather and applied epidemiology. Am J Epidemiol. 2010;172:737–9.
Nsubuga P, White M, Fontaine R, Simone P. Training programmes for field epidemiology. Lancet. 2008;371:630–1.
Lopez A, Caceres VM. Central America Field Epidemiology Training Program (CA FETP): a pathway to sustainable public health capacity development. Hum Resour Health. 2008;6:27.
Brownson R, Hoehner C. Epidemiology: a foundation of public health. In: Brownson R, Pettiti D, editors. Applied Epidemiology: Theory to Practice. New York, NY: Oxford University Press; 2006. p. 3–29.
Gregg M, editor. Field Epidemiology. 2nd ed. New York, NY: Oxford University Press; 2002.
Centers for Disease Control and Prevention. History of CDC. MMWR. 1996;45:526–30.
Centers for Disease Control and Prevention. Vision, Mission, Core Values, and Pledge: CDC Vision for the 21st Century: “Health Protection…Health Equity”. Atlanta: CDC; 2010 [updated 11 January, 2010]. Available from URL: http://www.cdc.gov/about/organization/mission.htm (Accessed 19 August, 2011).
McKenna M. Beating Back the Devil: On the Front Lines with the Disease Detectives of the Epidemic Intelligence Service. New York, NY: Free Press; 2004.
Thacker SB, Dannenberg AL, Hamilton DH. Epidemic intelligence service of the Centers for Disease Control and Prevention: 50 years of training and service in applied epidemiology. Am J Epidemiol. 2001;154:985–92.
Centers for Disease Control and Prevention. Epidemic Intelligence Service (EIS). Available from URL: http://www.cdc.gov/eis/index.html (Accessed 19 August, 2011).
Centers for Disease Control and Prevention. Division of Public Health Systems and Workforce Development 2010 Annual Report.
Traicoff DA, Walke HT, Jones DS, Gogstad EK, Imtiaz R, White ME. Replicating success: developing a standard FETP curriculum. Public Health Rep. 2008;123:S28–34.
World Health Assembly. Revision of the International Health Regulations. World Health Organization; 2005 [15 April, 2008]. Available from URL: http://www.who.int/csr/ihr/en/ (Accessed 19 August, 2011).
CDC. Field Epidemiology Training Program Standard Core Curriculum. 2006. Available from URL: http://www.cdc.gov/globalhealth/FETP/pdf/FETP_standard_core_curriculum_508.pdf (Accessed 19 August, 2011).
Association of Schools of Public Health. MPH Core Competency Model. 2010 [updated 9 September, 2010]. Available from URL: http://www.asph.org/document.cfm?page=851 (Accessed 19 August, 2011).
Pappaioanou M, Malison M, Wilkins K, Otto B, Goodman RA, Churchill RE, et al. Strengthening capacity in developing countries for evidence-based public health: the data for decision-making project. Soc Sci Med. 2003;57:1925–37.
Boulton M, Lemmings J, Beck A. Assessment of epidemiology capacity in state health departments, 2001–2006. J Public Health Manag Pract. 2009;15:328–36.
Recommended Citation: Schneider D, Evering-Watley M, Walke H, Bloland PB. Training the Global Public Health Workforce Through Applied Epidemiology Training Programs: CDC’s Experience, 1951–2011. Public Health Reviews. 2011;33:190–203.