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Canadian Journal of Public Health

, Volume 97, Issue 3, pp 248–250 | Cite as

Are Schools of Public Health Needed to Address Public Health Workforce Development in Canada for the 21st Century?

  • Ted H. Tulchinsky
  • M. Joan BickfordEmail author
Debate

Abstract

In addition to establishing Canadian federal institutions for public health to work in cooperation with provincial and local health authorities, the infrastructure of public health for the future depends on a multi-disciplinary and well-prepared workforce. Traditionally, Canada trained its public health workforce in schools of public health (or hygiene), but in recent decades this has been carried out in departments and centres primarily within medical faculties. Recent public health crises in Canada have led to some new federal institutions and reorganization of public health activities as well as other reforms. This commentary proposes re-examination of the context of public health workforce training and especially for schools of public health as independent faculties within universities as in the United States or, as developed more recently in Europe, semi-independent schools within medical faculties. The multi-disciplinary nature of public health professionals and the complex challenges of the “New Public Health” call for a new debate on this vital issue of public health workforce development. Public health needs a new image and higher profile of training, research and service to meet provincial and national needs, based on international standards of accreditation and recognition.

MeSH terms

Public health Canada health human resources schools of public health 

Résumé

En plus de la création d’institutions fédérales de santé publique pour collaborer avec les autorités sanitaires provinciales et locales, l’avenir des infrastructures en santé publique dépend de l’existence d’une main-d’œuvre pluridisciplinaire et bien préparée. Par le passé, le Canada formait les effectifs de la santé publique dans des écoles de santé (ou d’hygiène) publique, mais depuis quelques décennies, ces cours sont principalement offerts dans les départements et les centres des facultés de médecine. Les crises de santé publique survenues récemment au Canada ont entraîné la création de quelques nouvelles institutions fédérales, la réorganisation des activités de la santé publique et plusieurs autres réformes. Nous nous proposons ici de revoir le contexte dans lequel on forme les effectifs de la santé publique, et surtout la possibilité de créer des écoles de santé publique autonomes au sein des universités, comme cela se fait aux États-Unis, ou encore, comme il en existe depuis peu en Europe, des écoles semi-autonomes au sein des facultés de médecine. La pluridisciplinarité des professionnels de la santé publique et la complexité des défis de la «nouvelle santé publique» justifieraient un nouveau débat sur la question vitale de la mise en valeur des effectifs de la santé publique. La santé publique aurait besoin de renouveler son image et de rehausser la visibilité de la formation, de la recherche et des services qu’elle offre, afin de répondre aux besoins provinciaux et nationaux tout en respectant les normes internationales d’agrément et de reconnaissance des titres de compétence.

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References

  1. 1.
    Tulchinsky TH, Varavikova EA. The New Public Health: An Introduction for the 21st Century. San Diego, CA: Academic Press, 2000. Chapter 13 and 15 (pp. 735–77).CrossRefGoogle Scholar
  2. 2.
    Wilson K. A Canadian Agency for Public Health: Could it work? CMAJ 2004;170:222–23.PubMedPubMedCentralGoogle Scholar
  3. 3.
    Di Ruggiero E, Frank J, Moloughney B. Strengthen Canada’s public health system now. Editorial. Can J Public Health 2004;95(1):5–11.PubMedGoogle Scholar
  4. 4.
    D’Cunha C. SARS: Lessons learned from a provincial perspective. Can J Public Health 2004;95(1):25–26.PubMedGoogle Scholar
  5. 5.
    Mowatt DL, Moloughney BW. Developing the public health workforce in Canada: A summary of regional workshops on workforce education and training. Can J Public Health 2004;95(3):186–87.Google Scholar
  6. 6.
    Royal College of Physicians and Surgeons of Canada. http://rcpsc.medical.org/residency/certification/training/commed_e.html#specialty (Updated July 16, 2004, and accessed February 14, 2006).
  7. 7.
    Institute of Medicine. The Future of Public Health. Washington, DC: Institute of Medicine, 1988.Google Scholar
  8. 8.
    Kahn K, Tollman SM. Planning professional education at schools of public health. Am J Public Health 1992;82:1653–57.PubMedPubMedCentralCrossRefGoogle Scholar
  9. 9.
    Handler A, Schieve LA, Ippoliti P, Gordon AK, Turnock BJ. Building bridges between schools of public health and public health practice. Am J Public Health 1994;84:1077–80.PubMedPubMedCentralCrossRefGoogle Scholar
  10. 10.
    Legnini MW. Developing leaders vs. training administrators in the health services. Am J Public Health 1994;84:1569–72.PubMedPubMedCentralCrossRefGoogle Scholar
  11. 11.
    Roemer M. Genuine professional doctor of public health the world needs. J Nursing Scholarship 1999;31:43–44.CrossRefGoogle Scholar
  12. 12.
    Committee on Educating Public Health Professionals. Gebbie K, Rosenstock L, Hernandez LM (Eds.). Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century. Washington: Institute of Medicine, National Academic Press, 2003.Google Scholar
  13. 13.
    Council on Education for Public Health at http://www.ceph.org (Accessed February 14, 2006).
  14. 14.
    London School of Hygiene and Tropical Medicine at http://www.Ishtm.ac.uk (Updated January 19, 2006, and accessed February 14, 2006).
  15. 15.
    Fee I, Acheson RM (Eds.). A History of Education in Public Health. Oxford, UK: Oxford Medical Publications, 1991.Google Scholar
  16. 16.
    Fulop T, Roemer MI. Reviewing Human Resources Development: A Method of Improving National Health Systems. Public Health Papers, 83. Geneva, Switzerland: World Health Organization, 1987.Google Scholar
  17. 17.
    Kohler L. Public health renaissance and the role of schools of public health. Eur J Public Health 1991;1:2–9.CrossRefGoogle Scholar
  18. 18.
    McKee M, Clarke A, Kornitzer M, Gheyssens H, Krasnik A, Brand H, et al. Public health medicine training in the European community: Is there scope for harmonization? Eur J Public Health 1992;2:45–53.CrossRefGoogle Scholar
  19. 19.
    Tulchinsky TH, Epstein L, Normand C (Eds.). Proceedings of the Jerusalem Conference on Developing New Schools of Public Health. Public Health Rev 2002;30;1-4:1–392.Google Scholar
  20. 20.
    Beaglehole R, Dal Poz M. Public health workforce: Challenges and policy issues. Commentary. Human Resources for Health 2003;1:4.PubMedPubMedCentralCrossRefGoogle Scholar
  21. 21.
    World Health Organization. World Health Report 2006, draft consultation at http://www.who.int/hrh/whr06_consultation/en/index.html (Accessed February 14, 2006).CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2006

Authors and Affiliations

  1. 1.Braun School of Public HealthHebrew University - HadassahJerusalemIsrael
  2. 2.WinnipegCanada

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