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Applied epidemiology and public health: are we training the future generations appropriately?

机译:应用流行病学和公共卫生:我们是否适当地培训未来世代?

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摘要

To extend the reach and relevance of epidemiology for public health practice, the science needs be broadened beyond etiologic research, to link more strongly with emerging technologies and to acknowledge key societal transformations. This new focus for epidemiology and its implications for epidemiologic training can be considered in the context of macro trends affecting society, including a greater focus on upstream causes of disease, shifting demographics, the Affordable Care Act and health care system reform, globalization, changing health communication environment, growing centrality of team and transdisciplinary science, emergence of translational sciences, greater focus on accountability, big data, informatics, high-throughput technologies ("omits"), privacy changes, and the evolving funding environment. This commentary describes existing approaches to and competencies for training in epidemiology, maps macro trends with competencies, highlights an example of competency-based education in the Epidemic Intelligence Service of Centers for Disease Control and Prevention, and suggests expanded and more dynamic training approaches. A reexamination of current approaches to epidemiologic training is needed. (C) 2016 Elsevier Inc. All rights reserved.
机译:为了扩大公共卫生实践流行病学的覆盖范围和相关性,科学需求扩大超越病因研究,以便与新兴技术更强烈地联系起来并承认关键的社会转型。这种新的流行病学重点及其对流行病学培训的影响可以在影响社会的宏观趋势的背景下考虑,包括更高的关注疾病上游原因,转移人口统计学,经济实惠的护理法和医疗保健制度改革,全球化,不断变化的健康通信环境,越来越多的团队中心和跨学科科学,翻译科学的出现,更加注重问责制,大数据,信息学,高吞吐量技术(“省略”),隐私变化以及不断变化的资金环境。该评论描述了流行病学培训的现有方法和能力,地图与能力的宏观趋势,突出了疾病控制和预防中心的流行病智力服务中的竞争力教育的一个例子,并提出了扩大和更具动态的培训方法。需要重新审查目前的流行病学培训方法。 (c)2016年Elsevier Inc.保留所有权利。

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