Leadership Training and the Problems of Competency Development

Reid, W. Michael; Dold, Claudia J.

doi:10.1097/phh.0000000000000456

Cited by 5 publications

(5 citation statements)

References 42 publications

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“…12 This is not without some issues however, such as problems related to identifying priorities as well as defining and measuring how competencies are met. 15 Therefore one should aim to strike a balance between covering the most salient areas and keeping the number of competencies to the smallest number required. Another threat to competency models is that of clinician burnout in postgraduate education.…”

Section: Discussionmentioning

confidence: 99%

“…This will include tasks such as developing operational definitions for the competencies concerning their related knowledge, skills, attitudes and behaviours as well as defining how such competence will be measured for individuals. 15 The CCF provides the initial foundation for defining the requirements to be a clinical informatician in the UK and provides a starting point for professional development in this fast-moving area of healthcare.…”

Section: Competencymentioning

confidence: 99%

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Development of a core competency framework for clinical informatics

Davies

Mueller

Hassey

et al. 2021

BMJ Health Care Inform

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ObjectivesUntil this point there was no national core competency framework for clinical informatics in the UK. We report on the final two iterations of work carried out in the formation of a national core competency framework. This follows an initial systematic literature review of existing skills and competencies and a job listing analysis.MethodsAn iterative approach was applied to framework development. Using a mixed-methods design we carried out semi-structured interviews with participants involved in informatics (n=15). The framework was updated based on the interview findings and was subsequently distributed as part of a bespoke online digital survey for wider participation (n=87). The final version of the framework is based on the findings of the survey.ResultsOver 102 people reviewed the framework as part of the interview or survey process. This led to a final core competency framework containing 6 primary domains with 36 subdomains containing 111 individual competencies.ConclusionsAn iterative mixed-methods approach for competency development involving the target community was appropriate for development of the competency framework. There is some contention around the depth of technical competencies required. Care is also needed to avoid professional burnout, as clinicians and healthcare practitioners already have clinical competencies to maintain. Therefore, how the framework is applied in practice and how practitioners meet the competencies requires careful consideration.

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Section: Discussionmentioning

confidence: 99%

Section: Competencymentioning

confidence: 99%

Development of a core competency framework for clinical informatics

Davies

Mueller

Hassey

et al. 2021

BMJ Health Care Inform

View full text Add to dashboard Cite

show abstract

“…In line with learning content and curricula, Canada’s core competencies should also consider how the use of competencies in training and assessment will be measured. Methods including self-reported competency, workplace observation, and examinations can be considered but are not without limitations 36…”

Section: Resultsmentioning

confidence: 99%

“…Methods including self-reported competency, workplace observation, and examinations can be considered but are not without limitations. 36 Accreditation and certification programs may also be useful for addressing implementation and dissemination gaps. Unlike comparable jurisdictions, Canada does not have accrediting bodies for public health schools, programs, or professionals, and some Canadian schools have sought international accreditation instead.…”

Section: Implementation and Dissemination: Education Workforce Develo...mentioning

confidence: 99%

The Core Competencies for Public Health in Canada: Opportunities and Recommendations for Modernization

Shephard,

Uy,

Otterman

et al. 2024

Journal of Public Health Management &Amp; Practice

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Context: The 2008 Public Health Agency of Canada’s (PHAC’s) “Core Competencies for Public Health in Canada” (the “Canadian core competencies”) outline the skills, attitudes, and knowledge essential for the practice of public health. The core competencies represent an important part of public health practice, workforce development, and education in Canada and internationally. However, the core competencies are considered outdated and are facing calls for review, expansion, and revision. Objective: To examine the literature on public health competencies to identify opportunities and recommendations for consideration when reviewing and updating the Canadian core competencies. Methods: This narrative literature review included 4 components: 3 literature searches conducted between 2021 and 2022 using similar search strategies, as well as an analysis of competency frameworks from comparable jurisdictions. The 3 searches were conducted in collaboration with the Health Library to identify core competency-relevant scholarly and gray literature published in English since 2007. Reference lists of sources identified were also reviewed. During the data extraction process, one researcher screened each source, extracted competency-relevant information, and categorized these data into key findings. Results: After identifying 2392 scholarly and gray literature sources, 166 competency-relevant sources were included in the review. Findings from these sources were synthesized into 3 main areas: (1) competency framework methodology and structure; (2) competencies to add; and (3) competencies to modify. Discussion: These findings demonstrate that updates to Canada’s core competencies are needed and overdue. Recommendations to support this process include establishing a formal governance structure for the competencies’ regular review, revision, and implementation, as well as ensuring that priority topics applicable across all competency categories are integrated as overarching themes. Limitations of the evidence include the potential lack of applicability and generalizability to the Canadian context, as well as biases associated with the narrative literature review methodology.

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“…This competency framework became the basis for the institutes' training programs reaching thousands of public health practitioners and academics. Systems thinking subsequently became an integral part of several other public health competency frameworks, accreditation standards, certification requirements, and curricula in schools of public health (Reid & Dold, 2016).…”

Section: Introductionmentioning

confidence: 99%

Systems Thinking for the Middle Manager and Aspiring Leader in Public Health

Reid¹,

Dold²

2020

OJL

Self Cite

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The staff of a state public health leadership institute used a national leadership competency set as guidance for its curriculum. An important competency of that and several other national competency sets is systems thinking. Efforts to provide useful training in systems thinking were only partially successful. Literature searches revealed only one successful application in practice, even though surveys find that systems thinking continues to be a critical training need. During its final year, the staff of the institute developed a framework for a personal system thinking approach, which was favorably received by institute participants. The great majority of the participants in the institute were middle managers who were expected to develop their leadership skills and advance in their careers. This paper presents a refined version of the systems thinking framework. Among the advantages, it provides are: it requires no expenditure other than time, it requires no consultants, it can be tailored to the needs of any worker, it can be revisited as often as desirable, it recognizes that conflict and competition are ever-present in organizations and agencies, and it a can provide a roadmap for personal leadership action.

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Leadership Training and the Problems of Competency Development

Cited by 5 publications

References 42 publications

Development of a core competency framework for clinical informatics

Development of a core competency framework for clinical informatics

The Core Competencies for Public Health in Canada: Opportunities and Recommendations for Modernization

Systems Thinking for the Middle Manager and Aspiring Leader in Public Health

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