Educating public health physicians for the future: a current perspective from Aotearoa New Zealand

Australia and New Zealand Health Policy - Tập 6 - Trang 1-6 - 2009
Chris Bullen1, Pat Neuwelt1
1School of Population Health, The University of Auckland, Auckland, New Zealand

Tóm tắt

Persisting, and in some cases widening, inequalities in health within and between countries present significant challenges to the focus and practice of contemporary public health, and by association, to public health education. As public health physicians and academic educators of medically- and non-medically trained public health practitioners, we call for a radical re-think of current approaches to public health medicine education and training in order to address these challenges. The public health physicians of the future, we argue, require not merely technical knowledge and skills but also a set of values that underpin a commitment to ethical principles, social equity, human rights, compassionate action, advocacy and leadership. Furthermore, while they will need to have their action firmly grounded in local realities they should think, if not speak and act, from an informed awareness of global issues. Drawing from our experience in Aotearoa New Zealand, as well as with marginalised communities overseas, we proffer our suggestions for the process and content of public health physician education and training for the future, with the intention of stimulating debate.

Tài liệu tham khảo

New Zealand College of Public Health Medicine: Competency Areas in Public Health Medicine. 2008, [http://www.populationhealth.org.nz/media/68442/nzcphm%20competencies.pdf] Commission on Social Determinants of Health: Closing the Gap in a Generation: Health equity through action on the social determinants of health. 2008, World Health Organization: Geneva Krieger N: Epidemiology and the web of causation: Has anyone seen the spider?. Social Science & Medicine. 1994, 39 (7): 887-903. 10.1016/0277-9536(94)90202-X. Baum F: The new public health. 2002, Melbourne: Oxford University Press, 2 Kass N: An ethics framework for public health. American Journal of Public Health. 2001, 91: 1776-82. 10.2105/AJPH.91.11.1776. Callahan D, Jennings B: Ethics and public health: Forging a strong relationship. American Journal of Public Health. 2002, 92 (2): 169-76. 10.2105/AJPH.92.2.169. Childress JF, Faden RR, Gaare RD, Gostin LO, Kahn J, Bonnie RJ, Kass NE, Mastroianni AC, Moreno JD, Nieburg P: Public health ethics: Mapping the terrain. J Law Med Ethics. 2002, 30 (2): 170-178. 10.1111/j.1748-720X.2002.tb00384.x. Holland S: Public health ethics. 2007, Cambridge: Polity Press Farmer P: Pathologies of power: Health, human rights and the new war on the poor. 2003, Berkeley, CA: University of California Press Braveman P, Gruskin S: Defining equity in health. Journal of Epidemiology & Community Health. 2003, 57: 254-8. 10.1136/jech.57.4.254. Mann JM: Health and human Rights: If not now, when? (Voices from the Past). American Journal of Public Health. 2006, 96 (11): 1940-3. Reid P, Cram F: Connecting health, people and country in Aotearoa New Zealand. Health and society in Aotearoa New Zealand. Edited by: Dew K, Davis P. 2005, Oxford University Press: Melbourne, 33-48. Baum F: The new public health (3rd edition). 2007, Melbourne: Oxford University Press, 3 Beaglehole R, Bonita R: Public health at the crossroads. 1997, Cambridge: Cambridge University Press Editorial: Educating doctors for world health. The Lancet. 2001, 358 (9292): 1471-10.1016/S0140-6736(01)06552-7. Feachem R: Globalisation is good for your health, mostly. British Medical Journal. 2001, 323: 504-6. 10.1136/bmj.323.7311.504. Forrow L, Sidel V: Medicine and nuclear war: From Hiroshima to mutual assured destruction to abolition 2000. Journal of the American Medical Association. 1998, 280: 456-61. 10.1001/jama.280.5.456. Australasian Faculty of Public Health Medicine New Zealand Office: Towards cultural competency for public health medicine: A discussion paper and recommendations. 2005, AFPHM-NZ: Wellington, New Zealand Petersen A, Lupton D: The duty to participate. The new public health: Health and self in the age of risk. 1996, Allen & Unwin: St Leonards, Australia, 146-173. New Zealand College of Public Health Medicine: Introduction to the Training Programme. [http://www.populationhealth.org.nz/training.aspx]