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Area of Science:

  • Disaster medicine and public health
  • Health professional education
  • Emergency preparedness

Background:

  • The National Center for Disaster Medicine and Public Health (NCDMPH) established core competencies for disaster health in 2012.
  • The COVID-19 pandemic highlighted the need to re-evaluate these competencies for current public health emergencies.
  • Advancements in disaster medicine necessitate an update to ensure effective health professional preparedness.

Purpose of the Study:

  • To determine if the 2012 disaster health core competencies require updating.
  • To assess expert consensus on necessary modifications to existing competencies.
  • To align disaster health training with contemporary challenges and knowledge.

Main Methods:

  • A mixed-methods qualitative study was conducted in April 2024.
  • 20 subject matter experts provided qualitative feedback on the 11 disaster health core competencies.
  • A Delphi survey with 42 additional stakeholders quantified agreement on proposed changes using Gwet AC2 interrater agreement measure.

Main Results:

  • Subject matter experts proposed 23 changes in an initial focus group.
  • Near-perfect agreement was reached on updating one core competency and its subcompetency.
  • The updated competency focuses on identifying physical, psychological, and security hazards and explaining associated risks.

Conclusions:

  • One of the 11 disaster health core competencies was modified based on expert consensus.
  • Refined language addresses hazard identification and risk explanation, informed by the COVID-19 pandemic.
  • Updated competencies ensure disaster health responder training remains current with preparedness and response advancements.