History -
Future of PHA Program
Read
Task Force 2010 Report
Future
Directions
STATUS OF THE 685 SERIES
In recent years, Watsonian
Society members and non-Watsonian Society public health advisors, as
well as many high level non-PHA management officials at CDC, have
expressed concern about how CDC/ATSDR management positions will be
filled in the future now that CDC is no longer hiring PHAs.
Traditionally CDC, over the past four decades, filled most of their
field and headquarters upper management positions with PHAs. To
address this issue, the 1996-1997 Watsonian Society Executive
Committee and several past presidents of the Watsonian Society met
with key CDC Office of the Director staff, as well as members of the
CDC Epidemiology Program Office (EPO)* on April 25, 1997. The
purpose of the meeting was to discuss the status of the PHA series
(685), CDC's new Public Health Prevention Service (PHPS) positions
(designed in part to provide an additional source of recruitment for
the PHA series,) and the recruitment
and training of persons to fill CDC management positions in the
future.**
At the meeting on April 25,
1997, CDC Associate Director for Management, Mr. Arthur C.
"Jack" Jackson, emphasized that the need for public health
advisors for management and other positions at CDC will continue
and, therefore, the public health advisor series will continue.
However, the way people are recruited, trained, and assigned to the
series, however, may differ in the future as compared to the past.
At the time of the meeting,
there were two new efforts at CDC related to enhancing the public
health advisor series. One was the Graduate Certification Program (GCP)
in Public Health which was initiated by the National Center for HIV,
STD, and TB Prevention and was open to PHAs throughout CDC. The
intent of this effort was to offer PHAs the opportunity to enroll in
one of four universities to take courses in public health that would
provide educational opportunities beyond what PHAs had been
previously provided. Courses included epidemiology, health policy,
communications, statistics, and lead to a certificate in public
health. The GCP courses represented about one-half the courses a
student needed to earn a masters degree in public health. The
instructional methods involved distance-based learning via the
Internet, several on campus sessions, and a practicum. Participating
schools were Emory University, Tulane University, Johns Hopkins
University, and the University of Washington. This effort lasted
three years. By the second year, nearly all interested and eligible
PHAs had enrolled. The program was expanded in the second year to
eligible state employees. By the third year, nearly all students
were non-federal personnel, and the program was discontinued after
the third year. There has been no evaluation or assessment of this
program, nor is there any tangible evidence of its impact.
The second program at CDC, as
previously mentioned, was the new PHPS job series. This program was
a product of the Bradford-Bales Report which recommended that CDC
develop staff able to design, implement, and evaluate scientifically
sound intervention programs. The report recommended broad-based
training and experience in different programs and at different
operating levels as contrasted to the traditional training of public
health associates in the sexually transmitted disease program. The
intent was for CDC to hire PHPS persons, who successfully complete
the training, for either headquarters or field positions, some of
which could be PHA positions. Persons who complete the training
would also have the option of working for State and local health
departments.
A three-year training
structure was developed for entrants to the PHPS series. The first
year of training would be spent at CDC in two different program
rotations. In years two and three, the fellows would then be
assigned to a single state or local health department field
assignment. Persons selected for this program had to have - in
addition to the basic competencies - good communication skills, a
desire to serve, flexibility, resourcefulness, and other
characteristics of public health professionals. The first 25
accepted at the GS-9 level for the three-year training program
entered on duty in the fall of 1997. Of the 25 who started, 19
completed the full three years of training. Of these, 9 gained
employment at CDC, and 3 of the 9 entered on duty in a Public Health
Advisor "685" position. Of the remaining 10 persons, 6 are
involved in public health programs outside CDC and 4 are no longer
employed in public health.
The PHPS program was not
intended to develop seasoned managers during the three-year training
program. However, during training and in subsequent assignments, it
is anticipated they will be acquiring the experience, knowledge,
skills, and abilities needed to assume management positions.
There was discussion at the
April 25, 1997 meeting about other details of the PHPS and the
future of the PHA series. Jack Jackson said that the "685"
series will continue to be an important personnel classification at
CDC through which management and other positions would be filled. The PHPS
is to be a pool from which persons can be recruited for positions in
the PHA as well as other job series.
Mr. Jackson emphasized that
the Watsonian Society would remain an important employee
organization and should encourage the qualifying members of the PHPS
to join. Both the GCP and the PHPS were developed as programs
intended to produce future management staff for CDC positions,
including those in the "685" series.
Lastly, in the fall of 2000,
the Watsonian Society convened its own internal review of the
Society by establishing the Task Force 2010 Committee. This
committee published their findings in the summer of 2000. Their
report will provide the guidelines for future directions of the
Society.
Read
Task Force 2010 Report
* In attendance at the
meeting:
1996-97 officers: CDC
Management Staff.
Gerald Naehr, President Jack Jackson, Associate Dir. for Management
John Miles, President Elect Joe Carter, Deputy AD for Management
Mack Anders, Recorder
Past presidents: EPO
Management Staff
Jack Benson Steve Thacker, Director
John Seggerson Barbara Holloway, Deputy Director
Tom Ortiz Andy Dannenberg, Dir., Div. of Applied PH Tng.
Paul Turner Pam Chin, Deputy Dir., Div. of Applied PH Tng.
(Jack Jackson, Joe Carter,
Pam Chin, and Barbara Holloway are PHAs and members of the Watsonian
Society)
** Recruitment of employees
to the public health advisor series last occurred in 1993. For most
of the previous 35 plus years, people (co-ops and public health
associates) were recruited annually. Indeed, the first PHAs were
hired nearly 50 years ago [1948]. This drought - last seen similarly
in the mid 1980's prior to an independent study by Coopers &
Lybrand in 1987- is of considerable concern among our society
members. [The comprehensive C&.L study reflected overwhelming
support of PHAs by CDC management and State and local health
agencies and resulted in hiring an average of 100+ public health
associates through 1993.]
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