Table 2.

Levels of Public Health Expertise for Family Physicians

I. Basic
 Knowledge
  ◂Functions and powers of local health departments
  ◂How to interact effectively with state and local health departments
  ◂Roles of local, state and federal agencies with public health functions
  ◂Medical care of sexually transmitted diseases, tuberculosis, other diseases important to public health
  ◂Evidence-based prevention recommendations
  ◂Appropriate use of public health resources (contact tracing, directly observed therapy, isolation and quarantine)
  ◂Role in emergencies and disasters
 Skills
  ◂Reporting of reportable diseases and conditions
  ◂Accurate recording of vital statistics
  ◂Implementation of clinical prevention guidelines (screening, immunization, counseling, chemoprophylaxis, travel advice)
  ◂Interpretation of medical literature (basic epidemiology and statistics)
  ◂Recognition of unusual diseases and patterns
  ◂Finding information on environmental concerns
  ◂Referral to community resources
  ◂Counseling to achieve lifestyle change
II. Intermediate
All of the basic knowledge and skills plus:
 Knowledge
  ◂More advanced epidemiology and statistics
  ◂What confirmatory labs to order to confirm important infectious diseases
  ◂Basics of environmental exposure risk assessment
  ◂Medical aspects of public health emergencies including bioterrorism
 Skills
  ◂Recognition and treatment of unusual presentations and complications of sexually transmitted diseases and tuberculosis
  ◂Implementing clinical systems for increasing adherence to prevention guidelines
  ◂Designing an observational or interventional study
  ◂Diagnosis and treatment of infections caused by level A bioterrorism agents
III. Advanced
All of the basic and intermediate knowledge and skills plus:
 Knowledge
  ◂Public health legal authority and police powers
  ◂Medical aspects of disasters and other public health emergencies
  ◂Emergency medical transport systems
  ◂Medical examiner functions
  ◂Animal and vector control activities
  ◂Water system safety
  ◂Food safety
  ◂Medical information systems
  ◂Community social service and medical resources
 Skills
  ◂Performing environmental risk assessments
  ◂Collection and transport of lab specimens
  ◂Designing medical information systems
  ◂Implementing quality improvement systems
  ◂Using epidemiology and statistics for community health assessment
  ◂Communicating with the public and press
IV. Leadership
All of basic, intermediate, and advanced knowledge and skills plus:
 Knowledge
  ◂Public policy formulation
  ◂Personnel systems
  ◂Budgeting and finance
  ◂Procurement procedures
  ◂Grants and contracts
  ◂Planning and evaluation
  ◂Legal responsibilities and limits
 Skills
  ◂Developing a program and department budget
  ◂Developing and defending a policy initiative
  ◂Communicating with elected officials
  ◂Developing collaborative relationships with public and private sector agencies
  ◂Managing personnel, facilities, and budgets