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Who Will Keep the Public Healthy?: Educating Public Health Professionals for the 21st Century
Appendix F
A Collection of Competency Sets
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COMPETENCIES FOR PUBLIC HEALTH WORKERS: A COLLECTION OF COMPETENCY SETS OF PUBLIC HEALTH-RELATED OCCUPATIONS AND PROFESSIONS
This table of competency sets of public health-related occupations and professions was produced by the Office of Workforce Policy and Planning (OWPP), Centers for Disease Control and Prevention (CDC) (www.phppo.cdc.gov/workforce) for the Competencies and Curriculum Workgroup of the Public Health Workforce Development Progress Workshop (June 18–19, 2001) and revised for the Public Health Workforce Development Annual Meeting (September 12–13, 2001).
This expansive table of known competency sets is intended to be a resource document for persons interested in public health workforce development and includes on-line sources for all documents listed. The competency sets listed can be used as an aid to curricula developers and instructional designers in planning training programs for the Nation’s public health workers. These sets provide relevant examples of competency statements from occupations and professions that share in the work of public health. Used as a starting point, this list may help avoid duplication of efforts and build on the existing efforts among the many public health training centers across the U.S.
The competency sets are differentiated into the following categories:
Core—Basic Public Health (addresses the essential services of public health)
New Topical Areas (emergency response, genomics, law)
Functional Areas (leadership, management, supervisory, secretarial)
Discipline Specific (professional, technical, entry-level, student)
Other Topical Areas (MCH, STD, etc.).
The competencies listed are those known at the time of printing. The comprehensive search for related public health worker competencies included numerous global and site-specific web searches, list-serv queries, and personal contacts. Since the field of workforce development is evolving, many competency sets—be they produced by government, academic institutions, public health and professional organizations—are in development. Therefore, this list may not contain all available competency sets. Inclusion of any competency set in the table does not imply Office of Workforce Policy and Planning endorsement.
Please notify Kimberly Geissman, KGeissman@cdc.gov, OWPP/CDC of major omissions, corrections, and additions.
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A Collection of Competency Sets of Public Health-Related Occupations and Professions
Updated for the Public Health Workforce Development Annual Meeting, September 12–13, 2001, Athens, GA
Known Competency Sets
Worker Level1
Status and Where to Find Them
Core—Basic Public Health
Competencies for Providing Essential Public Health Services, 1997
professional
The Public Health Workforce: An Agenda for the 21st Century, Public Health Functions Project, ODPHP,DHHS http://www.health.gov/phfunctions/pubhlth.pdf essential services www.apha.org/ppp/science/10ES.htm
Council on Linkages: Core Competencies for Public Health Professionals 2001 Competencies for Providing Public Health Services, 1998
front-line, senior professional, supervisor, manager medical student
Public Health Foundation (PHF), http://www.trainingfinder.org/competencies/list.htm
C.W. Keck, “Core Competencies for the Synergistic Practice of Medicine & Public Health” Josiah Macy, Jr., Foundation Conference, 1998 http://www.josiahmacyfoundation.org/jmacy1.html
Principles of Public Health course, 2001
Public Health 101 course, 2000
leader, professional, technical professional
Based on Healthy People 2010, Missouri Public Health Training Network http://www.health.state.mo.us/series/
Based on Bernard Turnock’s text Public Health: What It Is and How It Works, 2000, Illinois Center for Public Health Preparedness http://www.aspenpublishers.com/books/turnock/overview.html
Core competencies for MPH Students, 1998
MPH student
Johns Hopkins School of Public Health, Master of Public Health http://distance.jhsph.edu/mph/why/core_competencies.html
Masters of Public Health (MPH) in Health Behavior & Health Education
MPH student
University of Michigan School of Public Health, Department of Health Behavior and Health Education http://www.sph.umich.edu/hbhe/programs/mph.html
Document in development, 2001
MPH student
Deans of the Schools of Public Health, universal SPH competencies being drafted, contact Liz Weist http://www.asph.org/aa_document.cfm/5/5/172
New Topical Areas
Emergency Response
Core Public Health Worker Competencies for Emergency Preparedness and Response, April 2001
leader, administrator, professional, technical, support
Center for Health Policy, Columbia University School of Nursing http://cpmcnet.columbia.edu/dept/nursing/institute-centers/chphsr/COMPETENCIES.pdf
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Fire & Emergency Services Competency Module
technical
Industry-Specific Competency Modules, KnowledgePoint http://www.knowledgepoint.com/products/firecomp.html
Genomics
Genomics Competencies for the Public Health Workforce, May 2001
administrator, professional,* all workers (technical, support)
Office of Genetics and Disease Prevention and Public Health Practice Program Office, CDC http://www.cdc.gov/genetics/training/competencies/ *(clinicians, educators, environmental workers, epidemiologists, laboratorians),
Competencies in Public Health Genetics, June 1999
MPH, MS, PhD student
“Public Health Genetics In the Content of Law, Ethics and Policy” Program, Institute for Public Health Genetics, Public Health Genetics Training Collaboration (CDC, HRSA funded) http://depts.washington.edu/phgen/DegreeTracks/competencies.html
Core Competencies in Genetics Essential for All Health Care Professionals, February 2000
all health care professional, student
National Coalition for Health Professional Education in Genetics (NCHPEG), (RWJ, DOE funded) http://www.nchpeg.org/news-box/corecompetencies000.html
Medical School Core Curriculum in Genetics, 1995
medical student
American Society of Human Genetics (ASHG) http://www.ashg.org/genetics/ashg/policy/rep-01.htm
Law
Core Legal Competencies for Public Health Practitioners, June 2001
health official, governance boards, front-line, senior-level professional, supervisor, manager
Center for Law and Public’s Health at Johns Hopkins and Georgetown Universities (with CDC, PHF) http://www.publichealthlaw.net/Training/Methods.htm
Functional Areas
Leadership
Public Health Leadership Competency Framework, August 2000
health director, health officer
Public Health Leadership Network (PHLN), CDC http://www.slu.edu/organizations/nln/competency_framework.html Wright, K. Rowitz, L., Merkle, A., et al. “Competency Development in Public Health”, American Journal of Public Health, August 2000, vol 90, no 8.
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Project Management Body of Knowledge (PMBOK Guide), 2000
leader, project manager
Public Health Leadership Institute (PHLI), CDC http://www.phls.org Guide found at Project Management Institute http://www.pmi.org/publictn/pmboktoc.htm
Leadership Competencies for Assistant Deputy Ministers and Senior Executives
senior manager
The Learning Centre, Public Service Commission of Canada http://www.psc-cfp.gc.ca/aexdp/leaders_e.htm
Leadership Development Competencies: The Leadership Challenge
leader
Exploring Inspired Leadership, The Banff Center http://www.banffmanagement.com
Management
Core Competencies for Supervisors, Managers, and Executives, 2000
director, executive, team leader, program manager, supervisor
School of Public Health Leadership & Management Development, CDC Corporate University; Vicki Johnson, HRMO, VJohnson1@cdc.gov http://intranet.cdc.gov/hrmo/masdevpl.htm
Supervisors’ and Managers’ Critical Elements, October 1999
supervisor, manager
Headquarters Performance Management System, DOE http://www.hr.doe.gov/hqpms/supstan.htm
Management Academy for Public Health Competencies, March 1999
public & private sector manager
Management Academy for Public Health (MAPH), North Carolina Institute for Public Health (CDC, HRSA, Kellogg, RWJ funded); http://www.maph.unc.eduStephenOrtonsorton@email.unc.edu
Competency Profile: Public Service Managers
middle-managers
The Learning Centre, Profile for Leaders and Managers, Public Service Commission, Canada http://learnet.gc.ca/eng/comcentr/manage/profile/auto.htm
Public Health Prevention Service Competency Set, September 1997 Competencies for Professional Development: Managing in the Middle, 1998
MS-prepared entry-level manager mid-level manager
Public Health Prevention Service (PHPS) Fellowship, CDC (to be updated fall 2001) http://www.cdc.gov/epo/dapht/rfa.htm#perform Exploring Inspired Leadership, The Banff Center http://www.banffmanagement.com
Secretary– Support
Competencies for Secretary and Office Automation Clerk (GS-318, GS-326), 2000
secretary, office automation clerk
School of Public Health Business Management, CDC Corporate University; Jessi Stevens, HRMO JStevens@cdc.gov http://intranet.cdc.gov/hrmo/crses.htm
Sample Elements and Tasks for Secretary
secretary
Headquarters Performance Management System, DOE http://www.hr.doe.gov/hqpms.secy.htm
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National Competency Standards – Public Administration, Competency Based Assessment and Training Handbook, 1999
mid-level administrator, clerical
Office of the Commissioner for Public Employment, Australia’s Northern Territory Government http://www.nt.gov.au/ocpe/documents/people-development/comp-standards
CASAS Competency List
basic life skills
Secretary’s’s Commission on Achieving Necessary Skills, DOL http://www.casas.org/01AboutCasas/01Competencies.html
High School Student Competencies and Indicators
high school graduate
National Occupational Information Coordinating Committee (NOICC), Academic Innovations http://www.academicinnovations.com/noicc.html
Discipline Specific
Epidemiology
Health Science and Epidemiology Competencies, 2001
professional
School of Public Health Science and Research, CDC Corporate University, draft to be validated; Charlotte Wilson, HRMO CWilson@cdc.gov
Core Activities for Learning (CALS)
doctoral-level
Epidemic
Intelligence Officer
Epidemic Intelligence Service (EIS), CDC Jim Alexander, EPO/DAPHT JAlexander1@cdc.gov
Evaluation of EIS Competency Domains: Epidemiologic Process, Communication, and Professionalism, 2001
doctoral-level
Epidemic
Intelligence Officer
Epidemic Intelligence Service (EIS), CDC Jim Alexander, EPO/DAPHT JAlexander1@cdc.gov
Maternal and Child Health Epidemiology Fellowship Competency Guidelines
professional
Council of State and Territorial Epidemiologists (CSTE) with CDC http://www.cste.org/MCHcompetencies.pdf
Infection Control and Epidemiology: Professional and Practice Standards, 1998
professional
Association for Practitioners in Infection Control & Epidemiology (APIC) and Community and Hospital Infection Control Association, Canada (CHICA) http://www.apic.org/pdf/pracstnd.pdf
Informatics
Public Health Informatics Competencies, 2001
professional
CDC, draft in development; Patrick O’Carroll, PHPPO POCarroll@cdc.gov
Information Resources Management Competencies, 2001
professional, technical
School of Public Health Information Resources Management, CDC Corporate University, draft to be validated; Tonya Henderson, HRMO TSHenderson@cdc.gov
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Math and Statistical Competencies, 2001
professional, technical
School of Public Health Science & Research, CDC Corporate University, draft to be validated; Charlotte Wilson, HRMO CWilson@cdc.gov
Recommendations of the International Medical Informatics Association (IMIA) on Education in Health and Medical Informatics, October 2000
physician, nurse, pharmacist, manager, record administrator, teacher, student
American Medical Informatics Association (AMIA), Health and Medical Informatics Education Workgroup http://www.amia.org/ updated: introductory, intermediate, advanced levels, found at International Medical Informatics Association (IMIA) http://www.rzuser.uni-heidelberg.de/~d16/rec.htm
Registered Health Information Administrator (RHIA) and RHIT (technician) Examination Content: Domains, Subdomains and Tasks
administrator, technical
American Healthcare through Quality Information (AMIMA) http://www.ahima.org/certification/exam.html
Certified Coding Specialist (CCS) Coding Competencies
coder
American Healthcare through Quality Information (AMIMA) http://www.ahima.org/certification/exam.html
Medical School Objectives Project: Medical Informatics Objectives, August 2000
MD student
Association of American Medical Colleges (AAMC), School Objectives Project http://www.aamc.org/meded/msop/informat.htm
On-line Technology Competencies
undergraduate student
College of Education and Applied Professions, Western Carolina University http://www.ceap.wcu.edu/Martin/Compdef.htm
Student Technology Competency Matrix
high school graduate
Millbury Public Schools http://millbury.k12.ma.us/~hs/school/techplan/studentmatrix4.3B.html
Environment
Environmental Health Competency Project: Recommendations for Core Competencies for Local Environmental Health Practitioners, May 2001
front-line, local-level professional
American Public Health Association (APHA) and National Center for Environmental Health (NCEH/CDC) with NEHA, NACCHO, ASTHO, FCA, AAS, NALBOH, final draft in clearance June 1, report due August 2001. Patrick Bohan, NCEH PBohan@cdc.gov http://www.apha.org/ppp/ehproject.htm
Environmental Health Competencies: Core Competencies for the Effective Practice of Environmental Health
professional
Funding Opportunity, Association of School of Public Health (ASPH), Developing Communities of Excellence in Environmental Health http://www.asph.org/fac_document.cfm/69/69/5968
Registered Environmental Health Specialist/Registered Sanitarian Examination
entry-level professional
National Environmental Health Association (NEHA), exam content outline; Ryan Rudolph rrudolph@neha.org http://www.neha.org
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Engineering
Sample Elements and Tasks for Engineer, October 1999
professional
Headquarters Performance Management System, DOE http://www.hr.doe.gov/hqpms/engineer.htm
Health Education
Responsibilities & Competencies for Health Educators, 1997
professional
Nat’l Commission for Health Education Credentialing (NCHEC), endorsed by Society for Public Health Education (SOPHE), American Association for Health Education (AAHE), Association of State and Territorial Directors of Health Promotion and Public Health Education (ASTDHPPHE) update due August 2001, http://www.nchec.org/competencies.htm
Core Competencies/ “The Extension Educator”
professional
Department of Agriculture and Natural Resources Education and Communication Systems (ANRECS), Michigan State University, staff professional development http://www.anrecs.msu.edu/extension/profdev/10areas.htm
Communications
Public Health Education and Communication Competencies, August 2000
manager, public relations specialist, visual information specialist, technical writer, editor, audio-video technician
School of Public Health Education and Communication, CDC Corporate University; Christopher Stallard HRMO http://intranet.cdc.gov/hrmo/masdev2.htm
Library and Information Science
Information Literacy Competency Standards for Higher Education, January 2000
undergraduate student
Association of College and Research Libraries (ACRL), American Library Association (ALA), http://www.ala.org/acrl/ilcomstan.html
Competencies for Special Librarians of the 21st Century, 1998
entry-level professional
Special Libraries Association (SLA), supported by Association for Library and Information Science Education (ALISE) and Medical Library Association (MLA) http://www.sla.org/content/memberservice/researchforum/lisprograms/lisps.cfm
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Students’ Information Literacy Needs in the 21st Century: Competencies for Teacher-Librarians
teacher-librarian, high school student
Association for Teacher-Librarianship in Canada (ATLC) http://www.atlc.ca/Publications/competen.htm
Knowledge and Skills for Entry-Level
entry-level technical
American Library Association (ALA), Association for Library Collections & Technical Service (ALCTS), Committee on Education, Training and Recruitment for Cataloging http://www.uky.edu/~lhjeng00/cetrccmp.htm
Human Resources
Human Resource Competencies for the Year 2000: A Professionals’ Toolkit for Professional Development
professional
Northeast Human Resources Association, (NEHRA), www.nehra.com/about.php3 Society for Human Resource Management (SHRM) book, profiles of 31 competencies http://shrm.org/competencies/home.htm
Human Resources Management Competencies, 2001
leader, manager, professional
School of Public Health Business Management, CDC Corporate University, draft to be validated; Jessi Stevens, HRMO JStevens@cdc.gov
Directory of Competencies for the Human Resources Community in the Public Service of Canada, October 1998
professional
The Learning Centre, Public Service Commission, Canada http://learnet.gc.ca/eng/lrncentr/index.htm
Human Resource Competency Model
manager
International Personnel Management Association (IPMA), 22 competencies http://ipma-hr.org/public/training_template.cfm?ID=12
Laboratory
Body of Knowledge
laboratorian, specialist, phlebotomist, technician
American Society of Clinical Laboratory Science (ASCLS), book, competencies for CLS and CLT regardless of setting, http://www.ascls.org/index.htm
Nutrition – Dietetics
Core Competencies for the Supervised Practice Component of Entry-Level Dietician (Technician) Programs, 1997
dietitian student, dietetic technician student
Commission on Accreditation for Dietetics Education, “Accreditation Manual for Dietetics Education Programs, Revised 4th Edition,” Catalog #6107 http://www.eatright.org/cade/standards.html
Standards of Professional Practice for Dietetics Professionals
dietitian
American Dietetics Association (ADA) http://www.eatright.org/qm/standardslist.html
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Physical Activity
Athletic Training Clinical Proficiencies, 1999
entry-level professional, student
National Athletic Trainer’s Association (NATA) http://www.nata.org, clinical focus
“Athletic Training Educational Competencies” http://www.cewl.com/
Physical Education for Lifelong Fitness, course
teacher, director, student
American Alliance for Health, Physical Education, Recreation & Dance (AAHPERD) http://www.aahperd.org curriculum book http://americanfitness.net/Physical_Best/
Standards of Competence, August 2000
therapist
Federation of State Boards of Physical Therapy http://www.fsbpt.org/news.htm
Medicine
Preventive Medicine Residency (PMR) Competency Matrix, 2000–2001
MD-trained, Preventive Medicine Resident
Preventive Medicine Residency Program (PMR), CDC Jim Lando, EPO/DAPHT JLando@cdc.gov
Core Competencies and Performance Indicators for Preventive Medicine Residents, 1999
MD-trained, Preventive Medicine Resident
American College of Preventive Medicine (ACPM) with HRSA http://www.acpm.org/corecomp.htm
Occupational and Environmental Medicine Competencies, January 1998
physician administrator, generalist, specialist
American College of Occupational and Environmental Medicine (ACOEM) http://www.acoem.org/paprguid/guides/comp.htm
An Inventory of Knowledge and Skills Relating to Disease Prevention and Health Promotion, 1989
MD student
Association of Teachers of Preventive Medicine (ATPM) http://www.atpm.org/library/inventory/inventory1.htm
Competencies at the Terre Haute Center for Medical Education: Competency Definitions
MA-MD student
Terre Haute Center for Medical Education, Indiana University School of Medicine http://web.indstate.edu/thcme/duong/Competency/Definitions.html
Nursing
Public Health Nursing Practice for the 21st Century, 2001
professional
Minnesota Department of Health, Division of Nursing and University of Minnesota, School of Nursing (HRSA-funded) draft tool for assessment, undergoing validation by the Association of State and Territorial Directors of Nursing (ASTDN) and Association of Community Health Nurse Educator (ACHNE); Derryl Block dblock@d.umn.edu
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National Competency Standards for the Registered Nurse, 2000
registered nurse, student
Australian Nursing Council, Inc. (ANCI) http://www.anci.org.au/competencystandards.htm
Delivery of Occupational and Environmental Health Services, May 1998
nurse professional
American Association of Occupational Health Nursing (AAOHN) http://www.aaohn.org/servicedelivery_position.htm
Dentistry
Competency Statements for Dental Public Health, September 1997
professional
American Association of Public Health Dentistry (AAPHD) http://www.pitt.edu/~aaphd/dph.competency.html
Pharmacy
Certification in Geriatric Pharmacy Practice: Content Guide, 1997
professional
“Certified Geriatric Pharmacist: A Bridge to Enhanced Respect, Expanded Responsibility— and More” by David K. Buerger http://www.ascp.com/public/pubs/tcp/1997/jun/gerpharm.html
Competency Statements: Disease State Management (DSM) Examinations
professional
National Association of Boards of Pharmacy (NABP) http://www.nabp.net/
Behavioral/Social Science
Behavioral & Social Science Competencies, draft 2001
professional
School of Public Health Science and Research, CDC Corporate University, draft to be validated; Charlotte Wilson, HRMO CWilson@cdc.gov
Description of the Doctoral Program: Educational Objectives
PhD students
School of Social Work, University of North Carolina at Chapel Hill, learning objectives http://www.sowo.unc.edu/doctoral/description/index.html
Ethical Principles of Psychologists and Code of Conduct, December 1992
professional
American Psychological Association (APA), “General Principles” http://www.apa.org/ethics/code.html
Biological Science
Biological Science Competencies, draft 2001
professional
School of Public Health Science and Research, CDC Corporate University, draft to be validated;
Charlotte Wilson, HRMO CWilson@cdc.gov
Public Health Advisor Series
Competencies for Public Health Advisors (GS-685), 2001
professional
School of Public Health Administration, CDC Corporate University, intranet assessment of 1) foundation competencies and 2) occupational competencies; Ronald Lake, HRMO RLake@cdc.gov
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Program Analysis/Evaluation
Competencies for Public Health Analyst (GS-685), 2001
professional
School of Public Health Administration, CDC Corporate University, draft to be validated; Ronald Lake, HRMO RLake@cdc.gov http://intranet.cdc.gov/hrmo/analyst.htm
Career Development: Core Competencies (Evaluation and Inspections), December 1999
manager, program analyst, team leader, administrator, technical support, secretary
Office of Evaluation and Inspections (OEI), Office of Inspector General (OIG), http://www.hhs.gov/oig/oei/evaluator/evaluator.html
Policy Analysis
Generic Policy Analyst Draft Competency Profile
professional
The Learning Centre, Public Service Commission, Canada http://learnet.gc.ca/eng/lrncentr/index.htm
Economics
Nebraska Standards in Business Education Essential Leanings: Focus on Economics
student, public
EcEd Economics Education Web competencies and learning objectives http://ecedweb.unomaha.edu/standards/home.htm
National and State Content Standards in Economics
student, public
EconomicsAmerica, National Council on Economic Education (NCEE), 20 standards, learning objectives and performance benchmarks http://www.economicsamerica.org
Finance
Core Competency Framework for Entry into the Accounting
entry-level professional
American Institute of Certified Public Accountants (AICPA) http://www.aicpa.org/edu/func.htm
Profession: Functional Competencies Competency Model for the New Finance Professional
professional, technical, support
American Institute of Certified Public Accountants (AICPA) tool being piloted http://www.cpatoolbox.org
Core Competencies (future of the CPA profession), 2001
professional, technical
Vision Project Team and State Societies, CPA Vision Project: 2001 and Beyond http://www.cpavision.org
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Other Topical Areas
Community-based Health
Community Health Scholars Program: Goal and Competencies, June 1999
post-doctoral student
Community-Based Public Health (CBPH), University of Michigan School of Public Health, Kellogg sponsored, program competencies http://www.sph.umich.edu/chsp/goal.html
MCH
Maternal and Child Health Competencies, February 2001
professional
Association of Teachers of Maternal and Child Health (ATMCH) http://www.atmch.org/mchcomps.pdf
Cultural/Diversity
The Provision of Culturally Competent Health Care
leader, professional, technical, support
Amy V. Blue, PhD., Assistant Dean for Curriculum and Evaluation, Medical University of South Carolina College of Medicine http://www.musc.edu/deansclerkship/rccultur.html
Bridge to Wellness: Cultural Competency
clinician
Evelyn Lee, EdD, Executive Director of Richmond Area Multi-Services, Inc. (RAMS) http://www.serve.com/Wellness/culture.html
STD/HIV
Program Operations Guidelines for STD Prevention: Training and Professional Developments
clinician, disease investigator, HIV counseling
Center for HIV, STD, and TB Prevention, CDC; Frankie Barnes, NCHSTP/DSTD FBarnes@cdc.gov http://www.cdc.gov/std/program/training.pdf
1Categories: Leader, Professional, Technical, Support. The Public Health Work Force Enumeration 2000, National Center for Health Workforce Information and Analysis, HRSA, DHHS. (Order document at http://www.ask.hrsa.gov/detail.cfm?id=BHP00079, download at http://cpmcnet.columbia.edu/dept/nursing/chphsr/enum2000.pdf.)
Representative terms from entire chapter:
corporate university