1. Incorporating Population Health into Clinical Care
Topic areas
A. Understanding and applying the principles of patient and  community engagement when seeking to achieve population health improvement 
Illustrative Examples
Community-oriented primary care, community involvement; engagement of patients in the critical review of health-related news and information 
B. Influence of social determinants of health on clinical interventions
Transportation, food deserts, green space, income, occupation, personal and cultural beliefs, health literacy
C. Population health assessment and improvement within a coordinated healthcare delivery system
Patient safety assessments; coordinated care for groups of patients with chronic diseases 
D. Coordination of health services 
Coordination with the community,  the public health system,  community-based programs, and
across  the healthcare system
E. Principles of healthcare team practice
Roles and contributions of community and lay workers such as patient navigators and community health workers; interprofessional team competencies 
2. Partnering with the Public to Improve Health
A. Community health assessments 
Methods of assessing community needs/strengths; community assets and resources to improve the health of individuals and populations; engagement of communities in the critical review of health information  
B. Options for interventions
Application of the principles of community engagement to prioritize interventions; strategies for building community capacity 
C. Conducting or contributing to community-engaged research
Application of the principles of community-based participatory research
D. Media communications 
Strategies for using mass and social media; risk communication
E. Literacy level and cultural appropriateness
National Culturally and Linguistically Appropriate Services (CLAS) Standards; federal health literacy tools and guidelines   
F. Evidence‐based recommendations for community preventive services
Community Preventive Services Task Force recommendations
3. Environmental Health
A. Scope of environmental health
Unaltered/natural environment, altered environment, built environment; air and water quality, food sustainability, environmental exposures (chemical, microbiologic, physical, radiologic)
B. Agents, vectors, and routes of entry of environmental contaminants
Tobacco, lead, mercury, pesticides; air, water, food 
C. Environmental health risk assessment and risk management
Recognition  and reduction  of environmental hazards to vulnerable individuals and  populations
4. Occupational Health
A. Employment‐based risks and injuries, including military service
Infectious and chronic diseases; biologic, chemical, physical, and radiologic exposures;  injuries; mental health
B. Prevention and control of occupational exposures and injuries
Surveillance; engineering controls, safe work practices, administrative controls, personal protective equipment
C. Exposure and prevention in healthcare settings
Needlestick injuries, back injuries, latex allergy, violence
5. Global Health Issues
A. Role of key international organizations in global health
World Health Organization, USAID, global partnerships and private foundations
B. Diseases and population patterns of diseases in other countries
Burden of disease and related risk factors, population growth, health and development
C. Successful measures to address key burdens of disease 
Immunizations, clean water,  mosquito abatement
D. Demographic changes
Size and age of population, mortality and fertility rates
E. Effects of globalization on health
Emerging and re-emerging diseases, antimicrobial resistance, climate change, food and water challenges; needs of immigrant and refugee populations; impacts of natural disasters, political and social disruptions
6. Cultural Dimensions of Practice
A. Cultural influences on clinicians’ delivery of health services
Culture of communities, institutions, providers, patients
B. Cultural influences on individuals and communities
Health-related beliefs and behaviors; use of health services 
C. Design and delivery of culturally appropriate and sensitive health care, recognizing bias, prejudice and stereotyping
The culturally sensitive, patient-centered health care home model
7. Emergency Preparedness & Response Systems
A. Preparedness and response systems
Unified command, incident command; EMS, public health, hospital, clinician, and community engagement; protection of vulnerable populations in emergencies
B. Defining roles and preparing the health system workforce
Timely emergency communications and coordination