Original Investigation

Updated Core Competencies for Disaster Medicine and Public Health

JAMA Network Open 10.1001/jamanetworkopen.2025.60176

February 20, 2026 at 11:00 AM EST

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Based on expert consensus, what changes should be made to the original Core Competencies for Disaster Medicine and Public Health?In this mixed-methods qualitative study, 2 of the 23 proposed competency changes showed near-perfect interrater agreement, suggesting these competencies require updating. The updates in the competencies focus on the identification of hazards and explaining the associated risks in disaster settings.Implementing the changes recommended through this study will align diverse educational needs within the disaster medicine and public health sectors and, ultimately, create more effective and well-prepared responses.

Corresponding Author: Jeffrey D. Freeman, PhD, MPH, National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, 6720A Rockledge Dr, Ste 250, Bethesda, MD 20817 (jeffrey.freeman@usuhs.edu).

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