Abstract
The environment for health care and public health is changing rapidly in the United States. In addition, changing demographic and social patterns will have a profound effect on public health needs and priorities (1). In the Institute of Medicine's report, The Future of Public Health, the mission of public health was defined as “fulfilling society's interest in assuring conditions in which people can be healthy” (2, p1). That report also challenged official health agencies to assume leadership responsibilities for the public's health by focusing on the three core public health functions: assessment, policy development, and assurance of the availability of adequate public health services (2). Carrying out the mission and functions of public health requires social commitment, appropriate expertise, and leadership (3). Leadership requires well-trained personnel who can meet changing societal and health care demands.
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