Competencies should be reviewed regularly and redefined to reflect the changing needs of public health practice. Expected documentation for Criterion includes “a description of the manner in which the SPH/PHP periodically assesses the changing needs of public health practice and uses this information to establish the competencies for its educational programs.” A site visit team will expect to see evidence that this has occurred on an ongoing basis. For example, SPH/PHP may obtain information through periodic surveys of employers or focus group discussions about the need for professionals with certain skill sets. They also may involve the.