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CEPH Competencies4 min read

Retrofitting Work to Competencies: When Meaningful Projects Don't Map Neatly

By Angel Reyes, MPH, MCHES

TL;DR

Start with competencies in mind from day one, but don't force artificial connections—reframe your authentic work through a competency lens instead.

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You've just completed an incredible community health assessment. The data is solid, stakeholders are impressed, and your preceptor calls it some of the best work they've seen from a student. Then you sit down to write your competency demonstration, and suddenly the CEPH language feels like it's from another planet.

This disconnect—between meaningful public health work and competency documentation—frustrates students every semester. You're not alone if you've stared at competency statements wondering how your authentic contributions could possibly fit into such formal academic language.

Why Retrofitting Feels So Forced

The fundamental problem is one of sequence. CEPH competencies were designed as learning outcomes—destinations you should reach, not roadmaps showing you how to get there. When you complete work organically and then attempt to map it backward, you're essentially trying to reverse-engineer a journey you've already taken.

This creates two common frustrations. First, your work might demonstrate skills the competency describes, but you used different terminology. A community needs assessment is absolutely evidence-based, but nowhere in your report did you explicitly discuss "evidence-based approaches." Second, the work might genuinely demonstrate competency, but the connection feels tenuous when written out. You know you applied systems thinking, but proving it in an academic narrative feels like stretching.

The Better Approach: Forward Planning

Whenever possible, review competencies before designing your practicum work. This doesn't mean letting competencies dictate everything—that leads to shallow, checkbox-driven experiences. Instead, think of competencies as lenses through which you'll view and document your work.

Before starting a major project, identify which competencies it might address. Build reflection into your process so you're noticing competency connections in real time. Document specific examples as they happen, not weeks later when details have faded.

This forward-thinking approach transforms competency documentation from an afterthought into an integrated learning practice.

When You Must Work Backward

Sometimes retrofitting is unavoidable. Perhaps your practicum was assigned with minimal competency discussion, or you inherited ongoing work with no opportunity to shape it. When backward mapping is your only option, these strategies help make connections feel genuine.

Start by translating your work into competency language. What skills did you actually use? Make a list without looking at the competency statements. Then compare your list to CEPH language. You'll likely find more overlap than expected—you just weren't using the same vocabulary.

Focus on the verbs in competency statements. "Assess," "apply," "select," "communicate"—these action words describe what you did, even if the context differs from textbook examples. Your work assessing food access barriers absolutely demonstrates assessment skills, even if the competency statement uses different public health examples.

Look for implicit competency applications. Did you consider how organizational culture affected your project implementation? That's systems thinking. Did you adapt your message for different audiences? That's communication competency. The skills are often present; you just need to recognize them.

Making Connections Feel Authentic

The key to genuine competency documentation is specificity. Vague claims like "I demonstrated evidence-based approaches" feel hollow because they could apply to anything. Specific descriptions like "I used CDC surveillance data to identify priority populations and designed interventions based on Community Guide recommendations" demonstrate competency through concrete action.

When writing your competency narratives, include the what, the how, and the why. What specific work did you complete? How did it demonstrate the competency skills? Why does this work matter for public health practice? This structure transforms bureaucratic statements into meaningful professional reflection.

Reframing Your Perspective

Perhaps most importantly, recognize that competency documentation is a translation exercise, not an artificial construction. You completed real public health work. CEPH competencies describe real public health skills. The challenge is building a bridge between your authentic experience and academic language—not inventing connections that don't exist.

When the mapping feels forced, pause and ask yourself: "Did I genuinely use this skill?" If yes, the connection is real, and you simply need better language to express it. If no, that competency might not be the right fit, and honest reflection serves you better than forced documentation.

Your practicum work has value regardless of how neatly it maps to competency statements. The mapping exercise is meant to help you recognize and articulate skills you're developing—not to diminish work that doesn't fit perfectly into predetermined categories.

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