Attributes and generic competencies required of doctors: findings from a participatory concept mapping study
| Autor: | Sue Kilpatrick, Shandell Elmer, Kathryn Ogden, KF Rooney |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Medical education
Knowledge management 020205 medical informatics Reflective practice media_common.quotation_subject 02 engineering and technology Interpersonal communication Health informatics 03 medical and health sciences 0302 clinical medicine Physicians 0202 electrical engineering electronic engineering information engineering Curriculum development Medicine Humans Generic competencies Systems thinking 030212 general & internal medicine Group concept mapping media_common business.industry Concept map Health Policy Delivery of health services Leadership Professionalism Conceptual model Clinical Competence Public aspects of medicine RA1-1270 Attributes business Delivery of Health Care Research Article |
| Zdroj: | BMC Health Services Research BMC Health Services Research, Vol 21, Iss 1, Pp 1-14 (2021) |
| ISSN: | 1472-6963 |
| Popis: | Background Medical education should ensure graduates are equipped for practice in modern health-care systems. Practicing effectively in complex health-care systems requires contemporary attributes and competencies, complementing core clinical competencies. These need to be made overt and opportunities to develop and practice them provided. This study explicates these attributes and generic competencies using Group Concept Mapping, aiming to inform pre-vocational medical education curriculum development. Methods Group Concept Mapping is a mixed methods consensus building methodology whereby ideas are generated using qualitative techniques, sorted and grouped using hierarchical cluster analysis, and rated to provide further quantitative confirmation of value. Health service providers from varied disciplines (including medicine, nursing, allied health), health profession educators, health managers, and service users contributed to the conceptual model’s development. They responded to the prompt ‘An attribute or non-clinical competency required of doctors for effective practice in modern health-care systems is...’ and grouped the synthesized responses according to similarity. Data were subjected to hierarchical cluster analysis. Junior doctors rated competencies according to importance to their practice and preparedness at graduation. Results Sixty-seven contributors generated 338 responses which were synthesised into 60 statements. Hierarchical cluster analysis resulted in a conceptual map of seven clusters representing: value-led professionalism; attributes for self-awareness and reflective practice; cognitive capability; active engagement; communication to build and manage relationships; patient-centredness and advocacy; and systems awareness, thinking and contribution. Logic model transformation identified three overarching meta-competencies: leadership and systems thinking; learning and cognitive processes; and interpersonal capability. Ratings indicated that junior doctors believe system-related competencies are less important than other competencies, and they feel less prepared to carry them out. Conclusion The domains that have been identified highlight the competencies necessary for effective practice for those who work within and use health-care systems. Three overarching domains relate to leadership in systems, learning, and interpersonal competencies. The model is a useful adjunct to broader competencies frameworks because of the focus on generic competencies that are crucial in modern complex adaptive health-care systems. Explicating these will allow future investigation into those that are currently well achieved, and those which are lacking, in differing contexts. |
| Databáze: | OpenAIRE |
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