Essential Public Health Competencies for Medical Students: Establishing a Consensus in Family Medicine

Morley, Christopher P.; Rosas, Scott R.; Mishori, Ranit; Jordan, William B.; Jarris, Yumi Shitama; Prunuske, Jacob

doi:10.1080/10401334.2016.1268964

Cited by 17 publications

(20 citation statements)

References 21 publications

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“…Patient engagement is considered a precursor to quality, patient-centred care, which ultimately drives quality improvement [ 2 – 6 ]. The outcome of patient-centred care provides a ‘triple aim’ impact on (1) a patient’s experience of care, (2) patient outcomes at the individual and population level, and (3) per capita healthcare costs [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Patient engagement in Canada: a scoping review of the ‘how’ and ‘what’ of patient engagement in health research

Manafò

Petermann

Mason-Lai

et al. 2018

Health Res Policy Sys

314

431

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BackgroundOver the last 10 years, patient engagement in health research has emerged as the next evolution in healthcare research. However, limited evidence about the clear role and scope of patient engagement in health research and a lack of evidence about its impact have influenced the uptake, implementation and ongoing evolution of patient engagement. The present study aims to conduct a scoping review to identify methods for and outcomes of patient engagement in health research.MethodsAn adaptation of the scoping review methodology originally described by Arksey and O’Malley and updated by Levac, Colquhoun and O’Brien was applied. Sources from a formal database search and relevant documents from a grey literature search were compiled into data extraction tables. Articles were synthesised into key themes according to the (1) methods and (2) outcomes of patient engagement in health research.ResultsThe total yield for the scoping review was 55 records from across Canada, the United Kingdom and the United States. While evidence about the methods used to engage patients in health research is increasing, stronger evidence of specific patient and healthcare system outcomes is required. This necessitates further mobilisation of research that explores outcomes and that validates specific tools to evaluate engagement. Additionally, theoretical frameworks that can better inform and sustain patient engagement across the lifecycle of health research are lacking.ConclusionFurther increasing the volume and reach of evidence about patient engagement in health research will support the paradigmatic shift needed to normalise the patient’s role in research beyond ‘subject’ or ‘participant’, so as to ultimately improve patient health outcomes and better address healthcare reform in Canada.

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Section: Introductionmentioning

confidence: 99%

Patient engagement in Canada: a scoping review of the ‘how’ and ‘what’ of patient engagement in health research

Manafò

Petermann

Mason-Lai

et al. 2018

Health Res Policy Sys

314

431

View full text Add to dashboard Cite

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“…Several published guidelines on public health competencies for physicians and other clinicians include knowledge of health systems and public health structure and function among a broad array of competencies. 11 , 12 , 13 , 14 We sought the input of 3 experts (1 internal and 2 external to our institution) in the fields of health policy and medical education in the early stages of questionnaire development. An initial draft of the survey was administered to a sample group of general internists in the Division of General Internal Medicine at our institution.…”

Section: Methodsmentioning

confidence: 99%

Improving Collaboration Between Public Health and Medicine: A Timely Survey of Clinician Public Health Knowledge, Training, and Engagement

Bornstein¹,

Markos²,

Murad³

et al. 2021

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

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Objective: To assess the core knowledge of health indicators, federal health programs, and public health functions in practicing clinicians along with perceptions of their education and engagement with public health. Patients and Methods: A paper survey in booklet form was administered to attendees at 2 general medical conferences in May 2019. The survey was divided into 5 sections: knowledge of health systems and policy, knowledge of public health concepts and function, public health engagement, public health education, and demographics. Results: One hundred two surveys were received from 402 attendees (response rate, 24.3%). Most were male (56%), older than 50 years (51%), and physicians (86%). Respondents had a fairly good knowledge of federal health programs (77%) and public health functions (84%), but less than half had a personal interaction with public health in the past 2 years (45%) or were aware of how to work with public health organizations in their community (46%). Only a few respondents rated their public health training as good or excellent during their primary degree (7%) or graduate medical education (15%), and most (75%) were interested in learning more about public health and health policy. Conclusion: Respondents had generally good foundational knowledge of federal health programs and public health functions, although some gaps were identified. Inclusion of health policy and public health topics in continuing medical education would be well received by clinicians. To improve collaboration between public health and medicine, public health should personally engage clinicians more and explain how they can work together to improve population health.

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“…The statistical techniques of multi-dimensional scaling and hierarchical cluster analysis aggregate data to reveal patterns through visualisation, allowing for interpretation to support further utility of the model. GCM is a structured applied social research methodology, to connect theory to observation and research to practice, has been widely used in the health-care sector for policy and planning for health services [33,34,35,36,37] and increasingly in the medical education sector to understand educational processes and outcomes [38,39,40].…”

Section: Overviewmentioning

confidence: 99%

Attributes and Generic Competencies Required of Doctors In 21st Century Health-Care Systems: A Participatory Concept Mapping Study

Ogden

Kilpatrick

Elmer

et al. 2020

Preprint

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Background: Health professionals’ education should ensure graduates are equipped for practice in modern health-care systems. One hundred years after the Flexner Report on medical education, transformation in health-care systems has warranted reflection on priorities for medical education. Practicing effectively in modern health-care systems requires contemporary attributes and competencies, complimenting 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 methodology, with the aim of informing curriculum development in pre-vocational medical education.Methods: Group Concept Mapping consists of four phases: 1) Idea generation, review and synthesis; 2) Sorting and rating 3) Analysis of data using quantitative and qualitative techniques to produce a visual concept map; and 4) Confirmation and interpretation of results using logic model transformation. Multiple stakeholders contributed to the development of the conceptual model, including junior doctors who rated competencies according to importance to their practice and preparedness at graduation.Results: Sixty-seven participants from stakeholder groups generated 338 responses to the prompt: ‘An attribute or non-clinical competency required of doctors for effective practice in modern health-care systems is...’ These responses were synthesised into 60 statements which were sorted by participants into groupings according to similarity. Multi-dimensional scaling and hierarchical cluster analysis led to 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: Group Concept Mapping was used to conceptualise the attributes and generic competencies required for effective practice modern health-care systems. The operationalization of the model through logic model transformation further identifies the links between attributes, their application through competency, and the outputs that they lead to. Rating of items can identify priorities for ensuring a medical education which addresses contemporary health-care needs.

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Essential Public Health Competencies for Medical Students: Establishing a Consensus in Family Medicine

Cited by 17 publications

References 21 publications

Patient engagement in Canada: a scoping review of the ‘how’ and ‘what’ of patient engagement in health research

Patient engagement in Canada: a scoping review of the ‘how’ and ‘what’ of patient engagement in health research

Improving Collaboration Between Public Health and Medicine: A Timely Survey of Clinician Public Health Knowledge, Training, and Engagement

Attributes and Generic Competencies Required of Doctors In 21st Century Health-Care Systems: A Participatory Concept Mapping Study

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