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Motivations for and Challenges in the Development of Global Medical Curricula: A Scoping Review

The aim of this scoping review is to understand the motivations for the creation of global medical curricula, summarize methods that have been used to create these curricula, and understand the perceived premises for the creation of these curricula. METHOD: In 2018, the authors used a comprehensive...

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Autores principales: Giuliani, Meredith, Martimianakis, Maria Athina (Tina), Broadhurst, Michaela, Papadakos, Janet, Fazelzad, Rouhi, Driessen, Erik W., Frambach, Janneke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7899747/
https://www.ncbi.nlm.nih.gov/pubmed/32271225
http://dx.doi.org/10.1097/ACM.0000000000003383
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author Giuliani, Meredith
Martimianakis, Maria Athina (Tina)
Broadhurst, Michaela
Papadakos, Janet
Fazelzad, Rouhi
Driessen, Erik W.
Frambach, Janneke
author_facet Giuliani, Meredith
Martimianakis, Maria Athina (Tina)
Broadhurst, Michaela
Papadakos, Janet
Fazelzad, Rouhi
Driessen, Erik W.
Frambach, Janneke
author_sort Giuliani, Meredith
collection PubMed
description The aim of this scoping review is to understand the motivations for the creation of global medical curricula, summarize methods that have been used to create these curricula, and understand the perceived premises for the creation of these curricula. METHOD: In 2018, the authors used a comprehensive search strategy to identify papers on existing efforts to create global medical curricula published from 1998 to March 29, 2018, in the following databases: MEDLINE; MEDLINE Epub Ahead of Print, In-Process, and Other Non-Indexed Citations; Embase; Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; PsycINFO; CINAHL; ERIC; Scopus; African Index Medicus; and LILACS. There were no language restrictions. Two independent researchers applied the inclusion and exclusion criteria. Demographic data were abstracted from publications and summarized. The stated purposes, methods used for the development, stated motivations, and reported challenges of curricula were coded. RESULTS: Of the 18,684 publications initially identified, 137 met inclusion criteria. The most common stated purposes for creating curricula were to define speciality-specific standards (50, 30%), to harmonize training standards (38, 23%), and to improve the quality or safety of training (31, 19%). The most common challenges were intercountry variation (including differences in health care systems, the operationalization of medical training, and sociocultural differences; 27, 20%), curricular implementation (20, 15%), and the need for a multistakeholder approach (6, 4%). Most curricula were developed by a social group (e.g., committee; 30, 45%) or Delphi or modified Delphi process (22, 33%). CONCLUSIONS: The challenges of intercountry variation, the need for a multistakeholder approach, and curricular implementation need to be considered if concerns about curricular relevance are to be addressed. These challenges undoubtedly impact the uptake of global medical curricula and can only be addressed by explicit efforts to make curricula applicable to the realities of diverse health care settings.
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spelling pubmed-78997472021-03-01 Motivations for and Challenges in the Development of Global Medical Curricula: A Scoping Review Giuliani, Meredith Martimianakis, Maria Athina (Tina) Broadhurst, Michaela Papadakos, Janet Fazelzad, Rouhi Driessen, Erik W. Frambach, Janneke Acad Med Reviews The aim of this scoping review is to understand the motivations for the creation of global medical curricula, summarize methods that have been used to create these curricula, and understand the perceived premises for the creation of these curricula. METHOD: In 2018, the authors used a comprehensive search strategy to identify papers on existing efforts to create global medical curricula published from 1998 to March 29, 2018, in the following databases: MEDLINE; MEDLINE Epub Ahead of Print, In-Process, and Other Non-Indexed Citations; Embase; Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; PsycINFO; CINAHL; ERIC; Scopus; African Index Medicus; and LILACS. There were no language restrictions. Two independent researchers applied the inclusion and exclusion criteria. Demographic data were abstracted from publications and summarized. The stated purposes, methods used for the development, stated motivations, and reported challenges of curricula were coded. RESULTS: Of the 18,684 publications initially identified, 137 met inclusion criteria. The most common stated purposes for creating curricula were to define speciality-specific standards (50, 30%), to harmonize training standards (38, 23%), and to improve the quality or safety of training (31, 19%). The most common challenges were intercountry variation (including differences in health care systems, the operationalization of medical training, and sociocultural differences; 27, 20%), curricular implementation (20, 15%), and the need for a multistakeholder approach (6, 4%). Most curricula were developed by a social group (e.g., committee; 30, 45%) or Delphi or modified Delphi process (22, 33%). CONCLUSIONS: The challenges of intercountry variation, the need for a multistakeholder approach, and curricular implementation need to be considered if concerns about curricular relevance are to be addressed. These challenges undoubtedly impact the uptake of global medical curricula and can only be addressed by explicit efforts to make curricula applicable to the realities of diverse health care settings. Lippincott Williams & Wilkins 2020-04-07 2021-03 /pmc/articles/PMC7899747/ /pubmed/32271225 http://dx.doi.org/10.1097/ACM.0000000000003383 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Association of American Medical Colleges. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Reviews
Giuliani, Meredith
Martimianakis, Maria Athina (Tina)
Broadhurst, Michaela
Papadakos, Janet
Fazelzad, Rouhi
Driessen, Erik W.
Frambach, Janneke
Motivations for and Challenges in the Development of Global Medical Curricula: A Scoping Review
title Motivations for and Challenges in the Development of Global Medical Curricula: A Scoping Review
title_full Motivations for and Challenges in the Development of Global Medical Curricula: A Scoping Review
title_fullStr Motivations for and Challenges in the Development of Global Medical Curricula: A Scoping Review
title_full_unstemmed Motivations for and Challenges in the Development of Global Medical Curricula: A Scoping Review
title_short Motivations for and Challenges in the Development of Global Medical Curricula: A Scoping Review
title_sort motivations for and challenges in the development of global medical curricula: a scoping review
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7899747/
https://www.ncbi.nlm.nih.gov/pubmed/32271225
http://dx.doi.org/10.1097/ACM.0000000000003383
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