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Competency lists for urban general practitioners/family physicians using the modified Delphi method

BACKGROUND: In recent years, the growing global urbanization and urban population have resulted in the emergence of various health problems unique to urban areas. Therefore, training general practitioners and family physicians who can tackle the complex health problems of urban areas and improve the...

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Autores principales: Mitsuyama, Toshichika, Son, Daisuke, Eto, Masato, Kikukawa, Makoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9849100/
https://www.ncbi.nlm.nih.gov/pubmed/36653776
http://dx.doi.org/10.1186/s12875-023-01984-z
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author Mitsuyama, Toshichika
Son, Daisuke
Eto, Masato
Kikukawa, Makoto
author_facet Mitsuyama, Toshichika
Son, Daisuke
Eto, Masato
Kikukawa, Makoto
author_sort Mitsuyama, Toshichika
collection PubMed
description BACKGROUND: In recent years, the growing global urbanization and urban population have resulted in the emergence of various health problems unique to urban areas. Therefore, training general practitioners and family physicians who can tackle the complex health problems of urban areas and improve the health of urban people is one of the most important issues of our time. However, findings on competencies for urban general practitioners (GP) and family physicians (FP) were limited. This study aimed to identify their comprehensive and content-validated list of competencies. METHODS: We used the modified Delphi method to develop a content-validated competency list. First, we analyzed and synthesized the competencies extracted from the literature review using qualitative thematic analysis methods to create an initial competency list of 34 items. We then assembled 39 expert panelists in four groups of study participants: physicians, nurses, patients, and medical education specialists. The expert panelists were asked to indicate their level of agreement with the lists and provide revised comments on the description of each competency via a web-based questionnaire. Their responses were analyzed quantitatively and qualitatively by the research team and used to revise the list. These processes were repeated, and the survey was completed when it was determined that consensus had been reached. RESULTS: Three rounds of Delphi were conducted. 39 responded in the first round, 38 in the second round, and 36 in the third round. The initial list of competencies was revised and consolidated from 34 to 14 items in the first round, bringing the total to 20 items along with six new items proposed by the panelists. In the second round, it was revised and consolidated into a list of 18 items. In the third round, all 18 items were considered to have been agreed upon by the panelists, so the survey was closed. CONCLUSION: We identified a comprehensive 18-item list of competencies for urban GP/FP in a content-validated manner. Several are newly discovered competencies in this study. The findings of this study will be useful for the future training of urban GP/FP and for solving urban health problems. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-023-01984-z.
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spelling pubmed-98491002023-01-19 Competency lists for urban general practitioners/family physicians using the modified Delphi method Mitsuyama, Toshichika Son, Daisuke Eto, Masato Kikukawa, Makoto BMC Prim Care Research BACKGROUND: In recent years, the growing global urbanization and urban population have resulted in the emergence of various health problems unique to urban areas. Therefore, training general practitioners and family physicians who can tackle the complex health problems of urban areas and improve the health of urban people is one of the most important issues of our time. However, findings on competencies for urban general practitioners (GP) and family physicians (FP) were limited. This study aimed to identify their comprehensive and content-validated list of competencies. METHODS: We used the modified Delphi method to develop a content-validated competency list. First, we analyzed and synthesized the competencies extracted from the literature review using qualitative thematic analysis methods to create an initial competency list of 34 items. We then assembled 39 expert panelists in four groups of study participants: physicians, nurses, patients, and medical education specialists. The expert panelists were asked to indicate their level of agreement with the lists and provide revised comments on the description of each competency via a web-based questionnaire. Their responses were analyzed quantitatively and qualitatively by the research team and used to revise the list. These processes were repeated, and the survey was completed when it was determined that consensus had been reached. RESULTS: Three rounds of Delphi were conducted. 39 responded in the first round, 38 in the second round, and 36 in the third round. The initial list of competencies was revised and consolidated from 34 to 14 items in the first round, bringing the total to 20 items along with six new items proposed by the panelists. In the second round, it was revised and consolidated into a list of 18 items. In the third round, all 18 items were considered to have been agreed upon by the panelists, so the survey was closed. CONCLUSION: We identified a comprehensive 18-item list of competencies for urban GP/FP in a content-validated manner. Several are newly discovered competencies in this study. The findings of this study will be useful for the future training of urban GP/FP and for solving urban health problems. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-023-01984-z. BioMed Central 2023-01-19 /pmc/articles/PMC9849100/ /pubmed/36653776 http://dx.doi.org/10.1186/s12875-023-01984-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Mitsuyama, Toshichika
Son, Daisuke
Eto, Masato
Kikukawa, Makoto
Competency lists for urban general practitioners/family physicians using the modified Delphi method
title Competency lists for urban general practitioners/family physicians using the modified Delphi method
title_full Competency lists for urban general practitioners/family physicians using the modified Delphi method
title_fullStr Competency lists for urban general practitioners/family physicians using the modified Delphi method
title_full_unstemmed Competency lists for urban general practitioners/family physicians using the modified Delphi method
title_short Competency lists for urban general practitioners/family physicians using the modified Delphi method
title_sort competency lists for urban general practitioners/family physicians using the modified delphi method
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9849100/
https://www.ncbi.nlm.nih.gov/pubmed/36653776
http://dx.doi.org/10.1186/s12875-023-01984-z
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