Evidence map›Paper›PMID 29666132›Full record

ArticleBMJ open2018

Competencies necessary for becoming a leader in the field of community medicine: a Japanese qualitative interview study.

Mosaburo Kainuma, Makoto Kikukawa, Masaharu Nagata, Motofumi Yoshida

Abstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mosaburo KainumaCommunity Medicine Education Unit, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Makoto KikukawaDepartment of Medical Education, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Masaharu NagataCommunity Medicine Education Unit, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Motofumi YoshidaMedical Education, Department of Social Medical Sciences, GraduateSchool of Medicine, International University of Health and Welfare, Narita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo clarify competencies for inclusion in our curriculum that focuses on developing leaders in community medicine.

designQualitative interview study.

settingAll six regions of Japan, including urban and rural areas.

participantsNineteen doctors (male: 18, female: 1) who play an important leadership role in their communities participated in semistructured interviews (mean age 48.3 years, range 34-59; mean years of clinical experience 23.1 years, range 9-31).

methodSemistructured interviews were held and transcripts were independently analysed and coded by the first two authors. The third and fourth authors discussed and agreed or disagreed with the results to give a consensus agreement. Doctors were recruited by maximum variation sampling until thematic saturation was achieved.

resultsSix themes emerged: (1)'Medical ability': includes psychological issues and difficult cases in addition to basic medical problems. High medical ability gives confidence to other medical professionals. (2)'Long term perspective': the ability to develop a long-term, comprehensive vision and to continuously work to achieve the vision. Cultivation of future generations of doctors is included. (3) 'Team building':the ability to drive forward programmes that include residents and local government workers, to elucidate a vision, to communicate and to accept other medical professionals. (4)'Ability to negotiate': the ability to negotiate with others to ensure that programmes and visions progress smoothly (5) 'Management ability': the ability to run a clinic, medical unit or medical association. (6) 'Enjoying oneself': doctors need to feel an attraction to community medicine, that it be fun and challenging for them.

conclusionsWe found six competencies that are needed by leaders in the field of community medicine. The results of this study will contribute to designing a curriculum that develops such leaders.

Indexed as

Community MedicineLeadershipPhysiciansProfessional CompetenceAdultFemaleHumansJapanMaleMiddle AgedQualitative Researchcommunity medicinecompetencyleaderqualitative study

Identifiers

PMID29666132
PMCPMC5905755

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