Evidence map›Paper›PMID 31446406›Full record

ArticleBMJ open2019

Global health competencies in UK postgraduate medical training: a scoping review and curricular content analysis.

Nader Al-Shakarchi, Lucy Obolensky, Sarah Walpole, Harry Hemingway, Amitava Banerjee

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

7 citing papers in PubMed.

  1. Article
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  5. Article
  6. Global health education in U.K. universities.Global health journal (Amsterdam, Netherlands) · 2021
    Article
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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

5 authors.

Nader Al-ShakarchiMedical School, University College London, London, UK.
Lucy ObolenskyFaculty of Medicine and Dentistry, Plymouth University Peninsula Medical School, Plymouth, UK.
Sarah WalpoleHull York Medical School, Hull, UK.
Harry HemingwayInstitute of Health Informatics, University College London, London, UK.ORCID 0000-0003-2279-0624
Amitava BanerjeeInstitute of Health Informatics, University College London, London, UK ami.banerjee@ucl.ac.uk.ORCID 0000-0001-8741-3411

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess global health (GH) training in all postgraduate medical education in the UK.

designMixed methodology: scoping review and curricular content analysis using two GH competency frameworks. SETTING AND

participantsA scoping review (until December 2017) was used to develop a framework of GH competencies for doctors. National postgraduate medical training curricula were analysed against this and a prior framework for GH competencies. The number of core competencies addressed and/or appearing in each programme was recorded. OUTCOMES: The scoping review identified eight relevant publications. A 16-competency framework was developed and, with a prior 5-competency framework, used to analyse each of 71 postgraduate medical curricula. Curricula were examined by a team of researchers and relevant learning outcomes were coded as one of the 5 or 16 core competencies. The number of core competencies in each programme was recorded.

resultsUsing the 5-competency and 16-competency frameworks, 23 and 20, respectively, out of 71 programmes contained no global health competencies, most notably the Foundation Programme (equivalent to internship), a compulsory programme for UK medical graduates. Of a possible 16 competencies, the mean number across all 71 programmes was 1.73 (95% CI 1.42 to 2.04) and the highest number were in paediatrics and infectious diseases, each with five competencies. Of the 16 core competencies, global burden of disease and socioeconomic determinants of health were the two most cited with 47 and 35 citations, respectively. 8/16 competencies were not cited in any curriculum.

conclusionsEquity of care and the challenges of practising in an increasingly globalised world necessitate GH competencies for all doctors. Across the whole of postgraduate training, the majority of UK doctors are receiving minimal or no training in GH. Our GH competency framework can be used to map and plan integration across postgraduate programmes.

Indexed as

Education, Medical, GraduateClinical CompetenceCurriculumGlobal HealthHumansInservice TrainingUnited Kingdomcompetenciesglobal healthpostgraduate medical training

Identifiers

PMID31446406
PMCPMC6720244

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.