ArticleAcademic medicine : journal of the Association of American Medical Colleges2020
Reconsidering Systems-Based Practice: Advancing Structural Competency, Health Equity, and Social Responsibility in Graduate Medical Education.
Article in Academic medicine : journal of the Association of American Medical Colleges, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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.
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.
Who cites it
40 citing papers in PubMed, 97 citations in OpenAlex.
- Reproductive Psychiatry Training in Psychiatry Residencies: A 10-Year National Update on Persistent Barriers and Emerging Interest.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Article
- A Qualitative Study of the Systems-Based Practice Competency in United States Graduate Medical Education.Cureus · 2026Article
- Article
- A Qualitative Content Analysis Exploring Systems-Based Practice Across Health Professional Competency Standards.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Moving beyond individual-level factors: evidence-based strategies to advance structural competency in sports and exercise medicine.British journal of sports medicine · 2026Article
- Understanding disparities in autism diagnosis and care: A socioecological perspective.PLOS mental health · 2026Article
- The Critical Role of Race-Conscious Framework in Advancing Mental Health Workforce Diversity: A Case Study.Race and social problems · 2026Article
- Racial disparities and trends in anticoagulant use among ambulatory care patients with atrial fibrillation and atrial flutter in the United States from 2007 to 2019.BMC health services research · 2025Article
- Health professional students' perspectives on diversity and inclusion in anatomy curricula.BMC medical education · 2025Article
- A rapid review of critical theory in health professions education.BMC medical education · 2025Review
- Innovation in Medical Education on Intellectual/Developmental Disabilities: Report on the National Inclusive Curriculum for Health Education-Medical Initiative.Medical care · 2025Article
- Telehealth and plastic surgery: evaluation of the accessibility of virtual consultations through online resources.mHealth · 2025Article
- Health Disparities in the Management and Outcomes of Critically Ill Children and Neonates: A Scoping Review.Critical care clinics · 2024Article
- Conceptualization and teaching health advocacy in undergraduate medical education: a document analysis.BMC medical education · 2024Article
- Partnering With Immigrant Patients and Families to Move Beyond Cultural Competence: A Role for Clinicians and Health Care Organizations.Academic pediatrics · 2024Review
- Unpacking the prevalence: A warning against overstating the recently narrowed gap for Black autistic youth.Autism research : official journal of the International Society for Autism Research · 2024Article
- Ethnocentrism, Racism, and the Misuse of Culture in US Medical Professional Organizations: The Case of Hospice and Palliative Care.Journal of general internal medicine · 2024Article
- Equity M&M - Adaptation of the Morbidity and Mortality Conference to Analyze and Confront Structural Inequity in Internal Medicine.Journal of general internal medicine · 2024Article
- Honoring the Care Experiences of Chinese Canadian Survivors of Prostate Cancer to Cultivate Cultural Safety and Relationality in Digital Health: Exploratory-Descriptive Qualitative Study.Journal of medical Internet research · 2023Article
- Taking Action on Racism and Structural Violence in Psychiatric Training and Clinical Practice.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
Health inequities stem from systematic, pervasive social and structural forces. These forces marginalize populations and create the circumstances that disadvantage these groups, as reflected in differences in outcomes like life expectancy and infant mortality and in inequitable access to and delivery of health care resources. To help eradicate these inequities, physicians must understand racism, sexism, oppression, historical marginalization, power, privilege, and other sociopolitical and economic forces that sustain and create inequities. A new educational paradigm emphasizing the knowledge, skills, and attitudes to achieve health equity is needed.Systems-based practice is the graduate medical education core competency that focuses on complex systems and physicians' roles within them; it includes topics like multidisciplinary team-based care, patient safety, cost containment, end-of-life goals, and quality improvement. This competency, however, is largely health care centric and does not train physicians to engage with the complexities of the social and structural determinants of health or to partner with systems and communities that are outside health care.The authors propose a new core competency centered on health equity, social responsibility, and structural competency to address this gap in graduate medical education. For the development of this new competency, the authors draw on existing, innovative undergraduate and graduate medical pedagogy and public health, health services research, and social medicine frameworks. They describe how this new competency would inform graduate medical education and clinical care and encourage future physicians to engage in the work of health equity.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.