Evidence map›Paper›PMID 36998506›Full record

ArticleCanadian medical education journal2023

Emerging concepts in the CanMEDS physician competency framework.

Brent Thoma, Anna Karwowska, Louise Samson, Nicole Labine, Heather Waters, Meredith Giuliani, Teresa M Chan, Adelle Atkinson, Evelyn Constantin, Andrew K Hall and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Canadian medical education journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
10.4field-weighted citation impact, top 1% of its field
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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Competency based curriculum for cardiovascular magnetic resonance: A position statement of the Society for Cardiovascular Magnetic Resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2024
    Guideline
  2. Academic Leagues and the Formation of Physicians in Brazil.Sao Paulo medical journal = Revista paulista de medicina · 2026
    Article
  3. Article
  4. Article
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  6. The evolution of cardiothoracic surgery training: from apprenticeship to AI-assisted simulation.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Exploring the "led" in health professional student-led experiences: a scoping review.Advances in health sciences education : theory and practice · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Introducing the Next Era in Assessment.Perspectives on medical education · 2025
    Article
  18. Review
  19. Article
  20. Focus on faculty development.Canadian medical education journal · 2024
    Article
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

17 authors at 9 institutions in 1 country.

Brent ThomaUniversity of Saskatchewan, Saskatchewan, Canada.
Anna KarwowskaUniversity of Ottawa, Ontario, Canada.
Louise SamsonUniversité de Montréal, Quebec, Canada.
Nicole LabineUniversity of Saskatchewan, Saskatchewan, Canada.
Heather WatersMcMaster University, Ontario, Canada.
Meredith GiulianiUniversity of Toronto, Ontario, Canada.
Teresa M ChanMcMaster University, Ontario, Canada.
Adelle AtkinsonRoyal College of Physicians and Surgeons of Canada, Ontario, Canada.
Evelyn ConstantinMcGill University, Quebec, Canada.
Andrew K HallRoyal College of Physicians and Surgeons of Canada, Ontario, Canada.
Carlos Gomez-GaribelloCollege of Family Physicians of Canada, Ontario, Canada.
Nancy FowlerMcMaster University, Ontario, Canada.
Leon TourianMcGill University, Quebec, Canada.
Jason FrankUniversity of Ottawa, Ontario, Canada.
Rob AndersonRoyal College of Physicians and Surgeons of Canada, Ontario, Canada.
Linda SnellRoyal College of Physicians and Surgeons of Canada, Ontario, Canada.
Elaine Van MelleRoyal College of Physicians and Surgeons of Canada, Ontario, Canada.
McGill University · CAUniversity of Ottawa · CACollege of Family Physicians of Canada · CAMcMaster University · CAUniversity of Saskatchewan · CAUniversity of Toronto · CAAssociation des Médecins d'Urgence du Québec · CANOSM University · CAQueen's University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The CanMEDS physician competency framework will be updated in 2025. The revision occurs during a time of disruption and transformation to society, healthcare, and medical education caused by the COVID-19 pandemic and growing acknowledgement of the impacts of colonialism, systemic discrimination, climate change, and emerging technologies on healthcare and training. To inform this revision, we sought to identify emerging concepts in the literature related to physician competencies. Methods: Emerging concepts were defined as ideas discussed in the literature related to the roles and competencies of physicians that are absent or underrepresented in the 2015 CanMEDS framework. We conducted a literature scan, title and abstract review, and thematic analysis to identify emerging concepts. Metadata for all articles published in five medical education journals between October 1, 2018 and October 1, 2021 were extracted. Fifteen authors performed a title and abstract review to identify and label underrepresented concepts. Two authors thematically analyzed the results to identify emerging concepts. A member check was conducted. Results: 1017 of 4973 (20.5%) of the included articles discussed an emerging concept. The thematic analysis identified ten themes: Equity, Diversity, Inclusion, and Social Justice; Anti-racism; Physician Humanism; Data-Informed Medicine; Complex Adaptive Systems; Clinical Learning Environment; Virtual Care; Clinical Reasoning; Adaptive Expertise; and Planetary Health. All themes were endorsed by the authorship team as emerging concepts. Conclusion: This literature scan identified ten emerging concepts to inform the 2025 revision of the CanMEDS physician competency framework. Open publication of this work will promote greater transparency in the revision process and support an ongoing dialogue on physician competence. Writing groups have been recruited to elaborate on each of the emerging concepts and how they could be further incorporated into CanMEDS 2025.

Indexed as

COVID-19Education, MedicalPhysiciansClinical CompetenceHumansPandemics

Identifiers

PMID36998506
PMCPMC10042782
OpenAlexW4297517629

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.