Evidence map›Paper›PMID 40346629›Full record

ArticleBMC medical education2025

Understanding the gap: a balanced multi-perspective approach to defining essential digital health competencies for medical graduates.

Brett Sumner, Rachelle Martin, Tehmina Gladman, Tim J Wilkinson, Rebecca Grainger

Abstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

5 authors.

Brett SumnerDepartment of Medicine, University of Otago Wellington, PO Box 7343, Newtown, Wellington, 6242, New Zealand.ORCID http://orcid.org/0000-0002-1850-2426
Rachelle MartinDepartment of Medicine, University of Otago Wellington, PO Box 7343, Newtown, Wellington, 6242, New Zealand.ORCID http://orcid.org/0000-0002-9533-3195
Tehmina GladmanEducation Unit, University of Otago Wellington, Wellington, New Zealand.ORCID http://orcid.org/0000-0002-5112-3460
Tim J WilkinsonUniversity of Otago Christchurch, Christchurch, New Zealand.
Rebecca GraingerDepartment of Medicine, University of Otago Wellington, PO Box 7343, Newtown, Wellington, 6242, New Zealand. Rebecca.Grainger@otago.ac.nz.ORCID http://orcid.org/0000-0001-9201-8678

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRapid technological advancements have left medical graduates potentially underprepared for the digital healthcare environment. Despite the importance of digital health education, consensus on essential primary medical degree content is lacking. Focusing on core competence domains can address critical skills while minimising additions to an already demanding curriculum. This study identifies the minimum essential digital health competency domains from the perspectives of learners, teachers, and content experts aiming to provide a framework for integrating digital health education into medical curricula.

methodsWe conducted focus groups with students (n = 17), and semi-structured interviews with medical educators (n = 12) and digital sector experts (n = 11) using video conferencing. Participants were recruited using purposive sampling. The data were analysed using framework analysis and inductive thematic analysis to identify common themes.

resultsFour core themes and eleven sub-themes were identified and aggregated into four essential competency domains: "Understand the Local Digital Health Ecosystem and Landscape", "Safe, Secure and Ethical Information Literacy and Management", "Proficiency in Digital Health Tools and Associated Technologies" and "Scholarly Research and Evidence-based Practice". Medical educator and digital sector expert participants provided the greatest source of data for curriculum content consideration. Students demonstrated varying levels of aptitude, confidence, and interest in technology.

conclusionOur balanced engagement with learners, educators, and digital health experts enabled the identification of a context-relevant framework for the minimum essential digital health competence domains for graduating medical students. The identification of focused, clinically relevant core competencies makes them amenable to integration into an existing curriculum tailored to local contexts. This approach addresses limitations of restricted curricular space and accommodates varying student interests, confidence and aptitude in technology. The delivery approach should consider a student-centred adaptive modality that takes advantage of advances in artificial intelligence (AI) as an effective pedagogical tool.

Indexed as

Clinical CompetenceEducation, MedicalStudents, MedicalCurriculumDigital HealthFemaleFocus GroupsHumansInterviews as TopicMaleQualitative ResearchDigital healthEhealthHealthcare technologyMedical curriculumMedical education

Identifiers

PMID40346629
PMCPMC12065156

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.