Evidence map›Paper›PMID 40790588›Full record

ArticleBMC medical education2025

Building the 8-star doctor: a modified Delphi study to define, teach, and assess health professions education for undergraduate medical students.

Sara Jamil Khan, Rahila Yasmeen, Shazia Imran

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Sara Jamil KhanMedical Education Frontier Medical and Dental College, Abbottabad, Pakistan. sara40_abt@hotmail.com.
Rahila YasmeenRiphah Academy of Research & Education Riphah International University, Islamabad, Pakistan.ORCID https://orcid.org/0000-0001-9839-6987
Shazia ImranDepartment of Anatomy, NUST School of Health Sciences, National University of Sciences and Technology (NUST), Islamabad, Pakistan.ORCID https://orcid.org/0000-0001-8385-7568

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs global trends in medical education shift toward integrated curricula, there remains a lack of consensus on the core components of Health Professions Education (HPE) to be embedded within undergraduate medical programs. This study aims to identify and structure key HPE topics relevant to the MBBS curriculum, with the goal of enhancing students' foundational competencies in teaching, leadership, and professionalism. It also seeks to propose appropriate pedagogical approaches and assessment strategies for effective curricular integration.

methodsA multi-phase, mixed-methods study design was employed. The initial phase involved a comprehensive literature review, followed by expert consensus through the Nominal Group Technique (NGT) with 19 national HPE professionals. This was succeeded by a three-round modified e-Delphi process involving 69 HPE experts across Pakistan. Participants rated the importance of proposed content items using a three-point Likert scale. Topics achieving ≥ 80% consensus were retained. The stability of responses across rounds was assessed using McNemar's test. Teaching methodologies and assessment tools were finalized in the third round.

resultsThe NGT process streamlined 54 initial content items to 37, eliminating 12, modifying 5, and adding 2 new topics. The Delphi process led to consensus on 17 key items, including bedside teaching, procedural skills, leadership, communication, professionalism, medical ethics, and patient safety. Preferred teaching strategies included small-group discussions (SGD) and large-group interactive sessions (LGIS), both receiving over 50% expert agreement. Objective Structured Teaching Exercises (OSTE) emerged as the most endorsed assessment approach. Response rates for the three Delphi rounds were 93%, 96%, and 90%, respectively.

conclusionThis study presents a consensus-driven framework for the integration of HPE into undergraduate medical curricula. The findings underscore the relevance of structured teaching, evidence-based learning strategies, and pragmatic assessments. The framework has potential applicability for scalable curricular reforms in five-year undergraduate medical programs globally.

Indexed as

CurriculumEducation, Medical, UndergraduateHealth OccupationsClinical CompetenceDelphi TechniqueHumansPakistanProfessionalismStudents, MedicalTeachingCurriculum reformDelphi methodHealth professions educationIntegrated curriculumLearning by teachingMedical educationStudent as teacherTeaching skills

Identifiers

PMID40790588
PMCPMC12337536

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.