Evidence map›Paper›PMID 41356413›Full record

ReviewPerspectives on medical education2025

Beyond Individualism and Independence: Exploring Collectivism and Interdependence as Paradigms of Healthcare and Health Professions Education.

Eusang Ahn, Stefanie S Sebok-Syer, Jerry M Maniate, Kaitlin Endres, Warren J Cheung

Abstract readReview
In one paragraph

Review in Perspectives on medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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.

Eusang AhnDepartment of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-7725-7491
Stefanie S Sebok-SyerDepartment of Emergency Medicine, Stanford University, Stanford, California, USA.ORCID 0000-0002-3572-5971
Jerry M ManiateDepartments of Medicine and Innovation in Medical Education, University of Ottawa, Canada.ORCID 0000-0002-2112-4147
Kaitlin EndresDepartment of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0009-0003-1256-7522
Warren J CheungDepartment of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-2730-8190

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Healthcare is delivered by teams, yet individualism continues to be foregrounded in training and assessments. In contrast to individualism is collectivism, a sociocultural phenomenological lens that considers the degree to which people are integrated into groups. Along with collectivism is interdependence, which characterizes how two or more people or things are interconnected with each other. The purpose of this review was to examine the current body of work on collectivism and interdependence to examine their potential within healthcare and health professions education (HPE). Method: This narrative review included English-language publications from peer-reviewed journals between 1990 and 2024, and excluded non-English articles, perspective pieces, commentaries, and studies that were unrelated to healthcare or HPE. The initial search in January 2024 included MEDLINE, Embase, PsycINFO and ERIC databases and was updated in November 2024 with forward and backward reference mining. Results: In total, 3,415 articles were identified, of which 63 were included in the review. We used reflexive thematic analysis to consolidate the literature. Our analysis developed four interconnected themes: 1) reshaping the culture of healthcare and the learning climate of HPE, 2) accounting for individual contributions to the team, 3) the many facets of leadership, and 4) belongingness as an essential step towards collective well-being. Together, these themes expose tensions between individualistic educational structures and the team-based realities of clinical work, and highlight pathways toward relational, trust-based learning environments. Conclusion: Healthcare and HPE can be effectively examined through the paradigms of collectivism and interdependence, which transcend and challenge the current models of individualism and independence. Collectivism and interdependence offer conceptual and practical tools to reorient HPE toward relational accountability, shared leadership, and compassionate belonging. By embracing these guiding principles, healthcare workers and educators can better prepare for the collaborative, team-based nature of healthcare, and create protective and transformative learning environments.

Indexed as

Health OccupationsHealth PersonnelIndividualityDelivery of Health CareHumans

Identifiers

PMID41356413
PMCPMC12679997

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.