Evidence map›Paper›PMID 41534932›Full record

SynthesisCanadian family physician Medecin de famille canadien2026

Generalism as a cross-disciplinary practice in medicine: Mixed-studies systematic review.

Martina Ann Kelly, Sarah Cheung, Agalya Ramanathan, Anna Stevenson, Surinder Singh, Sophie Park

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian family physician Medecin de famille canadien, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Martina Ann KellyProfessor of Family Medicine and Community Health Sciences in the Cumming School of Medicine at the University of Calgary in Alberta.
Sarah CheungPhD student and former research associate in the Department of Family Medicine in the Cumming School of Medicine at the University of Calgary.
Agalya RamanathanAcademic Lead for Pre-clinical Years in the Nuffield Department of Primary Care Health Sciences at the University of Oxford in the United Kingdom (UK).
Anna StevensonIndependent researcher in London, UK.
Surinder SinghRetired general practitioner and Senior Lecturer at University College London in the UK.
Sophie ParkDirector of Primary Care Undergraduate Studies and Professor of Primary Care and Clinical Education at the University of Oxford.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo clarify who generalist physicians are and what characterizes their practice. DATA SOURCES: MEDLINE, PsycInfo, SocINDEX, Embase, Ovid HealthSTAR, Scopus, and Web of Science. STUDY SELECTION: Empirical studies (quantitative, qualitative, mixed methods) that described the attributes of generalist physicians across various disciplines in the clinical literature. SYNTHESIS: A total of 262 studies from 25 countries met inclusion criteria. Forty-seven percent of studies lacked essential participant information. The remaining studies primarily framed generalism in terms of an absence of specialist training, reflecting a "deficit model" of care. We identified 4 archetypes of generalist practice: broad-based knowledge, generalism as adaptive expertise, generalism as integrative expertise, and generalism as interpretive expertise.

conclusionGeneralism lacks a consistent meaning across clinical disciplines in medicine. Four archetypes of practice are proposed to promote cross-disciplinary dialogue and guide the design of future health care systems and professional roles.

Indexed as

General PracticeGeneral PractitionersInterdisciplinary CommunicationClinical CompetenceHumans

Identifiers

PMID41534932
PMCPMC12802497

What OpenQuestion holds

Textmetadata
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.