ArticleCureus2026
A Qualitative Study of the Systems-Based Practice Competency in United States Graduate Medical Education.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Systems-based practice (SBP) is a core competency in U.S. graduate medical education (GME), but it is not well implemented; we examined current factors that need to be addressed to advance SBP. Methods Between March and July 2021, 24 physicians, nurses, educators, and leaders in the field of SBP were interviewed using a semi-structured guide. Individuals were selected based on their influence on the origin or development of SBP. The authors iteratively collected and analyzed data using real-time analytic memos, regular adjudication sessions, and thematic analysis. Themes were agreed upon by the research team. Results Four themes were identified: (1) co-production is a central concept in the implementation of SBP, (2) co-production needs to occur between multiple stakeholders across a multitude of settings, (3) health organizations need to transform into learning health organizations to advance SBP, and (4) macrosystem-level fragmentation and organizational culture are inhibiting SBP in healthcare delivery. Conclusions The ability of GME programs to successfully implement SBP is closely tied to their ability to collaborate with their local health systems and have those health systems actively support SBP principles. Co-production and transformation into learning health systems are two key strategies for achieving optimized SBP.
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Registered trials
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.