Evidence map›Paper›PMID 42205361›Full record

ArticleCureus2026

Systems-Based Practice Core Competency: A Survey of Physicians' Perspectives.

Ami L DeWaters, Britta L Thompson, Lindsay Mazotti, Erin Miller, Nardine Riegels, Dan Wolpaw, Catherine Coe, Craig Collins, Robert Cooney, Paul Haidet and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

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.

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

17 authors.

Ami L DeWatersInternal Medicine, Penn State College of Medicine, Hershey, USA.
Britta L ThompsonAssessment and Evaluation, Penn State College of Medicine, Hershey, USA.
Lindsay MazottiInternal Medicine, Sutter Health, Oakland, USA.
Erin MillerBiostatistics, RTI Health Solutions, Hershey, USA.
Nardine RiegelsInternal Medicine, Kaiser Permanente Oakland Medical Center, Oakland, USA.
Dan WolpawInternal Medicine, Penn State College of Medicine, Hershey, USA.
Catherine CoeFamily Medicine, University of California San Diego, San Diego, USA.
Craig CollinsSurgery, Kaiser Permanente West Los Angeles Medical Center, Los Angeles, USA.
Robert CooneyEmergency Medicine, Geisinger Medical Center, Danville, USA.
Paul HaidetMedicine, Penn State College of Medicine, Hershey, USA.
Grant HarrellFamily Medicine, University of Florida, Old Town, USA.
James B ReillyInternal Medicine, Allegheny Health Network, Pittsburgh, USA.
Nick SawyerEmergency Medicine, University of California (UC) Davis Health, Sonoma, USA.
Catherine WitkopObstetrics and Gynecology, Uniformed Services University of the Health Sciences, Besthesda, USA.
Linda MontgomeryFamily Medicine, University of Colorado Anschutz Medical Campus, Denver, USA.
Terry WolpawInternal Medicine, Penn State College of Medicine, Hershey, USA.
Jed GonzaloInternal Medicine, Virginia Tech Carilion School of Medicine, Roanoke, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystems-Based Practice (SBP) has been a core competency in the United States Graduate Medical Education (GME) since 1999, but little is known about physicians' attitudes toward and skills in SBP.

methodsThe aim of this study was to examine resident and GME faculty physicians' perceptions of their engagement, responsibility, and skills in SBP and opportunities to engage in SBP within the clinical workplace. A cross-sectional survey was conducted from May to June 2021 of 6,899 resident and GME faculty physicians across 10 health systems. The survey used Likert-scale questions to assess participants' perceptions across four domains, including engagement in SBP, responsibility for SBP, self-perceived SBP knowledge and skills, and affordances in the clinical environment to learn SBP.

resultsThe survey response rate was 21% (n=1,436). Most respondents were engaged in SBP and believed it was their responsibility to engage in SBP. The minority of respondents reported having adequate skills in several core SBP domains, including contributing to system-level improvements (n=576; 40.1%), addressing social determinants of health (n=530; 36.9%), and engaging in population health management (n=348; 24.2%). Organizational affordances had lower average scores.

conclusionsResident and GME faculty physicians seem to endorse a high degree of responsibility for and engagement in SBP while identifying substantial self-perceived skill deficits in SBP. Participants reported insufficient affordances in the clinical environment to develop several SBP sub-competencies.

Indexed as

acgme core competenciesassessment in health professions educationclinical featuresgraduate medical education (gme)survey research

Identifiers

PMID42205361
PMCPMC13208470

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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.