Evidence map›Paper›PMID 42487973›Full record

ArticleFrontiers in medicine2026

Building the future health workforce: outreach pathways and the Holistic Ecosystem Model.

Leila Amiri, Jonathan J Wisco, Bei Zhang, Pamela C Gibson, Nana Sartania

Abstract read
In one paragraph

Article in Frontiers in medicine, 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

5 authors.

Leila AmiriLarner College of Medicine, University of Vermont, Burlington, VT, United States.
Jonathan J WiscoBoston University Chobanian and Avedisian School of Medicine, Boston, MA, United States.
Bei ZhangLarner College of Medicine, University of Vermont, Burlington, VT, United States.
Pamela C GibsonLarner College of Medicine, University of Vermont, Burlington, VT, United States.
Nana SartaniaSchool of Medicine Dentistry and Nursing, University of Glasgow, Glasgow, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare workforce shortages and inequities in access to medical education remain persistent global challenges. Expanding participation in health professions education has become a central strategy for strengthening healthcare systems and improving population health outcomes. This perspective applies the Holistic Ecosystem Model (HES) as its central analytical framework to examine outreach initiatives across the United States, the United Kingdom, Australia, and Singapore. The HES conceptualizes pathways into medicine as dynamic systems shaped by four interacting layers: the learner pathway, educational structures, institutional systems, and community and policy environments. Viewing outreach through this ecosystem lens reveals why piecemeal interventions so often fall short-and what more coordinated, systemic strategies might achieve.

Indexed as

ecosystem approach to health professions accesshealth equityhealth professions educationmedical workforce diversityoutreachwidening access and participation

Identifiers

PMID42487973
PMCPMC13388293

What OpenQuestion holds

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LicenceCC BY
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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.