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Attributes and generic competencies required of doctors: findings from a participatory concept mapping study

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Ogden, K ORCID: 0000-0003-1811-8667, Kilpatrick, S ORCID: 0000-0003-2473-9814, Elmer, S ORCID: 0000-0001-9757-9976 and Rooney, K 2021 , 'Attributes and generic competencies required of doctors: findings from a participatory concept mapping study' , BMC Health Services Research, vol. 21, no. 1 , pp. 1-14 , doi: 10.1186/s12913-021-06519-9.

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Abstract

Background: Medical education should ensure graduates are equipped for practice in modern health-care systems.Practicing effectively in complex health-care systems requires contemporary attributes and competencies,complementing core clinical competencies. These need to be made overt and opportunities to develop andpractice them provided. This study explicates these attributes and generic competencies using Group ConceptMapping, aiming to inform pre-vocational medical education curriculum development.Methods: Group Concept Mapping is a mixed methods consensus building methodology whereby ideas aregenerated using qualitative techniques, sorted and grouped using hierarchical cluster analysis, and rated to providefurther quantitative confirmation of value. Health service providers from varied disciplines (including medicine,nursing, allied health), health profession educators, health managers, and service users contributed to theconceptual model’s development. They responded to the prompt ‘An attribute or non-clinical competency required ofdoctors for effective practice in modern health-care systems is...’ and grouped the synthesized responses according tosimilarity. Data were subjected to hierarchical cluster analysis. Junior doctors rated competencies according toimportance to their practice and preparedness at graduation.Results: Sixty-seven contributors generated 338 responses which were synthesised into 60 statements. Hierarchicalcluster analysis resulted in a conceptual map of seven clusters representing: value-led professionalism; attributes forself-awareness and reflective practice; cognitive capability; active engagement; communication to build andmanage relationships; patient-centredness and advocacy; and systems awareness, thinking and contribution. Logicmodel transformation identified three overarching meta-competencies: leadership and systems thinking; learningand cognitive processes; and interpersonal capability. Ratings indicated that junior doctors believe system-relatedcompetencies are less important than other competencies, and they feel less prepared to carry them out.Conclusion: The domains that have been identified highlight the competencies necessary for effective practice forthose who work within and use health-care systems. Three overarching domains relate to leadership in systems,learning, and interpersonal competencies. The model is a useful adjunct to broader competencies frameworksbecause of the focus on generic competencies that are crucial in modern complex adaptive health-care systems.Explicating these will allow future investigation into those that are currently well achieved, and those which arelacking, in differing contexts.

Item Type: Article
Authors/Creators:Ogden, K and Kilpatrick, S and Elmer, S and Rooney, K
Keywords: medical education, group concept mapping, generic competencies, attributes, delivery of health services
Journal or Publication Title: BMC Health Services Research
Publisher: Biomed Central Ltd
ISSN: 1472-6963
DOI / ID Number: 10.1186/s12913-021-06519-9
Copyright Information:

© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) License, (https://creativecommons.org/licenses/by/4.0/) which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.

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