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Development of the Learning Health System Researcher Core Competencies
Christopher B Forrest1, Francis D Chesley2, Michelle L Tregear3
1Children's Hospital of Philadelphia, Philadelphia, PA.
Objective:
To develop core competencies for learning health system (LHS) researchers to guide the development of training programs.
Data Sources/Study Setting:
Data were obtained from literature review, expert interviews, a modified Delphi process, and consensus development meetings.
Study Design:
The competencies were developed from August to December 2016 using qualitative methods.
Data Collection/Extraction Methods:
The literature review formed the basis for the initial draft of a competency domain framework. Key informant semi-structured interviews, a modified Delphi survey, and three expert panel (n = 19 members) consensus development meetings produced the final set of competencies.
Principal Findings:
The iterative development process yielded seven competency domains: (1) systems science; (2) research questions and standards of scientific evidence; (3) research methods; (4) informatics; (5) ethics of research and implementation in health systems; (6) improvement and implementation science; and (7) engagement, leadership, and research management. A total of 33 core competencies were prioritized across these seven domains. The real-world milieu of LHS research, the embeddedness of the researcher within the health system, and engagement of stakeholders are distinguishing characteristics of this emerging field.
Conclusions:
The LHS researcher core competencies can be used to guide the development of learning objectives, evaluation methods, and curricula for training programs.
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