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Updated: Jan 20, 2026

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Exploring threshold concepts in population health.

Hilary Neve1, Eleanor J Hothersall2, Veena Rodrigues3

  • 1Peninsula Medical School, University of Plymouth, Plymouth, UK.

The Clinical Teacher
|September 6, 2019
PubMed
Summary
This summary is machine-generated.

Identifying challenging concepts in population health education is key. Understanding these "threshold" and "troublesome" concepts helps medical educators better support students in grasping crucial population health principles.

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Area of Science:

  • Medical Education
  • Public Health
  • Curriculum Development

Background:

  • Medical professionals face increasing expectations to improve population health.
  • Integrating population health into undergraduate medical education presents significant engagement challenges for students.
  • Threshold concepts are fundamental, transformative ideas that learners often struggle to grasp.

Purpose of the Study:

  • To identify and explore threshold and troublesome concepts in population health.
  • To understand the challenges medical students face in learning population health.
  • To inform curriculum design and teaching strategies in population health.

Main Methods:

  • Employed transactional curriculum enquiry, a mixed-methods approach.
  • Involved experienced medical educators in population health.
  • Utilized qualitative and quantitative data collection and analysis.

Main Results:

  • Key threshold concepts identified: attributing causality, health inequalities, and doctors' responsibility to populations.
  • Most troublesome concepts for learners: value of qualitative research, social/political determinants of health, and critical appraisal of evidence.
  • Educators found the concepts of threshold and troublesome helpful for teaching.

Conclusions:

  • Transactional curriculum enquiry effectively identifies challenging concepts in population health.
  • The identified concepts may explain student difficulties in engaging with population health.
  • Understanding these concepts aids educators in supporting learners and refining curricula for better population health outcomes.