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Characterising generalism in clinical practice: a systematic mixed studies review protocol
Martina Kelly1, Sarah Cheung2, Mariam Keshavjee2
1Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada makelly@ucalgary.ca.
BJGP Open
|April 29, 2021
Summary
This study reviews clinical literature to define generalist physician expertise. Understanding generalism in practice can improve medical education and patient care.
Area of Science:
- Medical Education
- Health Services Research
- Physician Practice
Background:
- Generalist physician care is linked to better patient outcomes.
- Recruitment to generalist medical disciplines is insufficient to meet societal needs.
- A lack of focus on generalism as a practice may contribute to this deficit.
Purpose of the Study:
- To systematically review empirical clinical literature on generalism.
- To characterize how generalism is described and delivered by physicians in primary and secondary care.
Main Methods:
- A systematic mixed studies review (SMSR) was conducted.
- Searched multiple databases (MEDLINE, Psycinfo, etc.) for English language studies from 1999 to present.
- Convergent synthesis design used to integrate quantitative and qualitative data.
Main Results:
- The review will characterize generalism and generalist practice from a clinical perspective.
- Identified similarities and differences across various generalist disciplines.
- Data extraction focused on definitions, clinical care, and patient experiences of generalist practice.
Conclusions:
- Findings will inform targeted educational initiatives for generalism.
- Recommendations for undergraduate and postgraduate generalist training.
- Promoting interdisciplinary collaboration among generalist specialties.
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