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Competency lists for urban general practitioners/family physicians using the modified Delphi method.

Toshichika Mitsuyama1, Daisuke Son2,3, Masato Eto1

  • 1Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.

BMC Primary Care
|January 18, 2023
PubMed
Summary
This summary is machine-generated.

This study identified 18 essential competencies for urban general practitioners (GPs) and family physicians (FPs) to address unique urban health challenges. These findings will guide training and improve urban population health.

Keywords:
CompetencyDelphi methodFamily physicianGeneral practitionerNon-urban/rural areaUrban area

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Area of Science:

  • Medical Education
  • Public Health
  • Family Medicine

Background:

  • Urbanization presents unique health challenges requiring specialized physician training.
  • Existing research on urban general practitioner (GP) and family physician (FP) competencies is limited.
  • A comprehensive, validated list of competencies is needed for effective urban healthcare.

Purpose of the Study:

  • To identify and validate a comprehensive list of competencies for urban GPs and FPs.
  • To inform the development of targeted training programs for physicians in urban settings.

Main Methods:

  • Modified Delphi method employed with 39 expert panelists (physicians, nurses, patients, medical education specialists).
  • Iterative review and revision of competencies through web-based questionnaires over three rounds.
  • Qualitative thematic analysis of literature and quantitative analysis of expert feedback.

Main Results:

  • A content-validated list of 18 competencies for urban GPs/FPs was established.
  • The list includes newly identified competencies specific to urban health contexts.
  • Consensus was reached among expert panelists by the third round of the Delphi survey.

Conclusions:

  • The study successfully identified a comprehensive 18-item competency list for urban GPs/FPs.
  • These validated competencies are crucial for addressing complex urban health issues.
  • The findings will support enhanced training curricula and improve healthcare for urban populations.