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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
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Ethical Issues01:27

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...

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Updated: May 29, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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Published on: February 16, 2011

Systems-Based Practice Core Competency: A Survey of Physicians' Perspectives.

Ami L DeWaters1, Britta L Thompson2, Lindsay Mazotti3

  • 1Internal Medicine, Penn State College of Medicine, Hershey, USA.

Cureus
|May 28, 2026
PubMed
Summary
This summary is machine-generated.

Physicians embrace responsibility for Systems-Based Practice (SBP) but report skill gaps. More clinical opportunities are needed to develop crucial SBP competencies in graduate medical education.

Keywords:
acgme core competenciesassessment in health professions educationclinical featuresgraduate medical education (gme)survey research

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Last Updated: May 29, 2026

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Area of Science:

  • Medical Education
  • Healthcare Systems
  • Physician Training

Background:

  • Systems-Based Practice (SBP) is a core competency in US Graduate Medical Education (GME) since 1999.
  • Physician attitudes and skills in SBP remain under-explored.
  • Understanding SBP perceptions is crucial for effective physician development.

Purpose of the Study:

  • To assess resident and GME faculty physicians' perceptions of SBP engagement and responsibility.
  • To evaluate self-perceived SBP skills and workplace learning opportunities.
  • To identify gaps in SBP competency development within clinical settings.

Main Methods:

  • Cross-sectional survey of 6,899 physicians across 10 health systems (May-June 2021).
  • Utilized Likert-scale questions assessing engagement, responsibility, skills, and affordances in SBP.
  • Analyzed perceptions across four key SBP domains.

Main Results:

  • 21% response rate (n=1,436).
  • Majority felt engaged and responsible for SBP.
  • Significant skill deficits reported in system improvement, social determinants of health, and population health management.
  • Lower scores for organizational affordances to learn SBP.

Conclusions:

  • Physicians acknowledge responsibility for SBP and report high engagement.
  • Substantial self-perceived skill deficits exist in core SBP areas.
  • Clinical environments offer insufficient opportunities for developing key SBP sub-competencies.