UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Characterising generalism in clinical practice: a systematic mixed studies review protocol.

Kelly, M; Cheung, S; Keshavjee, M; Stevenson, A; Elliott, J; Singh, S; Foster, M; (2021) Characterising generalism in clinical practice: a systematic mixed studies review protocol. BJGP Open 10.3399/BJGPO.2021.0029. (In press). Green open access

[thumbnail of Singh_Characterising generalism in clinical practice- a systematic mixed studies review protocol_AAM.pdf]
Preview
Text
Singh_Characterising generalism in clinical practice- a systematic mixed studies review protocol_AAM.pdf - Accepted Version

Download (419kB) | Preview

Abstract

Background: Generalist physician care is associated with improved patient outcomes. Despite initiatives to promote generalism in educational settings, recruitment to generalist disciplines remains less than required to serve societal needs. Increasingly this impacts not just general practice but generalist specialties such as internal medicine, surgery and paediatrics. One potential factor for this deficit is a lack of explicit attention to generalism as a praxis, including clarifying key aspects of generalist expertise. / Aim: To examine empirical clinical literature on generalism and characterise how generalism is described and delivered by physicians in primary and secondary care. / Design & Setting: Systematic mixed studies review including quantitative, qualitative, mixed-methods studies and systematic reviews of physician generalist practice. / Method: Medline, Psycinfo, Socioindex, EMBASE, OVID Healthstar, Scopus, Web of Science will be searched for English language studies from 1999 to present, using a structured search. Given study heterogeneity we will not perform quality appraisal. Two reviewers will perform study selection for each study. Data extraction will focus on how generalism is defined and characterised, including the clinical care provided by generalists and patient experiences of generalist care. Quantitative and qualitative data will be summarised in tabular and narrative form. Convergent synthesis design will then be used to synthesise quantitative and qualitative data. / Conclusion: Findings will characterise generalism and generalist practice from a grass-roots clinical perspective. By identifying similarities and differences across generalist disciplines, this work will inform more focused educational initiatives on generalism at undergraduate and postgraduate level, including collaborations between generalist disciplines.

Type: Article
Title: Characterising generalism in clinical practice: a systematic mixed studies review protocol.
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.3399/BJGPO.2021.0029
Publisher version: https://doi.org/10.3399/BJGPO.2021.0029
Language: English
Additional information: This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/)
Keywords: Family Physician, General Practice; Family Medicine, General Practitioner, Generalism, Generalists, Physicians, Primary Care, Secondary care
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10127164
Downloads since deposit
45Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item