Understanding the gap: a balanced multi-perspective approach to defining essential digital health competencies for medical graduates

Abstract Background Rapid technological advancements have left medical graduates potentially underprepared for the digital healthcare environment. Despite the importance of digital health education, consensus on essential primary medical degree content is lacking. Focusing on core competence domains...

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Main Authors: Brett Sumner, Rachelle Martin, Tehmina Gladman, Tim J Wilkinson, Rebecca Grainger
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-07194-8
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author Brett Sumner
Rachelle Martin
Tehmina Gladman
Tim J Wilkinson
Rebecca Grainger
author_facet Brett Sumner
Rachelle Martin
Tehmina Gladman
Tim J Wilkinson
Rebecca Grainger
author_sort Brett Sumner
collection DOAJ
description Abstract Background Rapid technological advancements have left medical graduates potentially underprepared for the digital healthcare environment. Despite the importance of digital health education, consensus on essential primary medical degree content is lacking. Focusing on core competence domains can address critical skills while minimising additions to an already demanding curriculum. This study identifies the minimum essential digital health competency domains from the perspectives of learners, teachers, and content experts aiming to provide a framework for integrating digital health education into medical curricula. Methods We conducted focus groups with students (n = 17), and semi-structured interviews with medical educators (n = 12) and digital sector experts (n = 11) using video conferencing. Participants were recruited using purposive sampling. The data were analysed using framework analysis and inductive thematic analysis to identify common themes. Results Four core themes and eleven sub-themes were identified and aggregated into four essential competency domains: “Understand the Local Digital Health Ecosystem and Landscape”, “Safe, Secure and Ethical Information Literacy and Management”, “Proficiency in Digital Health Tools and Associated Technologies” and “Scholarly Research and Evidence-based Practice”. Medical educator and digital sector expert participants provided the greatest source of data for curriculum content consideration. Students demonstrated varying levels of aptitude, confidence, and interest in technology. Conclusion Our balanced engagement with learners, educators, and digital health experts enabled the identification of a context-relevant framework for the minimum essential digital health competence domains for graduating medical students. The identification of focused, clinically relevant core competencies makes them amenable to integration into an existing curriculum tailored to local contexts. This approach addresses limitations of restricted curricular space and accommodates varying student interests, confidence and aptitude in technology. The delivery approach should consider a student-centred adaptive modality that takes advantage of advances in artificial intelligence (AI) as an effective pedagogical tool.
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spelling doaj-art-dd65bc42f5274e56a91c5bf7449b6da62025-08-20T03:09:20ZengBMCBMC Medical Education1472-69202025-05-0125111110.1186/s12909-025-07194-8Understanding the gap: a balanced multi-perspective approach to defining essential digital health competencies for medical graduatesBrett Sumner0Rachelle Martin1Tehmina Gladman2Tim J Wilkinson3Rebecca Grainger4Department of Medicine, University of Otago WellingtonDepartment of Medicine, University of Otago WellingtonEducation Unit, University of Otago WellingtonUniversity of Otago ChristchurchDepartment of Medicine, University of Otago WellingtonAbstract Background Rapid technological advancements have left medical graduates potentially underprepared for the digital healthcare environment. Despite the importance of digital health education, consensus on essential primary medical degree content is lacking. Focusing on core competence domains can address critical skills while minimising additions to an already demanding curriculum. This study identifies the minimum essential digital health competency domains from the perspectives of learners, teachers, and content experts aiming to provide a framework for integrating digital health education into medical curricula. Methods We conducted focus groups with students (n = 17), and semi-structured interviews with medical educators (n = 12) and digital sector experts (n = 11) using video conferencing. Participants were recruited using purposive sampling. The data were analysed using framework analysis and inductive thematic analysis to identify common themes. Results Four core themes and eleven sub-themes were identified and aggregated into four essential competency domains: “Understand the Local Digital Health Ecosystem and Landscape”, “Safe, Secure and Ethical Information Literacy and Management”, “Proficiency in Digital Health Tools and Associated Technologies” and “Scholarly Research and Evidence-based Practice”. Medical educator and digital sector expert participants provided the greatest source of data for curriculum content consideration. Students demonstrated varying levels of aptitude, confidence, and interest in technology. Conclusion Our balanced engagement with learners, educators, and digital health experts enabled the identification of a context-relevant framework for the minimum essential digital health competence domains for graduating medical students. The identification of focused, clinically relevant core competencies makes them amenable to integration into an existing curriculum tailored to local contexts. This approach addresses limitations of restricted curricular space and accommodates varying student interests, confidence and aptitude in technology. The delivery approach should consider a student-centred adaptive modality that takes advantage of advances in artificial intelligence (AI) as an effective pedagogical tool.https://doi.org/10.1186/s12909-025-07194-8Medical educationMedical curriculumHealthcare technologyDigital healthEhealth
spellingShingle Brett Sumner
Rachelle Martin
Tehmina Gladman
Tim J Wilkinson
Rebecca Grainger
Understanding the gap: a balanced multi-perspective approach to defining essential digital health competencies for medical graduates
BMC Medical Education
Medical education
Medical curriculum
Healthcare technology
Digital health
Ehealth
title Understanding the gap: a balanced multi-perspective approach to defining essential digital health competencies for medical graduates
title_full Understanding the gap: a balanced multi-perspective approach to defining essential digital health competencies for medical graduates
title_fullStr Understanding the gap: a balanced multi-perspective approach to defining essential digital health competencies for medical graduates
title_full_unstemmed Understanding the gap: a balanced multi-perspective approach to defining essential digital health competencies for medical graduates
title_short Understanding the gap: a balanced multi-perspective approach to defining essential digital health competencies for medical graduates
title_sort understanding the gap a balanced multi perspective approach to defining essential digital health competencies for medical graduates
topic Medical education
Medical curriculum
Healthcare technology
Digital health
Ehealth
url https://doi.org/10.1186/s12909-025-07194-8
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