Oosthoek Wilma R W, Cecilio-Fernandes Dario, Engel Maarten F M, van Prooijen Lars T, Otto Suzie J, Woltman Andrea M
Institute for Medical Education Research Rotterdam, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands
Institute for Medical Education Research Rotterdam, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
BMJ Open. 2025 Jul 25;15(7):e097894. doi: 10.1136/bmjopen-2024-097894.
Health advocacy (HA) is acknowledged as a core competence in medical education. However, varying and sometimes conflicting conceptualisations of HA exist, making it challenging to integrate the competence consistently. While this diversity highlights the need for a deeper understanding of HA conceptualisations, a comprehensive analysis across the continuum of medical education is absent in the literature. This protocol has been developed to clarify the conceptual dimensions of the HA competence in literature as applied to medical education.
The review will be conducted in line with the JBI (formerly Joanna Briggs Institute) methodology for scoping reviews. A comprehensive literature search was developed and already carried out in eight academic databases and Google Scholar, without restrictions on publication date, geography or language. Articles that describe the HA role among students and physicians who receive or provide medical education will be eligible for inclusion. Two independent reviewers will independently complete title and abstract screening prior to full-text review of selected articles and data extraction on the final set. A descriptive-analytical approach will be applied for summarising the data.
This scoping review does not involve human participants, as all evidence is sourced from publicly available databases. Therefore, ethical approval is not required for this study. The findings from this scoping review will be disseminated through submission to a high-quality peer-reviewed journal and presented at academic conferences. By clarifying the conceptualisations of HA, this review aims to contribute to a shared narrative that will strengthen the foundation for integrating the HA role into medical education.
A preliminary version of this protocol was registered on the Open Science Framework on 9 December 2024, and can be accessed at the following link: https://osf.io/ed2br. We have also registered our scoping review protocol as a preprint at medRxiv: https://doi.org/10.1101/2024.12.09.24318699.
健康倡导（HA）被公认为医学教育中的一项核心能力。然而，对于HA存在不同且有时相互冲突的概念界定，这使得持续整合该能力具有挑战性。虽然这种多样性凸显了深入理解HA概念界定的必要性，但文献中缺乏对医学教育连续统一体的全面分析。本方案旨在阐明文献中应用于医学教育的HA能力的概念维度。
本综述将按照循证卫生保健国际协作网（原乔安娜·布里格斯循证卫生保健中心）的范围综述方法进行。已制定并已在八个学术数据库和谷歌学术上进行了全面的文献检索，对出版日期、地域或语言均无限制。描述接受或提供医学教育的学生和医生中HA角色的文章将符合纳入标准。两名独立评审员将在对选定文章进行全文评审和对最终选定文章进行数据提取之前，独立完成标题和摘要筛选。将采用描述性分析方法汇总数据。
本范围综述不涉及人类参与者，因为所有证据均来自公开可用的数据库。因此，本研究无需伦理批准。本范围综述的结果将通过提交给高质量的同行评审期刊并在学术会议上展示来进行传播。通过阐明HA的概念界定，本综述旨在促成一种共同的叙述，以加强将HA角色纳入医学教育的基础。
本方案的初稿于2024年12月9日在开放科学框架上注册，可通过以下链接访问：https://osf.io/ed2br。我们还已将我们的范围综述方案作为预印本在medRxiv上注册：https://doi.org/10.1101/2024.12.09.24318699。
