Evidence map›Paper›PMID 40596993›Full record

ArticleBMC medical education2025

Addressing multiple long-term conditions in the undergraduate medical school curriculum: a focus group study.

Steven T R Brown, Charlotte Rothwell, Deepika Manoharan, Bryan Burford, Gillian Vance

Abstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Steven T R BrownSchool of Medical Education, Newcastle University, Newcastle-upon-Tyne, UK. steven.brown3@newcastle.ac.uk.
Charlotte RothwellPopulation Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne, UK.
Deepika ManoharanSchool of Medical Education, Newcastle University, Newcastle-upon-Tyne, UK.
Bryan BurfordSchool of Medical Education, Newcastle University, Newcastle-upon-Tyne, UK.
Gillian VanceSchool of Medical Education, Newcastle University, Newcastle-upon-Tyne, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with a chronic physical disease accompanied by other disease types or biopsychosocial factors- multiple long-term conditions (MLTC)- represent a major and growing clinical challenge. 17% of the population of England are forecast to fit this definition by 2035. The aim of this study was to understand and explore desirable MLTC-related learning outcomes identified by newly graduated doctors in the UK.

methodsFocus groups were conducted across sites at two NHS trusts in Northern England with doctors in their second postgraduate year (Foundation Year 2 (FY2)). An iterative thematic analysis was applied to transcripts to identify and organise key themes.

resultsTwenty-six participants across three focus groups reported their experience in primary and secondary care placements. The two overarching themes identified were: 1) 'Practice needs' for managing patients with MLTC. 2) 'Education needs' including limitations in undergraduate curricula. FY2s emphasised the concepts of uncertainty and complexity in practice, the variability of undergraduate learning experiences and gaps left by single-disease models of learning. Senior clinicians were highlighted as being key sources of support who modify learning experiences.

conclusionsNewly qualified doctors find MLTC care challenging and feel ill-prepared to manage patients on entering the medical workforce. Suggested improvements for undergraduate curricula include enhancing interprofessional methods of learning and ensuring consistency of exposure to, and focus on, MLTC patient-related complexity across undergraduate placements and curricula.

trial registrationClinical Trial Number: Not applicable.

Indexed as

CurriculumEducation, Medical, UndergraduateChronic DiseaseClinical CompetenceEnglandFemaleFocus GroupsHumansMaleStudents, MedicalMedical education and trainingMultimorbidityMultiple long-term conditionsPostgraduateUndergraduate

Identifiers

PMID40596993
PMCPMC12220220

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.