Majdi M Alomari, Hania El-Kanj, Ayse Topal, Nafesah I Alshdaifat
Exploring the impact of the COVID-19 pandemic on energy literacy and conservation behavior in academic buildings of Kuwait
Heliyon
systemsbased practice sbp core competency graduate medical education united states since 1999 difficult operationalize residency programs due conceptual ambiguity authors explored historical origin subsequent development sbp competency perspective individuals influential across critical phases implementation ensuing development goal study elicit history sbp perspective individuals expertise use findings inform current sbp construct march july 2021 24 physicians nurses educators leaders field sbp individually interviewed origin meaning sbp practiced us medical education using semistructured guide individuals selected based upon influence origin evolution sbp competency data iteratively collected analyzed using realtime analytic memos regular adjudication sessions research team thematic analysis researchers identified themes participants perspectives agreed upon final results quotations five themes identified sbp many different definitions sbp intentionally designed vague systems thinking identified foundation sbp competency 6 core competencies established united states accreditation council graduate medical education developed interdependent sbp practicebased learning improvement competencies uniquely related synergistic interview data indicate since inception sbp nuanced complex competency resulting lack mutually shared understanding among stakeholders deliberate historical examination expert perspectives provides insight specific areas improving sbp taught learned