Table 2 Indicators

OBJECT

Dimensional Coverage of Objects

The extent to which the dimensions of the framework are covered by recommendations, curricular proposals or educational interventions.

- Are social determinants of health the predominant object?

- Are territorial health issues in the domestic country of the student addressed?

- Are territorial health issues in other countries addressed?

- Are health issues addressed which transcend national boundaries?

- Are supraterritorial health issues addressed?

To analyse the dimensional scope of recommendations/proposals/interventions.

ORIENTATION

Health for all

- Are accountability issues of health professionals/the state/civil-society/the private sector/health systems/societies addressed?

The extent to which recommendations, curricular proposals or educational interventions explicitly address / explain / cover the underlying principles of ‘health for all’.

- Is the human right to health approach addressed?

To analyse the extent to which the principles of 'health for all' are applied/existent/recommended in teaching and learning.

- (Systematic) Review of curricula/recommendations

- Is 'health for all' as a concept explained?

- Interviews with deans/chair of faculties

- Is there a focus on vulnerable groups?

- Questionnaire-based surveys

- Are equity issues addressed?

- Are theoretical and operational principles/mechanisms of solidarity in health/health systems/societies addressed?

- Are theoretical and practical principles/mechanisms of participation in health/health systems/societies addressed?

Equity Focus

The extent to which recommendations, curricular proposals or educational interventions are focussed on health equity.

- Are social theories of equality/inequality addressed?

- Are inequalities in health addressed?

- Are (avoidable) causes of health inequalities addressed?

- Are the operational principles of equity in health/health systems/societies addressed?

To analyse whether recommendations/proposals/interventions have an equity focus.

OUTCOME

Dimensional Coverage of Knowledge

The state or condition of understanding facts (as defined or attained) related to a particular dimension of the framework.

- Is knowledge attained/recommended/proposed related to the object of the field? If yes, in which areas? And on which levels?

- ...on territorial levels?

- ...on inter -/transterritorial levels?

- ...on supraterritoral levels?

To analyse in which areas and dimensions the analysed recommendations/proposals/interventions (aim to) impart knowledge.

- Objective assessments of knowledge/skills/competence among students/graduates

- Review of curricula/recommendations

Dimensional Coverage of Skills

The ability (as defined or attained) to use one's knowledge effectively in execution or performance related to a particular dimension of the framework.

- Are skills imparted attained/recommended/proposed related to the object of the field..? If yes, in which areas? And on which levels?

- ...on territorial levels?

- ...on inter -/transterritorial levels?

- ...on supraterritoral levels?

To analyse in which areas and dimensions the analysed recommendations/proposals/interventions (aim to) impart skills.

- Interviews/surveys among deans/chair of faculties

Dimensional Coverage of Competencies

The cluster of knowledge, skills and ability (as defined or attained) to meet complex demands, by drawing on psychosocial resources (including attitudes) in a particular context (related to a particular dimension of the framework).

- Are competencies attained/recommended/proposed related to the object of the field? If yes, in which areas? And on which levels?

- ...on territorial levels?

- ...on inter -/transterritorial levels?

- ...on supraterritoral levels?

To analyse in which areas and dimensions the analysed recommendations/proposals/interventions (aim to) impart competencies.

METHODOLOGY

Multi -/Inter - disciplinarity

The extent to which learning from and with other disciplines is included/addressed/recommended/realised in recommendations, curricular proposals or educational interventions.

- Are educators from different disciplines involved in teaching?

- Are students from different disciplines involved in learning?

- Is there a diversity in epistemological perspectives on health?

- Interviews/surveys among students/graduates/deans/chair of faculties

Problem-orientation & Bottom-up learning

The extent to which problem-orientation and bottom-up learning is prevalent/applied/realised in recommendations, curricular proposals or educational interventions.

- Are educational strategies based on real problems?

- Are educational strategies based on scenarios?

- Do educational strategies address the reality of the student?

- Do educational strategies link structural determinants of health with the doctor-patient relationship? Or with other levels of professional work?

To analyse the applied/recommended methods in teaching and learning.

- Review of curricula/recommendations

SOCIOPOLITICAL CONDITIONS & IMPLICATIONS

Driving Forces

Perceived or evident socio-political conditions, which raise particular implications for health; from the perspective of stakeholders, providers and the target group.

- Are factors mentioned which influence health and health needs?

- Which of the dimensions do they cover?

- Do these factors have (directly or indirectly) implications for medical education?

- Do they raise educational needs? Perceived or evidently?

To analyse which socio-political conditions are regarded as drivers for medical education reform

- Stakeholder analysis (interviews/focus group discussions)

- Delphi method

Implications

Perceived or evident implications for medical education which arise from particular driving forces; from the perspective of stakeholders, providers and the target group.

- Which concrete implications are raised by particular driving forces?

- Which educational needs are raised?

- What is the evidence-base of raised educational needs?

To analyse the implications for medical education among the literature, which arise as a result of particular socio-political conditions.

- (Sytematic) Review of policy documents/recommendations