时间标签：数据日期 2026-10-31 · 生成时间 2026-11-01 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/28–2026/10/31 ｜ 情报发生日期 2026-10-31
研究问题
This study aimed to develop a consensus-based list of essential EPAs for young generalist physicians to enhance the quality of rheumatic care in underserved, remote settings.；Conclusion: This study successfully established a specialized EPAs framework for generalists in remote areas, addressing a critical gap between general residency training and subspecialty curricula.；Addressing these challenges requires not only improving healthcare access but also ensuring that physicians working in such settings possess the competencies required to manage rheumatic diseases effectively.
方法
Methods Study design We employed a modified Delphi method to facilitate consensus building .；While no universal standard exists for panel size, a minimum of 20 experts is generally considered sufficient for reliability; we recruited 25 to account for potential attrition .；Questionnaires were administered via Google Forms.；Rounds continued until all items met our pre-defined consensus criteria.
核心结论
Rural and Remote Health 2026; 26: 11434. https://doi.org/10.22605/RRH11434 r Rural and Remote Health www.rrh.org.au James Cook University ISSN 1445-6354 1 2,3 4 1 1 5 1 2 3 4 5 2/6 This work is licensed under a Creative Commons Attribution 4.0 International Licence Abstract Introduction: In remote areas and an increasingly aging society, patients with rheumatic diseases often experience delayed diagnoses due to limited access to specialists, which significantly impacts their quality of life.；Conclusion: This study successfully established a specialized EPAs framework for generalists in remote areas, addressing a critical gap between general residency training and subspecialty curricula.；Introduction While many rheumatic diseases are not immediately life- threatening, their symptoms and progression can significantly impair a patient's quality of life . ‖ 结论：Conclusion This study establishes a framework for managing rheumatic diseases within the constraints of limited resources, focusing on the synergy between generalists and specialists.
局限
Unlike the classical Delphi method, which begins with open-ended opinion gathering, the modified version utilizes a pre-developed initial list based on existing literature or preliminary research, which can improve the efficiency of the consensus process (Supplementary table 1).；Key challenges in remote medical areas include a lack of medical resources, poor access to higher-level medical institutions, and issues with continuity of care .；Limitations A limitation of this article is the definition of remote areas.
对本项目的价值
★☆☆☆☆ 相关范围内，作为背景与横向对照收录。
全文来源
出版商 OA PDF（正文 29,852 字符，已过 DOI 逐字 / 标题指纹归属校验）
原文题录
- 英文标题：Prototype entrustable professional activities for generalist physicians in remote rheumatic care: a consensus-based modified Delphi study.
- 期刊与标识：Rural Remote Health · PMID 42957438 · DOI 10.22605/rrh11434
A 级证据分级：A 级（同行评议人体研究）
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