Development of the Learning Health System Researcher Core Competencies

Abstract

Objective: To develop core competencies for learning health system (LHS) researchers to guide the development of training programs. Data Sources/Study Setting: Data were obtained from literature review, expert interviews, a modified Delphi process, and consensus development meetings. Study Design: The competencies were developed from August to December 2016 using qualitative methods. Data Collection/Extraction Methods: The literature review formed the basis for the initial draft of a competency domain framework. Key informant semi-structured interviews, a modified Delphi survey, and three expert panel (n = 19 members) consensus development meetings produced the final set of competencies. Principal Findings: The iterative development process yielded seven competency domains: (1) systems science; (2) research questions and standards of scientific evidence; (3) research methods; (4) informatics; (5) ethics of research and implementation in health systems; (6) improvement and implementation science; and (7) engagement, leadership, and research management. A total of 33 core competencies were prioritized across these seven domains. The real-world milieu of LHS research, the embeddedness of the researcher within the health system, and engagement of stakeholders are distinguishing characteristics of this emerging field. Conclusions: The LHS researcher core competencies can be used to guide the development of learning objectives, evaluation methods, and curricula for training programs.