Randomized controlled trials and meta-analysis in medical education: what role do they play?

Abstract:

:Education researchers seek to understand what works, for whom, in what circumstances. Unfortunately, educational environments are complex and research itself is highly context dependent. Faced with these challenges, some have argued that qualitative methods should supplant quantitative methods such as randomized controlled trials (RCTs) and meta-analysis. I disagree. Good qualitative and mixed-methods research are complementary to, rather than exclusive of, quantitative methods. The complexity and challenges we face should not beguile us into ignoring methods that provide strong evidence. What, then, is the proper role for RCTs and meta-analysis in medical education? First, the choice of study design depends on the research question. RCTs and meta-analysis are appropriate for many, but not all, study goals. They have compelling strengths but also numerous limitations. Second, strong methods will not compensate for a pointless question. RCTs do not advance the science when they make confounded comparisons, or make comparison with no intervention. Third, clinical medicine now faces many of the same challenges we encounter in education. We can learn much from other fields about how to handle complexity in RCTs. Finally, no single study will definitively answer any research question. We need carefully planned, theory-building, programmatic research, reflecting a variety of paradigms and approaches, as we accumulate evidence to change the art and science of education.

journal_name

Med Teach

journal_title

Medical teacher

authors

Cook DA

doi

10.3109/0142159X.2012.671978

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

468-73

issue

6

eissn

0142-159X

issn

1466-187X

journal_volume

34

pub_type

杂志文章
  • Developing the teaching instinct, 1: feedback.

    abstract::The first in a new series of short educational programmes covering a range of important topics in medical education. Each programme defines the topic, provides some background information, presents some practical tips, gives some theoretical underpinning where relevant, provides some further reading and suggests an ac...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/014215902201409911

    authors: Hesketh EA,Laidlaw JM

    更新日期:2002-05-01 00:00:00

  • Scheduling lectures in a teaching hospital.

    abstract::A modelling technique has been devised that can be used to assist in scheduling lectures for medical students in teaching hospitals. The model takes into account the various clinical commitments that are faced by students and the fact that some of these commitments have a fixed timetable while others are relatively fl...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421598909146417

    authors: Gallivan S,Scott L

    更新日期:1989-01-01 00:00:00

  • Assessing professionalism: theory and practice*.

    abstract::Professional attitudes and behaviours have only recently been explicitly recognized by medical educators as legitimate and necessary components of global competence, although the idea of Fitness to Practice has always presupposed acceptable professional behaviour. Medical schools have recently begun to introduce teach...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590600625619

    authors: Parker M

    更新日期:2006-08-01 00:00:00

  • Clinical teaching as part of continuing professional development: Does teaching enhance clinical performance?

    abstract:INTRODUCTION:Physicians identify teaching as a factor that enhances performance, although existing data to support this relationship is limited. PURPOSE:To determine whether there were differences in clinical performance scores as assessed through multisource feedback (MSF) data based on clinical teaching. METHODS:MS...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2015.1112895

    authors: Lockyer JM,Hodgson CS,Lee T,Faremo S,Fisher B,Dafoe W,Yiu V,Violato C

    更新日期:2016-08-01 00:00:00

  • Revitalising the SP through authentication: the authentic portrayal.

    abstract:BACKGROUND:Often the scenarios and preparation time given to Simulated/Standardised Patients (SPs) is not sufficient. This leads to superficial portrayals lacking of energy. Due to incongruent verbal and non-verbal language, these portrayals often come across as unrealistic and fabricated. This article aims at describi...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.887832

    authors: Schweickerdt-Alker L

    更新日期:2014-06-01 00:00:00

  • Use an overhead projector.

    abstract::The overhead projector is a very useful adjunct to other teaching aids. It is easy to operate, flexible, and the lecturer can work it himself while facing the audience. Transparencies can be produced quickly and simply, and since they are large enough to be studied without viewing equipment, sets of transparencies can...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421597909010575

    authors: Essex-Lopresti M

    更新日期:1979-01-01 00:00:00

  • Joints: if relevant. Do available textbooks contain adequate information about musculoskeletal examination skills for medical students?

    abstract::The objective was to determine whether routinely available textbooks describe the core musculoskeletal examination skills for medical students. Textbooks were evaluated for content against a list of 27 core examination skills as perceived by rheumatologists, orthopaedic surgeons and general practitioners. The study to...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/014215901200901032

    authors: Kay LJ,Coady DA,Walker DJ

    更新日期:2001-10-01 00:00:00

  • Providing a liminal space: Threshold concepts for learning in palliative medicine.

    abstract::Introduction: Experience in palliative medicine provides a beneficial learning opportunity for doctors-in-training. There is, however, a gap in understanding which aspects of learning are most useful, which are problematic and how learning can best be facilitated. This study addresses that gap using the 'threshold con...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1687868

    authors: O'Callaghan A,Wearn A,Barrow M

    更新日期:2020-04-01 00:00:00

  • Physiology.

    abstract::This paper describes an innovative approach to teaching a traditional subject-physiology. There are no lectures, tutorials or practicals. All learning activities are undertaken in small groups, and the course is learner-centred and problem-orientated. Students are required to collect and record their own information a...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421597909019395

    authors: Beaton G,Mitchell D

    更新日期:1979-01-01 00:00:00

  • The CanMEDS initiative: implementing an outcomes-based framework of physician competencies.

    abstract:BACKGROUND:Outcomes-based education in the health professions has emerged as a priority for curriculum planners striving to align with societal needs. However, many struggle with effective methods of implementing such an approach. In this narrative, we describe the lessons learned from the implementation of a national,...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701746983

    authors: Frank JR,Danoff D

    更新日期:2007-09-01 00:00:00

  • Long-term benefits by a mind-body medicine skills course on perceived stress and empathy among medical and nursing students.

    abstract:BACKGROUND:A significant number of medical students suffer from burnout symptoms and reduced empathy. This controlled, quasi-experimental study aimed to investigate whether a mind-body medicine (MBM) skills course could reduce perceived stress and increase empathy and self-reflection in medical and nursing students. M...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2017.1309374

    authors: van Vliet M,Jong M,Jong MC

    更新日期:2017-07-01 00:00:00

  • Improving assessment practice through cross-institutional collaboration: An exercise on the use of OSCEs.

    abstract:BACKGROUND:This study was undertaken to improve assessment practice on OSCEs through collaboration across geographically dispersed medical schools in Australia. METHODS:A total of eleven OSCE stations were co-developed by four medical schools and used in summative 2011 and 2012 examinations for the assessment of clini...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2015.1016487

    authors: Malau-Aduli BS,Teague PA,Turner R,Holman B,D'Souza K,Garne D,Heal C,Heggarty P,Hudson JN,Wilson IG,Van Der Vleuten C

    更新日期:2016-01-01 00:00:00

  • A systematic review of the published literature on team-based learning in health professions education.

    abstract:PURPOSE:Summarize the published literature on team-based learning (TBL) in health professions education (HPE) using the TBL conceptual framework to identify gaps that can guide future research Methods: PubMed, Web of Science, ERIC, and Google Scholar were searched through May 2016 for English-language articles regardin...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.1080/0142159X.2017.1340636

    authors: Reimschisel T,Herring AL,Huang J,Minor TJ

    更新日期:2017-12-01 00:00:00

  • Teaching doctors to treat doctors: medical student peer counselling.

    abstract::Physicians' emotional problems need to be recognized and treated. Intervention and prevention in this problem area have been attempted at the Medical College of Wisconsin through a programme of peer counselling designed to teach student physicians how to recognize and treat emotional difficulties faced by their peers....

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421598009072181

    authors: Spiro JH,Roenneburg M,Maly BJ

    更新日期:1980-01-01 00:00:00

  • A BEME (Best Evidence in Medical Education) review of the use of workplace-based assessment in identifying and remediating underperformance among postgraduate medical trainees: BEME Guide No. 43.

    abstract:INTRODUCTION:The extent to which workplace-based assessment (WBA) can be used as a facilitator of change among trainee doctors has not been established; this is particularly important in the case of underperforming trainees. The aim of this review is to examine the use of WBA in identifying and remediating performance ...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.1080/0142159X.2016.1215413

    authors: Barrett A,Galvin R,Steinert Y,Scherpbier A,O'Shaughnessy A,Horgan M,Horsley T

    更新日期:2016-12-01 00:00:00

  • An investigation into the use of multi-source feedback (MSF) as a work-based assessment tool.

    abstract:INTRODUCTION:This study compared Specialist Trainees' (STs) hand-selected multi-source feedback (MSF) scores with those made by their clinical supervisors and explored perceptions of both those being assessed and those assessing. METHODS:Participating STs were asked to hand a mini-PAT questionnaire to a clinical colle...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.909920

    authors: Brown JM,Lowe K,Fillingham J,Murphy PN,Bamforth M,Shaw NJ

    更新日期:2014-11-01 00:00:00

  • Assessing competencies using milestones along the way.

    abstract::This paper presents perspectives and controversies surrounding the use of milestones to assess competency in outcomes-based medical education. Global perspectives (Canada, Europe, and the United States) and developments supporting their rationales are discussed. In Canada, there is a significant movement away from con...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.993954

    authors: Tekian A,Hodges BD,Roberts TE,Schuwirth L,Norcini J

    更新日期:2015-04-01 00:00:00

  • Transforming health professional education through social accountability: Canada's Northern Ontario School of Medicine.

    abstract:BACKGROUND:The Northern Ontario School of Medicine (NOSM) has a social accountability mandate to contribute to improving the health of the people and communities of Northern Ontario. NOSM recruits students from Northern Ontario or similar backgrounds and provides Distributed Community Engaged Learning in over 70 clinic...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2013.774334

    authors: Strasser R,Hogenbirk JC,Minore B,Marsh DC,Berry S,McCready WG,Graves L

    更新日期:2013-06-01 00:00:00

  • Can we teach a gentler rectal examination?

    abstract::A total of 201 first-year medical students were trained in a standard method of rectal examination; half of the year were additionally instructed to mimic a rectal examination using a clenched left fist (Group 2, n = 103). Competence in rectal examination was assessed during an objective structured clinical skills exa...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421599979888

    authors: Bradley P

    更新日期:1999-01-01 00:00:00

  • The effect of prototype-based versus attribute-based presentation forms on the acquisition of a medical concept.

    abstract::The purpose of this study was to determine the differential effect of two presentation-forms on the acquisition of the concept of shock. It is hypothesized that presenting a prototype facilitates learning and retention of the concept shock compared with verbally enumerating the attributes of the same concept. A group ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421599009006638

    authors: Gulmans J

    更新日期:1990-01-01 00:00:00

  • Using a structured clinical coaching program to improve clinical skills training and assessment, as well as teachers' and students' satisfaction.

    abstract:INTRODUCTION:The ability to deliver the traditional apprenticeship method of teaching clinical skills is becoming increasingly more difficult as a result of greater demands in health care delivery, increasing student numbers and changing medical curricula. Serious consequences globally include: students not covering al...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421590903193588

    authors: Régo P,Peterson R,Callaway L,Ward M,O'Brien C,Donald K

    更新日期:2009-12-01 00:00:00

  • Global minimum essential requirements: a road towards competence-oriented medical education.

    abstract::With the growing globalization of medicine and the emerging concept of a 'global profession of physicians', the issue of the essential competences that all physicians must possess becomes sharply focused. If defined, these competences would help indicate what teachers are supposed to teach, what students are expected ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590220120740

    authors: Schwarz MR,Wojtczak A

    更新日期:2002-03-01 00:00:00

  • The truth lies somewhere in the middle: Swinging between globalization and regionalization of medical education in Japan.

    abstract::Japan is well known as a super-aging society, with a low birth rate, and has been ranked as one of the countries having the highest quality of healthcare system. Japan's society is currently approaching a major turning point with regard to societal and healthcare reforms, which are influenced by international trends a...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2017.1359407

    authors: Saiki T,Imafuku R,Suzuki Y,Ban N

    更新日期:2017-10-01 00:00:00

  • Why use indicators to measure and monitor the inclusion of climate change and environmental sustainability in health professions' education?

    abstract::Currently, health professionals are inadequately prepared to meet the challenges that climate change and environmental degradation pose to health systems. Health professions' education (HPE) has an ethical responsibility to address this and must include the health effects of climate change and environmental sustainabi...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2020.1795106

    authors: Madden DL,McLean M,Brennan M,Moore A

    更新日期:2020-10-01 00:00:00

  • The introduction of large class problem-based learning into an undergraduate medical curriculum: an evaluation.

    abstract::When considering implementing integrated curriculum models, such as problem-based learning (PBL), concerns may be expressed about the need for increased staff resources required to deliver tutor-led small group PBL. Less staff intensive ways of supporting PBL need to be explored. We compared the outcomes of a PBL modu...

    journal_title:Medical teacher

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/01421590500136352

    authors: Roberts C,Lawson M,Newble D,Self A,Chan P

    更新日期:2005-09-01 00:00:00

  • How does medical education affect empathy and compassion in medical students? A meta-ethnography: BEME Guide No. 57.

    abstract::Background: Empathy and compassion are important in healthcare delivery, and are necessary qualities in medical students. Aims: To explore medical students', patients' and educators' perceptions of what affects empathy and the expression of compassion; and to address gaps in knowledge, attitudes and skills on how educ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1630731

    authors: Krishnasamy C,Ong SY,Loo ME,Thistlethwaite J

    更新日期:2019-11-01 00:00:00

  • Reflective ability and moral reasoning in final year medical students: a semi-qualitative cohort study.

    abstract:BACKGROUND:Moral reasoning and reflective ability are important concepts in medical education. To date, the association between reflective ability and moral reasoning in medical students has not been measured. AIM:This study tested the hypotheses that, amongst final year medical students, (1) moral reasoning and refle...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2011.558531

    authors: Chalmers P,Dunngalvin A,Shorten G

    更新日期:2011-01-01 00:00:00

  • Weightage of formative examinations in certifying examination of pharmacology: an opinion poll and relative performance of learners.

    abstract::A study was carried out to obtain the view points of 186 graduate students regarding formative examination, it's frequency, weightage in certifying examination, feedback about progress made or lack of it and the planning of learning activities. Majority of students were of the opinion that the class tests and tutorial...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421599209079487

    authors: Chandra D,Kulshrestha S,Chandra M

    更新日期:1992-01-01 00:00:00

  • Spaced learning using emails to integrate psychiatry into general medical curriculum: Keep psychiatry in mind.

    abstract:OBJECTIVES:Traditionally, medical students on clinical rotations receive instruction on principles of mental health only during the psychiatry clerkship. We used emails to insert teaching of psychiatric concepts beyond the psychiatry clerkship into other rotations using the method of spaced learning, the delivery of br...

    journal_title:Medical teacher

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/0142159X.2016.1150982

    authors: Blazek MC,Dantz B,Wright MC,Fiedorowicz JG

    更新日期:2016-10-01 00:00:00

  • How we conduct ongoing programmatic evaluation of our medical education curriculum.

    abstract::Evaluation of undergraduate medical education programs is necessary to meet accreditation standards; however, implementation and maintenance of an adequate evaluation process is challenging. A curriculum evaluation committee (CEC) was established at the Penn State University College of Medicine in 2000 to complement t...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2012.699113

    authors: Karpa K,Abendroth CS

    更新日期:2012-01-01 00:00:00