Shea Judy A, Arnold Louise, Mann Karen V
Division of General Internal Medicine, Department of Medicine, University of Pennsylvania, 1223 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA.
Acad Med. 2004 Oct;79(10):931-8. doi: 10.1097/00001888-200410000-00006.
In this article, the authors consider the quality and relevance of current and future medical education research by (1) presenting a framework for medical education research and reviewing basic principles of "good" empirical work, (2) extending the discussion of principles to "best practices," (3) considering the distinctive features of medical education that present challenges to the researcher, and (4) discussing opportunities for expanding the scope and influence of medical education research. Their audience is intended to be clinicians involved in education, deans and associate deans who create and direct educational curricula and processes, and those from offices critical to the educational mission such as admissions, student services and financial aid, as well as medical education researchers. The authors argue that the quality and relevance of current work can be enhanced when research is situated within a general framework and questions are asked that are based on literature and theory and push the field toward new knowledge. Obviously methods and designs must be appropriate and well-executed and sufficient data must be gathered. Multiple studies are highlighted that showcase the rigor and creativity associated with excellent quality work. However, good research is not without its challenges, most notably short timelines and the need to work within an ever-changing real-life educational environment. Most important, the field of medical education research has many opportunities to increase its impact and advance its quest to study important learners' behaviors and patients' outcomes. Programs to train and collaborate with clinical and administrative colleagues, as well as researchers in other fields, have great potential to improve the quality of research in the field.
在本文中,作者通过以下方式考量当前及未来医学教育研究的质量和相关性:(1)提出医学教育研究的框架并回顾“优质”实证研究的基本原则;(2)将原则的讨论扩展至“最佳实践”;(3)考量给研究者带来挑战的医学教育的独特特征;(4)探讨扩大医学教育研究范围和影响力的机会。其目标受众包括参与教育工作的临床医生、制定和指导教育课程及流程的院长和副院长,以及对教育使命至关重要的部门(如招生、学生服务和财政援助部门)的人员,还有医学教育研究者。作者认为,当研究置于一个总体框架内,提出基于文献和理论且推动该领域获取新知识的问题时,当前研究的质量和相关性就能得到提升。显然,方法和设计必须恰当且执行良好,并且必须收集足够的数据。文中强调了多项研究,展示了与高质量工作相关的严谨性和创造性。然而,优秀的研究并非没有挑战,最显著的是时间紧迫,以及需要在不断变化的现实教育环境中开展工作。最重要的是,医学教育研究领域有很多机会来增强其影响力,并推进对重要学习者行为和患者结局的研究。与临床和行政同事以及其他领域的研究者进行培训和合作的项目,对于提高该领域研究质量具有巨大潜力。