M. Blanco is associate professor of psychiatry and associate dean for faculty development, Tufts University School of Medicine, Boston, Massachusetts; ORCID: http://orcid.org/0000-0002-7469-6050 .
J. Prunuske is professor of family and community medicine and assistant dean for clinical learning, Medical College of Wisconsin-Central Wisconsin, Wausau, Wisconsin; ORCID: https://orcid.org/0000-0001-5638-5227 .
Acad Med. 2022 May 1;97(5):689-695. doi: 10.1097/ACM.0000000000004634. Epub 2022 Apr 27.
Reporting guidelines assist authors in conducting and describing their research in alignment with evidence-based and expert-determined standards. However, published research-oriented guidelines do not capture all of the components that must be present in descriptions of educational innovations in health professions education. The authors aimed to create guidelines for educational innovations in curriculum development that would be easy for early-career educators to use, support reporting necessary details, and promote educational scholarship.
Beginning in 2017, the authors systematically developed a reporting checklist for educational innovations in curriculum development, called Defined Criteria To Report INnovations in Education (DoCTRINE), and collected validity evidence for its use according to the 4 inferences of Kane's framework. They derived the items using a modified Delphi method, followed by pilot testing, cognitive interviewing, and interrater reliability testing. In May-November 2019, they implemented DoCTRINE for authors submitting to MedEdPORTAL, half of whom were randomized to receive the checklist (intervention group). The authors scored manuscripts using DoCTRINE while blinded to group assignment, and they collected data on final editorial decisions.
The final DoCTRINE checklist consists of 19 items, categorized into 5 components: introduction, curriculum development, curriculum implementation, results, and discussion. The overall interrater agreement was 0.91. Among the 108 manuscripts submitted to MedEdPORTAL during the study period, the mean (SD) total score was higher for accepted than rejected submissions (16.9 [1.73] vs 15.7 [2.24], P = .006). There were no significant differences in DoCTRINE scores between the intervention group, who received the checklist, and the control group, who did not.
The authors developed DoCTRINE, using systematic approaches, for the scholarly reporting of educational innovations in curriculum development. This checklist may be a useful tool for supporting the publishing efforts of early-career faculty.
报告指南帮助作者按照基于证据和专家确定的标准进行和描述他们的研究。然而,已发表的面向研究的指南并没有涵盖健康专业教育中教育创新描述中必须存在的所有内容。作者旨在制定课程开发教育创新的指南,以便让早期职业教育工作者易于使用,支持报告必要的细节,并促进教育学术研究。
从 2017 年开始,作者系统地制定了课程开发教育创新的报告检查表,称为定义标准报告教育创新(DoCTRINE),并根据 Kane 框架的 4 种推理收集其使用的有效性证据。他们使用改良 Delphi 方法得出项目,然后进行试点测试、认知访谈和评分者间信度测试。在 2019 年 5 月至 11 月期间,他们在向 MedEdPORTAL 提交的作者中实施了 DoCTRINE,其中一半随机分配到接受检查表(干预组)。作者在对分组情况不知情的情况下使用 DoCTRINE 对稿件进行评分,并收集最终编辑决策的数据。
最终的 DoCTRINE 检查表由 19 个项目组成,分为 5 个部分:引言、课程开发、课程实施、结果和讨论。整体评分者间一致性为 0.91。在研究期间提交给 MedEdPORTAL 的 108 篇手稿中,接受的稿件总分(SD)高于被拒绝的稿件(16.9 [1.73] vs 15.7 [2.24],P =.006)。在接受检查表的干预组和未接受检查表的对照组之间,DoCTRINE 得分没有显著差异。
作者使用系统方法制定了 DoCTRINE,用于课程开发教育创新的学术报告。该检查表可能是支持早期职业教师出版工作的有用工具。