Theme
2II Evaluation of teaching/Educational research
INSTITUTION
Geriatric Medicine, Tan Tock Seng Hospital
Institute of Geriatrics and Active Aging
Health Outcomes and Medical Education Research, National Healthcare Group
Outcomes-based medical education research (MER) should aspire to translate research from bench to bedside. McGaghie (2010) adapted the biomedical framework of translational science to simulation research: basic sciences controlled educational setting discoveries (T1); research in patient care settings (T2); and improved patient care practices and outcomes (T3).
We propose a modification of the McGaghie framework to include in the T1 phase non-experimental studies without clearcut outcomes, yet are important in broadening the evidence base to inform T2/T3 translation.
Study Objective:
To determine the feasibility of the modified McGaghie framework in classifying MER abstracts.
| Description | Kirkpatrick's outcomes | |
| T0 | No outcomes, descriptive design with no conceptual framework | n.a. |
| T0a | No learner outcomes, other outputs present | n.a. |
| T1a | Educational seting, learner outcomes present | K1, K2 |
| T1b | Educational setting, other non-Kirkpatrick outcomes present | n.a. |
| T1c | No learner outcomes, broaden scientific base via qualitative, observational, translational or psychometric study designs | n.a. |
| T2 | Patient care practices, process outcomes | K3, K4a |
| T3 | Patient care outcomes | K4b |
Supported by NHG-HOMER/FY13/A14 grant
Other co-investigators/collaborators: Charlotte Ringsted, Wei-Chin Wong, Han-Yee Neo, Yu-Han Ong.
The modified McGaghie framework provides a viable translational paradigm to classify outcomes-based MER. We should encourage more foundational "basic science" T1 research that paves the way for T2 and T3 research.
The overwhelming majority of studies are in T1 phase; only 1% are classified as T2/T3.
A significant proportion of studies with non-Kirkpatrick's outcomes (T1b) and without clearly defined outcomes (T1c) contribute meaningfully to the evidence base of outcomes-based MER.
The prediction of clarification research purpose affirms the validity of the modfied McGaghie classfication
WC McGaghie. Medical education research as translational science. Sci Transl Med 2010;2:19cm8
Cook DA, Bordage G, Schmidt HG. Description, justification and clarification: a framework for classifying the purposes of research in medical education. Med Educ 2008;42:128–33.
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