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Medical education: A particularly complex intervention to research

机译:医学教育:特别复杂的研究干预

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Previous debate has explored whether medical education research should become more like health services research in terms of frameworks, collaborations and methodologies. Notable recent changes in health services research include an increasing emphasis on complex interventions, defined as interventions that involve more than one component. The purpose of this study was to explore the extent of thinking about medical education as a complex intervention and to analyse medical education research to determine whether its collaborations and methodologies are becoming more like health services research. Research articles published in three journals over 2 years were analysed to determine the purpose of the research in relation to a framework for evaluating complex interventions, the degree of collaboration, and the methodology. Most studies aimed to develop theory or assess effectiveness and many categories of the complex interventions framework were not represented in the medical education research literature. Studies usually involved only one research site and were predominantly quantitative but not experimental or quasi-experimental. Whilst medical education research has not moved significantly in the direction of health services research over recent years, the complex interventions lens provided insights into why this might be so (namely the significant challenges associated with researching medical education). We recommend that medical education researchers work within a complex interventions framework and look to research fields with similar challenges (e.g. the study of chronic illness in a changing context) for ideas about theories, frameworks, methodologies and collaborations that can illuminate the field of medical education research.
机译:先前的辩论探讨了医学教育研究在框架,协作和方法论方面是否应变得更像卫生服务研究。卫生服务研究中最近的显着变化包括对复杂干预的日益重视,复杂干预被定义为涉及多个要素的干预。这项研究的目的是探讨将医学教育视为一种复杂干预措施的程度,并分析医学教育研究以确定其合作和方法是否正变得更像健康服务研究。分析了两年中在三本期刊上发表的研究文章,以确定与评估复杂干预措施,协作程度和方法论相关的框架的研究目的。大多数旨在发展理论或评估有效性的研究,而复杂干预框架的许多类别在医学教育研究文献中均未体现。研究通常只涉及一个研究地点,并且主要是定量的,而没有实验性或准实验性。尽管近年来医学教育研究在卫生服务研究方向上并未取得重大进展,但复杂的干预手段为为什么会如此提供了见解(即与医学教育研究相关的重大挑战)。我们建议医学教育研究人员在复杂的干预框架内工作,并寻求具有类似挑战的研究领域(例如,不断变化的环境中的慢性病研究),以寻求有关理论,框架,方法论和合作的观点,从而启发医学教育领域研究。

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