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Medical education: a particularly complex intervention to research
Karen Mattick1, Rebecca Barnes, Paul Dieppe
1Medical School, St Luke's Campus, University of Exeter, Exeter, UK.
Medical education research rarely uses complex interventions frameworks. Studies predominantly use quantitative methods and single sites, indicating limited alignment with health services research methodologies.
Area of Science:
- Medical Education Research
- Health Services Research
- Complex Interventions
Background:
- Debate exists on aligning medical education research with health services research.
- Health services research increasingly emphasizes complex interventions (multi-component).
Purpose of the Study:
- Assess medical education research's adoption of complex interventions thinking.
- Analyze medical education research for alignment with health services research frameworks, collaborations, and methodologies.
Main Methods:
- Analysis of research articles from three journals over two years.
- Evaluation against a complex interventions framework, assessing collaboration and methodology.
Main Results:
- Most studies focused on theory development or effectiveness.
- Many complex intervention framework categories were absent in medical education research.
- Studies were predominantly single-site and quantitative, lacking experimental or quasi-experimental designs.
Conclusions:
- Medical education research has not significantly shifted towards health services research methodologies.
- Challenges inherent in medical education research may explain this.
- Adopting a complex interventions framework and drawing from similar fields is recommended for future research.
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