“Won’t you listen to what the man said…”

I have long been a fan of the Kirkpatrick training evaluation scheme since I first encountered it during my education fellowship.  It is a useful framework for instructional design and assessment, and for educational research - especially for research about continuing medical education (CME).  The original framework relies on four basic levels, which were developed …

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The public health we may have lost in population health.

This post from the World Health Organization caught my eye. The leading causes of child (< 5 yr) mortality are: preterm birth complications, pneumonia, birth asphyxia, diarrhea and malaria.  If we could provide access to basic primary health care, including prenatal care, and simple public health measures - mosquito nets, clean water and nutritional supplementation - …

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Misunderstanding complexity to the detriment of all

I anticipate the vague and overly-generalized conclusions of this article being used against primary care...perhaps in funding determinations, perhaps just in macho-posing.  The authors measured "complexity" of patients seen in one Canadian province using nine criteria and determined that the nephrologists, infectious disease physicians and neurologists see the most complex patients and that others, including family …

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Academic outcomes of flipped classroom learning: a meta‐analysis – Medical Education

A central validity issue for novel interventions is the choice of an appropriate comparator.  I worry about this a lot in medical education research.  In this case, for instance, you could do a really great lecture - full of entertainment, interactivity, etc., which could compete strongly for effectiveness with an average flipped classroom activity. Interestingly, …

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