“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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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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Change Management Theories

There's lots of talk at work these days about why innovations (best practices, evidence-based interventions) aren't adopted or don't sustain.  We examine topics such as inspiration - how to motivate people to do better - and standardization - how to require people to do better.  It caused me to reflect on the change management theories …

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Family Medicine’s Essential Role in Public Health

These have been recommended to me recently as good videos about disparities and their impact on development and the imperative in clinical and public healthcare to address them. Center for the Developing Child - Harvard University A few thoughts about this video: Family medicine is uniquely positioned to recognize the roadblocks to development in the …

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