surgical education research: tips, skills and opportunities

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Educational Research Tips, skills, opportunities April 30, 2014 Rola Ajjawi, University of Dundee Kirsten Dalrymple, Imperial College London

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In this interactive workshop we aim to familiarise participants with ways in which surgical educational research is carried out, especially highlighting how it differs from more familiar biomedical approaches. In doing so we will: - Provide exemplars of educational research carried out by surgeon educators - Discuss challenges and identify opportunities for developing oneself as a researcher in surgical education.

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Page 1: Surgical Education Research: Tips, Skills and Opportunities

Educational ResearchTips, skills, opportunities

April 30, 2014

Rola Ajjawi, University of DundeeKirsten Dalrymple, Imperial College London

Page 2: Surgical Education Research: Tips, Skills and Opportunities

What brings you here this morning?

Page 3: Surgical Education Research: Tips, Skills and Opportunities

What we hope to address

• Compare & contrast different ways of doing research, raising awareness of issues particular to educational research

• Consider skills needed and challenges of doing educational research

• Highlight examples of educational research done by surgeons

• Consider opportunities for developing yourself as an educational researcher

Page 4: Surgical Education Research: Tips, Skills and Opportunities

Biomedical & Educational Research

• What are the main features of biomedical research?

• And of educational research?

• Similarities?

• Differences?

Page 5: Surgical Education Research: Tips, Skills and Opportunities

Case studies…

• Please read the case study and discuss with those at your table…

– What you think about the: • Research questions?• Methods used? • Explanation?• Relevance to own context?• Impact on policy, practice and education

• We’ll share points after…

Page 6: Surgical Education Research: Tips, Skills and Opportunities

Evaluation of the construct validity of the objectivestructured assessment of technical skills (OSATS) tool for subcuticular suturing tasks- Mark Schaverien (2010)

Example projects

How does the intersection of gendered identities within narratives of learning experiences influence healthcare students’ retention and success within healthcare and/or its speciality? Arun Verma (PhD current)

Developing Self-Regulated Learning in Surgical Training: Learning from Expert Musicians- Hannah Winter (2011)

An exploration of reasons for dissatisfaction amongst newly qualified doctors in surgical

training posts; a phenomenological study- Stephen Boyce (2012)

Deeper than tips and tricks: An evaluation of a surgical Training the Trainers course- Tamzin Cuming (2012)

Surgical Trainees’ Experiences of Reflection on Practice. Kathryn Thomas

(MMedEd 2014)

Development of a Tool to Measure the Educational Environment in Surgical Outpatient Clinics. James Alexander Milburn (MMedEd 2012)

Page 7: Surgical Education Research: Tips, Skills and Opportunities

Educational research…

• ‘Real world’- ideological/political/value-laden?

• Influence between researcher and research subject?

• Difficulty in generalising/replicating?

• Often addresses the ‘why’ it works (versus ‘does it work’?)

• Methodological rigour comes from additional angles

• Requires (almost) a different language

(Wellington, 2000)

Page 8: Surgical Education Research: Tips, Skills and Opportunities

“The educational and health care advantages of mastery learning are unequivocal. However, educational inertia grounded in Osler’s natural method of teaching, now known as the ‘apprenticeship model’ of clinical education, is a key reason why mastery learning is not yet prominent in medical education.” (McGaghie, 2014)

Page 9: Surgical Education Research: Tips, Skills and Opportunities

“the most critical act in producing high-quality research is to ask a good question” (Shea et al. 2004, p.932)

Good questions must be generalisable, original, of importance• Imperative of proof vs imperative of understanding

(Regehr 2010)

The altruistic purpose of research in medical education is to deepen the knowledge and understanding of learning and education by studying phenomena, relations and how and why and what works for whom (Ringsted et al 2011, p.696)

Page 10: Surgical Education Research: Tips, Skills and Opportunities

Social Sciences

Art & Craft

Science

Becoming a researcher in surgical education

EducationSurgery

Developing new ways of thinking and doing things…

Page 11: Surgical Education Research: Tips, Skills and Opportunities

(Riley 2013)

Page 12: Surgical Education Research: Tips, Skills and Opportunities

What are the challenges for surgeons/trainees in doing educational research?

http://nicomachus.net/2011/02/sisyphus-gets-a-desk-job/

Page 13: Surgical Education Research: Tips, Skills and Opportunities

What are the opportunities?

• Filling a 'new' niche • Joining new communities • Influencing the education of

(future) surgeons• Greater satisfaction in own

teaching• Contributing new knowledge to

the field• Creative endeavour

Page 14: Surgical Education Research: Tips, Skills and Opportunities
Page 15: Surgical Education Research: Tips, Skills and Opportunities

Tips for developing yourself as an educational researcher…

• Read medical, surgical and general education literature

• Tap into existing communities e.g. ASME, AMEE, FST, ASPiH

• & existing resources e.g. KeyLIME podcasts, meded podcasts

• Go to meetings (like this one!)

• Get training, particularly in education research methods

• Apprentice with someone who has been successful doing educational research

• Apply for educational research grant e.g. FST

• Think carefully about the make up of the research team – interdisciplinarity is very valuable

• Twitter #meded and #ukmeded

Page 16: Surgical Education Research: Tips, Skills and Opportunities

CUT! The Practice of

Surgery by David Alderson

Photo

by M

att

Harr

ison

Page 17: Surgical Education Research: Tips, Skills and Opportunities

Contacts

Rola [email protected]@r_ajjawi

Kirsten [email protected]

Link to resources for this workshop: http://blogs.cmdn.dundee.ac.uk/meded-research/2014/04/surgical-education-research/

Page 18: Surgical Education Research: Tips, Skills and Opportunities

References

• Regehr, G. (2010). It’s NOT rocket science: rethinking our metaphors for research in health professions education. Medical Education, 44(1), 31-39.

• Ringsted, C., Hodges, B., & Scherpbier, A. (2011). ‘The research compass’: An introduction to research in medical education: AMEE Guide No. 56. Medical Teacher, 33(9), 695-709

• Shea JA, Arnold L, Mann KV. A RIME perspective on the quality and relevance of current and future medical education research. Academic Medicine 2004;79(10):931-938

• Wellington, J. (2000). Educational Research: Contemporary Issues and Practical Approaches. Bloomsbury Publishing, pg. 180