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Evidence informed professional

education practice and policy

Professor Marilyn Hammick

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Focus on

Evidence informed practice and policy in


professional education

International approaches to evidence


informed practice and policy in professional
education

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Decisions in education practice and policy
making
what works
what doesnt work
how things work best
who they work better for

knowledge about the impact of practice

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We could find no clearly articulated rationale,
and no summary of the empirical evidence. It
seemed extraordinary that such major
curriculum change should be made

From Hammick M, Dornan T & Steinert Y (in press) Conducting a best evidence systematic
review Part one -from idea to data coding BEME Guide No 13. Medical Teacher

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Decision making informed by

Evidence
Context
Values
Experience

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Evidence informed education: national,
international and professional perspectives

International Campbell Collaboration


http://www.campbellcollaboration.org/

National UK EPPI-Centre
evidence for policy and practice information
http://eppi.ioe.ac.uk/cms/

Professional Best Evidence Medical Education

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C2

What helps?
What harms?
Based on what
evidence?

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C2 Coordinating Groups

Crime and Justice


Education
Social Welfare
Methods
Communication and Internationalisation

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Approaches to Parent Involvement for Improving the
Academic Performance of Elementary School Age Children

This review concluded that there was substantial


support for the positive impact of parent involvement
with children outside of school to improve childrens
academic performance in school.
The evidence suggested that the greatest impact of
parent involvement on childrens academic
performance is in reading.
The positive effect of parent involvement on childrens
academic performance was achieved with parent
involvement methods implemented between 6 and 28
weeks.

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UK EPPI-Centre (1993)

Systematic reviews and developing review methods


in social science and public policy.
Make reliable research findings accessible to the
people who need them, whether they are making
policy, practice or personal decisions
Education, health promotion, social care, crime and
justice, employment
Education : 10 Review Groups, 16 systematic
reviews

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EPPI review examples

The impact of adult support staff on pupils


and mainstream schools

What are the factors that promote high post-


16 participation of many minority ethnic
groups? A focused review of the UK-based
aspirations literature

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Without question, doctors have
been much better than teachers
at advancing their professional
effectiveness by combining
research with practice in the
interests of knowledge
production
Hargreaves 2000

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Professional responsibility

from opinion based to evidence


informed education
based on the best evidence
available
culture of best evidence informed
education

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Time for evidence based medical education
Tomorrow's doctors need informed educators not amateur tutors
Stewart Petersen, Professor of medical education.
Faculty of Medicine and Biological Sciences, University of
Leicester , 1999
John Bligh and M Brownell Anderson
Editorial: Medical teachers and evidence
Medical Education (2000) 34, 162-163

Philip Davies
Approaches to evidence-based teaching
Medical Teacher (2000) 22, 1, pp 14-21

Fredric M Wolf Lessons to be learned from Evidence-based Medicine:


practice and promise of Evidence-based Medicine and Evidence-based Education
Medical Teacher (2000) 22, 3 pp 251-259

C P M van der Vleuten et al The need for evidence in education


Medical Teacher (2000) 22, 3, pp 246-250

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Best Evidence Medical Education
(2001)
Appropriate systematic reviews of
medical education

Dissemination of information

Culture of best evidence medical


education

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Taking a BEME approach to educational decisions

Comprehensively critically appraising the literature that already exists


systematic
transparent

Categorizing the power of the evidence available


realism
epistemological openness

Identify the gaps and flaws in the existing literature


published
grey
hand searching

Suggest and carry out appropriately planned primary studies


optimize the evidence
education intervention more evidence based

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Specifically

Methods used are transparent, explicit and


clear to the novice reader
Research that adheres to the BEME
standard set of stages and practices
That the Product is useful, can be replicated
and will be updated

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BEME (2009)

Established international community of


practice
10+ published reviews
Medical Teacher, BEME Guide, Website
Partnership with University of Warwick, UK
Workshops, conferences
Widening the community of practice

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Published reviews
Issenberg SB, McGaghie WC, Petrusa ER, Gordon DL, Scalese RJ. Features
and uses of high-fidelity medical simulations that lead to effective
learning a BEME systematic review. Med Teach 2005; 27(1): 10-28.

Steinert Y, Mann K, Centeno A, Dolmans D, Spencer J, Gelula M and Prideaux


D. A systematic review of faculty development initiatives designed to
improve teaching effectiveness in medical education :BEME Guide No 8.
Med Teach 2006; 28, 6 pp. 497-526

Hammick M, Freeth D, Koppel I, Reeves S & Barr H (2008) A Best Evidence


Systematic Review of Interprofessional Education BEME Guide no. 9
Medical Teacher 29 (8): pp. 735-51.

Colthart I, Bagnall G, Evans A, Allbut H, Haig A, Illing J and McKinstry B


(2008). The effectiveness of self-assessment on the identification of
learner needs, learner activity, and impact on clinical practice: BEME
Guide no 10. Medical Teacher 30:2, pp 124-145.

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Reviews in progress
Effectiveness of educational games for health care
professions students learning (in press)

A systematic review of the evidence base around


clinical and professional final year assessment in
veterinary education

Factors that impact on skills loss after resuscitation


training courses

A review of the evidence linking conditions, processes


and outcomes of clinical workplace learning

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Thank you

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