0
EVIDENCE BASED
EDUCATION
- WHAT WORKS?
Victoria Brazil
@SocraticEM
EVERYTHING WORKS !
Answer:
www.bemecollaboration.org/
HANDWASHING – WHAT WORKS?
• Taking part in any structured intervention
• Combining with reminders, incentives, checklists,...
AIRWAY MANAGEMENT – WHAT WORKS?
• Taking part in any structured intervention
• Combining with reminders, incentives, check...
PROCEDURAL SKILLS – WHAT WORKS?
• Taking part in any structured intervention
• Combining with reminders, incentives, check...
COMMUNICATION SKILLS – WHAT WORKS?
• Taking part in any structured intervention
• Combining with reminders, incentives, ch...
ED LEADERSHIP – WHAT WORKS?
• Taking part in any structured intervention
• Combining with reminders, incentives, checklist...
SIMULATION?
YES !
SIMULATION – WHAT WORKS?
Providing feedback
Repetitive practice
Curriculum integration
Multiple learning strategies
Define...
Its not ‘whether’ medical education works ,
but ‘how’ it works
“RAPID CYCLE DELIBERATE PRACTICE”
Efficient
Delivery Of
Mandatory
Training
WHAT LAST YEAR’S STUDENTS THOUGHT..
• “it was interactive and very realistic. A lot of things (labs,
Hxs, patient informat...
EVIDENCE BASED EDUCATION
– WHAT WORKS?
NOTHING WORKS !
Answer:
PROGRESS TESTING AT MAASTRICHT
Test score
Year at medical school
PROGRESS TESTING AT MAASTRICHT
Test score
Year at medical school
PROGRESS TESTING AT MAASTRICHT
Test score
Year at medical school
More than 90% of your individual performance
is predicted by your performance at baseline
Curricular change/ different med...
‘NOTHING’ WORKS….
EVALUATION
• 100% of respondents strongly agreed “Dr Fox
stimulated my thinking”
• 90 % agreed that he “presented his mate...
………allowed the researchers to draw the
conclusion that
“style was more influential than content in
providing learner satis...
EVIDENCE BASED EDUCATION
– WHAT WORKS?
WHAT DO YOU MEAN ‘WORKS’?
Answer:
Lucey, Acad Med 2013
“Medical education today is pedagogically
superb….
……….but our collective target is wrong”
AN ASSUMPTION…….
Training health care professionals
= better at their job
= better patient care
“WORKS” = PATIENT FOCUSED
ENDPOINTS
Saving Money And
Reducing Infections
Central lines
Saving Money And
Reducing Infections
Training intervention
 $781k saved in one year
Barsuk et al
70% REDUCTION IN FOETAL HYPOXIC INJURY
30 % REDUCTION IN TRANSFUSION
REQUIREMENTS IN PPH
“This is the first time an educat...
THE HEALTH PRACTITIONER OF THE 21ST
CENTURY
Lead in complexity, and be expert in systems and
team based care
Improve care ...
SUMMARY
All educational modalities are potentially effective or
completely useless
The biggest impact on learning is the l...
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
Brazil - Evidence-based Education: What Works?
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Brazil - Evidence-based Education: What Works?

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Flipping the classroom. Victoria Brazil examines how different approaches to teaching can improve patient outcomes.

Published in: Health & Medicine, Education
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  • Personal excellence in technical and humanistic skills
    Mastering the scientific foundations of system performance
    Participating and leading team based improvement
    Patient focus at all times
  • Transcript of "Brazil - Evidence-based Education: What Works?"

    1. 1. EVIDENCE BASED EDUCATION - WHAT WORKS? Victoria Brazil @SocraticEM
    2. 2. EVERYTHING WORKS ! Answer:
    3. 3. www.bemecollaboration.org/
    4. 4. HANDWASHING – WHAT WORKS? • Taking part in any structured intervention • Combining with reminders, incentives, checklists, surveillance, audit and feedback • Repeated sessions • Assessment • Delivery using internal teams
    5. 5. AIRWAY MANAGEMENT – WHAT WORKS? • Taking part in any structured intervention • Combining with reminders, incentives, checklists, surveillance, audit and feedback • Repeated sessions • Assessment • Delivery using internal teams
    6. 6. PROCEDURAL SKILLS – WHAT WORKS? • Taking part in any structured intervention • Combining with reminders, incentives, checklists, surveillance, audit and feedback • Repeated sessions • Assessment • Delivery using internal teams
    7. 7. COMMUNICATION SKILLS – WHAT WORKS? • Taking part in any structured intervention • Combining with reminders, incentives, checklists, surveillance, audit and feedback • Repeated sessions • Assessment • Delivery using internal teams
    8. 8. ED LEADERSHIP – WHAT WORKS? • Taking part in any structured intervention • Combining with reminders, incentives, checklists, surveillance, audit and feedback • Repeated sessions • Assessment • Delivery using internal teams
    9. 9. SIMULATION?
    10. 10. YES !
    11. 11. SIMULATION – WHAT WORKS? Providing feedback Repetitive practice Curriculum integration Multiple learning strategies Defined outcomes
    12. 12. Its not ‘whether’ medical education works , but ‘how’ it works
    13. 13. “RAPID CYCLE DELIBERATE PRACTICE”
    14. 14. Efficient Delivery Of Mandatory Training
    15. 15. WHAT LAST YEAR’S STUDENTS THOUGHT.. • “it was interactive and very realistic. A lot of things (labs, Hxs, patient information, PES) were integrated, introducing us to a more integrated approach” • “Enhanced exposure to clinical reasoning skills” • “… I felt responsible for my patients.”
    16. 16. EVIDENCE BASED EDUCATION – WHAT WORKS?
    17. 17. NOTHING WORKS ! Answer:
    18. 18. PROGRESS TESTING AT MAASTRICHT Test score Year at medical school
    19. 19. PROGRESS TESTING AT MAASTRICHT Test score Year at medical school
    20. 20. PROGRESS TESTING AT MAASTRICHT Test score Year at medical school
    21. 21. More than 90% of your individual performance is predicted by your performance at baseline Curricular change/ different medical schools appears to make no impact
    22. 22. ‘NOTHING’ WORKS….
    23. 23. EVALUATION • 100% of respondents strongly agreed “Dr Fox stimulated my thinking” • 90 % agreed that he “presented his material in organized and interesting way”
    24. 24. ………allowed the researchers to draw the conclusion that “style was more influential than content in providing learner satisfaction.”
    25. 25. EVIDENCE BASED EDUCATION – WHAT WORKS?
    26. 26. WHAT DO YOU MEAN ‘WORKS’? Answer:
    27. 27. Lucey, Acad Med 2013 “Medical education today is pedagogically superb…. ……….but our collective target is wrong”
    28. 28. AN ASSUMPTION……. Training health care professionals = better at their job = better patient care
    29. 29. “WORKS” = PATIENT FOCUSED ENDPOINTS
    30. 30. Saving Money And Reducing Infections Central lines
    31. 31. Saving Money And Reducing Infections Training intervention  $781k saved in one year Barsuk et al
    32. 32. 70% REDUCTION IN FOETAL HYPOXIC INJURY 30 % REDUCTION IN TRANSFUSION REQUIREMENTS IN PPH “This is the first time an educational intervention has been shown to be associated with a clinically important, and sustained, improvement in perinatal outcome”
    33. 33. THE HEALTH PRACTITIONER OF THE 21ST CENTURY Lead in complexity, and be expert in systems and team based care Improve care through practice audit and skilled analysis of patient outcome data
    34. 34. SUMMARY All educational modalities are potentially effective or completely useless The biggest impact on learning is the learner Aim for ‘patient outcome’ endpoints for training
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