Creating educational work practices in Medical Education Units based on evidence Associate Professor Victoria Brazil, Director QMET Ms Libby Black, MEO RBWH 5 Nov 2010

Research Study Aims To establish current practices in Medical Education Units (MEUs) of the use of educational based evidence to inform decisions in education and training for planning, implementation, evaluation & research To determine what MEU staff consider are barriers to utilizing evidence based practice and how they consider an educational evidence based culture could be developed

What are Medical Education Units Established in QLD Health to meet education & training requirements for prevocational doctors Staff - Director of Clinical Training, Medical Education Officers Work with Medical Board requirements, Junior Doctor Accreditation standards & ACFJD

Rationale for research Demands - increasing numbers of medical student numbers QLD Health expectations of EBP in professional health care & an increase in culture of evidence & audit (Gosling & Westbrook 2004, Aarons, 2005, Green, 2000, Fresno Test BMJ 2003) Application of education theories to workplace environment & clinical settings (Pring, T (2004), Kaufman et al (2000), Davies, P(1999) QLD Health’s “Framework for best-practice learning environments” (2010) – measuring quality

Research Design Qualitative Multi-site - Analysis of work practices in selected MEUs. How do staff plan their education and use EB educational practice Low risk ethics clearance, HREC Qld Health

Data Collection 7 MEUs selected Primary allocation sites Number of interns Classification of large, medium & small Considered geographical location 14 semi-structured taped interviews, minutes

Key interview Questions How does your MEU currently decide what education programs & initiatives you will conduct for the year? What do you think is meant by evidence based educational practice? Are there any barriers/obstacles that make it difficult for you to be involved in the research process? What do you consider could be done to assist your MEU become more engaged in using research to develop EBEP?

Data Analysis Transcripts from interviews Coding categories developed Concepts identified and relationships developed Emerging themes identified Themes into model development

Where to from here ? Who will benefit from this research? How to develop a culture of evidence based educational practice Developing education initiatives

Advancing forward……. Role of QMET Development of model of EBEP from research findings Support for MEU staff Possible funding opportunities for research projects/initiatives Collaborative link to QLD Health & other health care groups (ClinEdQ) for EBP Link to national organizations