{"id":34341,"date":"2015-06-01T15:30:50","date_gmt":"2015-06-01T14:30:50","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=34341"},"modified":"2015-06-01T15:30:50","modified_gmt":"2015-06-01T14:30:50","slug":"neel-sharma-validation-in-medical-education-from-classroom-to-curriculum","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/","title":{"rendered":"Neel Sharma: Validation in medical education\u2014from classroom to curriculum"},"content":{"rendered":"<p>In clinical research there is typically a transition from cell based analysis, animal work, and human\u00a0involvement before any form of intervention, be it diagnostic or treatment based, is deemed valid in a clinical setting. One example I can relate to currently is the use of image enhanced endoscopy\u00a0which my colleagues and I are working on at the human stage having cleared cellular and animal\u00a0works.<\/p>\n<p>The FDA is central to the drug and device approval process. And interestingly for the former, up to\u00a03000 patients can be tested with the process taking several years. <a href=\"http:\/\/www.fda.gov\/\">The latter also follows similar\u00a0cautious settings<\/a>.<!--more--><\/p>\n<p>In medical education I wonder what similar approvals are in place to draw parallels of bench to\u00a0bedside. So taking PubMed as a reference point I decided to see how much evidence exists for the\u00a0following areas related to teaching, learning and assessment:<\/p>\n<p><strong>Teaching\/Learning<\/strong><\/p>\n<p>1. Problem based learning AND medical education\u20144020 results<br \/>\n2. Team based learning AND medical education\u2014921<br \/>\n3. Simulation AND medical education\u20146463<br \/>\n4. Interprofessional medical education\u20145355<\/p>\n<p><strong>Assessment<\/strong><\/p>\n<p>1. OSCE AND medical education\u2014918 hits<br \/>\n2. Progress testing AND medical\u00a0education\u2014172<br \/>\n3. Competency based assessment AND medical education\u20141089<br \/>\n4. Entrustable professional activities AND medical education\u201451<br \/>\n5. Situational judgement test AND medical education\u201418<br \/>\n6. Prescribing safety assessment AND medical education\u201441<br \/>\n7. Multiple mini interview AND medical education\u201471<\/p>\n<p>Although a slightly rough and ready insight, the results above prove interesting. Current UK\u00a0requirements advocate the use of the situational judgement test and prescribing safety assessment\u00a0with little in the way of formal research prior to launch. The multiple mini interview is also employed\u00a0globally as an admissions assessment tool yet formal evidence is lacking. Competency based\u00a0assessment scores highly yet the much talked about entrustable professional activities which have\u00a0been adopted as part of<a href=\"https:\/\/www.aamc.org\/newsroom\/reporter\/may2014\/380388\/entrustableactivities. html\"> the core AAMC requirement<\/a> for entering residency has less backing.<\/p>\n<p>I can\u2019t admit to having read each article in depth, but educationalists can probably agree with\u00a0the point I am trying to make. It seems that in education there are situations of formal approaches\u00a0coming to light without sufficient pre testing, unlike the case with clinical based research. I wonder\u00a0therefore how stringent we should be before adopting new interventions and whether there should\u00a0be a global consensus in place as is the case with the FDA. I personally would classify the training of\u00a0the future generation with the same importance as the need for appropriately safe and effective\u00a0new drugs and devices. In all cases, the safety of patients\u2019 lives is at risk.<\/p>\n<p><em><strong>Neel Sharma<\/strong> graduated from the University of Manchester and did his internal medicine training at The Royal London Hospital and Guy&#8217;s and St Thomas&#8217; NHS Foundation Trust. Currently he is a gastroenterology trainee based in Singapore.<\/em><\/p>\n<p><em><strong>Competing interests:<\/strong> None declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In clinical research there is typically a transition from cell based analysis, animal work, and human\u00a0involvement before any form of intervention, be it diagnostic or treatment based, is deemed valid [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223,165,224],"tags":[],"class_list":["post-34341","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers","category-junior-doctors","category-students"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Neel Sharma: Validation in medical education\u2014from classroom to curriculum - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neel Sharma: Validation in medical education\u2014from classroom to curriculum - The BMJ\" \/>\n<meta property=\"og:description\" content=\"In clinical research there is typically a transition from cell based analysis, animal work, and human\u00a0involvement before any form of intervention, be it diagnostic or treatment based, is deemed valid [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2015-06-01T14:30:50+00:00\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/06\\\/01\\\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/06\\\/01\\\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Neel Sharma: Validation in medical education\u2014from classroom to curriculum\",\"datePublished\":\"2015-06-01T14:30:50+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/06\\\/01\\\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\\\/\"},\"wordCount\":460,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"articleSection\":[\"Guest writers\",\"Junior doctors\",\"Students\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/06\\\/01\\\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/06\\\/01\\\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/06\\\/01\\\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\\\/\",\"name\":\"Neel Sharma: Validation in medical education\u2014from classroom to curriculum - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"datePublished\":\"2015-06-01T14:30:50+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/06\\\/01\\\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/06\\\/01\\\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/06\\\/01\\\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Neel Sharma: Validation in medical education\u2014from classroom to curriculum\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Neel Sharma: Validation in medical education\u2014from classroom to curriculum - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/","og_locale":"en_US","og_type":"article","og_title":"Neel Sharma: Validation in medical education\u2014from classroom to curriculum - The BMJ","og_description":"In clinical research there is typically a transition from cell based analysis, animal work, and human\u00a0involvement before any form of intervention, be it diagnostic or treatment based, is deemed valid [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2015-06-01T14:30:50+00:00","author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Neel Sharma: Validation in medical education\u2014from classroom to curriculum","datePublished":"2015-06-01T14:30:50+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/"},"wordCount":460,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"articleSection":["Guest writers","Junior doctors","Students"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/","url":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/","name":"Neel Sharma: Validation in medical education\u2014from classroom to curriculum - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"datePublished":"2015-06-01T14:30:50+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/01\/neel-sharma-validation-in-medical-education-from-classroom-to-curriculum\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Neel Sharma: Validation in medical education\u2014from classroom to curriculum"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/34341","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=34341"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/34341\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=34341"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=34341"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=34341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}