2015 education research report

The Education Research SIG is an active group. Several members have completed or are studying for Doctorates and Masters studies in primary care educational research. Members have been successful in attracting a number of grants and have worked with research colleagues across SAPC. The SIG has an active google group which helps members to share communication about publications and funding calls. Publications include a recent National School of Primary Care Research (NIHR) funded Best Evidence in Medical Education (BEME) systematic review of undergraduate medical education in the UK general practice setting, which involved collaboration across the primary care departments of Oxford, Manchester, Bristol, Nottingham and UCL.

Recent education prize winners from the SAPC annual scientific meetings are as follows:

2015 Oxford - Kay Leedham-Green, King’s College London, for her presentation "What are the learning needs of medical students when addressing obesity in a primary care consultation and how might they be addressed?"

2014 Edinburgh - Russell Hearn, King's College London, for his presentation "The risk of cancer in primary care patients with hypercalcaemia: a retrospective cohort study using electronic records",   

2013 Nottingham - Nicholas Fenlon, Irish College of GPs, Dublin for his presentation "Addressing suicide in primary care – an overview of the suicide prevention in primary care project"

also in 2013 at Nottingham - winner of the NAPCRG/SAPC travel prize - Eliot Rees, Keele for his presentation "Undergraduate teaching in UK general practice: a complete national geographical picture"

The group meets formally once a year at the SAPC conference. This meeting combines presentation and discussion of on-going educational research projects and strategy planning to support group members’ research activities.

The group has strong collaborative links, attends and presents at conferences with groups including the Royal College of General Practitioners (RCGP), the Association for the Study of Medical Education (ASME), the International Association for Medical Education (AMEE), Best Evidence in Medical Education (BEME) and the Education Research Working Group within the NIHR National School for Primary Care Research. The Education Research group is also represented by Sophie Park on the SAPC Early Careers Group.

The Education Research SIG has established a mentoring scheme, whereby colleagues can support each others’ development within this field. If you would like to find out more, please use the email contacts below.

In early 2014, Sophie Park – a GP and Senior Lecturer in Primary Care at UCL – was invited to become Chair, following the committed contributions of Bob McKinley and Joe Rosenthal in previous years. The Education Research SIG supporting committee includes Graham Easton, Alex Harding, Nada Khan, Anne Stephenson and Jenny Johnston.

If you would like to hear more about the group, or get involved, please email: Sophie Park   or Nada Khan

Publications

SAPC ERG Publications list – 2015

These relate only to member publications related to educational research

Kerry Boardman

Boardman K, Al-Jawad M, Briggs L, Kendrick D. Curriculum: Falls assessment and prevention: a multidisciplinary teaching intervention. The Clinical Teacher. 2010;7(3):206-10.​

Boardman, K., Patel, D., Stephenson, A. Letters: What Motivates General Practitioners to Teach?  The Clinical Teacher. (in press)

Graham Easton

Easton, G. Primary Care Education Research – time to raise our game? 2014 Education for Primary Care [Leading article in production]

Easton, G. How lecturers use narratives to teach medical students: a qualitative study . Conference Abstract.  Educate. Vol 13 No 2 (2013)

Powell, S, Easton, et al., 2012, Student perceptions of GP teachers' role in community-based undergraduate surgical education: a qualitative study., JRSM Short Rep, Vol:3, ISSN:2042-5333, Pages:51-51

Easton G, Stratford-Martin J, Atherton H, 2012, An appraisal of the literature on teaching physical examination skills, Educ Prim Care, Vol:(4), Pages:246-254

McDonald R, Easton, G. Impartial careers advice for doctors and medical students. BMJ. 2003 Jun 7; 326(7401):1225-6

Peile EB, Easton GP, Olney S. The Renaissance School of General Medicine. BMJ 2001; 323: 1454-1455.

Peile EB, Easton GP, Johnson N. The Year in a Training Practice: What has lasting Value? Medical Teacher 2001; Vol 23, No 2.

Jenny Johnston

Resistance is not futile: Foucault and a brave new world of medical education research. Johnston, J. L. Jun 2014 In : Medical Education. 48, 6, p. 554-555

The view from over there: reframing the OSCE through the experience of standardised patient raters.  Johnston, J. L., Lundy, G., McCullough, M. & Gormley, G. J. Sep 2013 In : Medical Education. 47, 9, p. 899-909

Evaluating out of hours GP training: the Northern Ireland experience

Johnston, J., Loughrey, C. & Bonnar, G. 2013 In : Education for primary care.

The level playing field: the impact of assessment practice on professional development. McCourt, C., Johnston, J., Cooper, S. & Gormley, G. Aug 2012 In : Medical Education. 46, 8, p. 766-776

Awarding global grades in OSCEs: Evaluation of a novel eLearning resource for OSCE examiners. Gormley, G., Johnston, J., Thomson, C. & McGlade, K. 2012 In : Medical teacher. 34, 7, p. 587-589

Medical students' attitudes to professionalism: an opportunity for the GP tutor?

Johnston, J., Cupples, M., McGlade, K. & Steele, K. Sep 2011 In : Education for primary care. 22(5), 5, p. 321-327

eLearning in clinical education: a questionnaire study of clinical teachers' experiences and attitudes. Gormley, G., Coyle, C., Johnston, J. & Thomson, C. 2010 In : International Journal of Clinical Skills. 4, p. 32-34

RK McKinley

Preston-Whyte ME, Fraser RC, McKinley RK. Teaching and assessment in the consultation. A workshop for general practice clinical teachers. Med Teacher 1993;15:141-146

Fraser RC, McKinley RK, Mulholland H. Consultation competence in general practice: establishing the face validity of prioritised criteria in the Leicester Assessment Package. Br J Gen Pract 1994;44:109-113

Fraser RC, McKinley RK, Mulholland H. Consultation competence in general practice: testing the reliability of the Leicester Assessment Package. Br J Gen Pract 1994;44:293-296

Wilson A, Fraser RC, McKinley RK, Preston-Whyte ME, Wynn A. Undergraduate teaching in the community: Can general practice deliver? Br J Gen Pract 1996;46:457-460

Preston-Whyte ME, Fraser RC, McKinley RK. Teaching and assessment in the consultation: a hospital clinicians’ preparatory workshop for integrated teaching of clinical method to undergraduate medical students. Med Teacher 1998;20:266-267

Hastings AM, Fraser RC, McKinley RK. Student perceptions of a new integrated course in clinical methods for medical undergraduates. Med Ed 2000;34:101-107

McKinley RK, Fraser RC, van der Vleuten C, Hastings AM. Formative assessment of the consultation performance of medical students in the setting of general practice using a modified version of the Leicester Assessment Package. Med Ed 2000;32:573-579

Middleton JF, McKinley RK. General practitioners value the opportunity to develop their clinical skills. Education for General Practice 2000;11(3); 307-11

McKinley RK, Fraser RC, Baker R. Model for directly assessing and improving clinical competence and performance in revalidation of clinicians. BMJ 2001;322:712-715

McKinley RK, Dean P, Farooqi A. Reactions of volunteer general practitioners to educational assessment of their consultation performance: a qualitative study. Education for Primary Care 2003;14:293-301

Fraser RC, Lee RSY, Yui YK, Lam CLK, McKinley RK, Van der Vleuten CPM. Regulatory assessment of the consultation competence of family physicians in Hong Kong. The Hong Kong Practitioner 2004;26:5-15

McKinley RK, Fraser RC, Baker RH, Riley RD. The relationship between measures of patient satisfaction and enablement and professional assessments of consultation competence. Med Teach 2004;26:223-228

McKinley RK, Middleton J, French A. A pilot study of diagnostic educational evaluation of junior general practice registrars. Education for Primary Care 2004;15;242-250

McKinley RK, Turner JH. Educational assessment and consultation competence. Education for Primary Care 2004;15:462-467

McKinley RK, Hastings AM, Pedersen SA. The long case revisited. Med Ed 2005;39:442-447

Hastings AM, McKinley RK, Fraser RC. Strengths and weaknesses in the consultation skills of senior medical students: identification, enhancement and curricular change. Med Ed 2006;40:437-443

Middleton JF, McKinley RK, Gillies CL. Effect of patient completed agenda forms and doctors’ education about the agenda on the outcome of consultations: randomised controlled trial. BMJ 2006 doi:10.1136/bmj.38841.444861.7C (published 17 May 2006)

Fraser RC, Sarkhou ME, McKinley RK, van der Vleuten C. Regulatory end-point assessment of the consultation competence of family practice trainees in Kuwait. Eur J Gen Pract 2006;12:100-107

Lea A, McKinley RK, Pearson D, Lindsay P. Medical education in the community: realising the potential. Education for Primary Care 2008;18:217-221

McKinley RK, Strand J. Ward L, Gray T, Alun-Jones T, Miller H. Checklists for certification of clinical procedural skills omit essential competencies: a systematic review. Med Ed 2008;42:338–349

doi:10.1111/j.1365-2923.2007.02970.x

McKinley RK, Strand J, Gray T, Schuwirth L, Alun-Jones T, Miller H. Development of a tool to support holistic generic assessment of clinical procedure skills. Med Ed 2008;42:619-627

doi:10.1111/j.1365-2923.2008.03023.x

McKinley RK. Education and training: the neglected healthcare technologies? Editorial, Primary Health Care Research and Development 2009;10:1–3 doi:10.1017/S146342360800100X

Deaville JA, Wynn-Jones J, Hays RB, Coventry PJ, McKinley RK, Randall Smith J. Perceptions of UK medical students on rural clinical placements. Rural and Remote Health Journal 2009;9:1165 http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=1165

Pearson DJ, McKinley RK. Why tomorrow’s doctors need primary care today. R Soc Med 2010;103:9-13 doi:10.1258/jrsm.2009.090182

Thompson C, Dogra N, McKinley RK. A survey of general practitioners' opinions and perceived competencies in teaching undergraduate psychiatry. Education for Primary Care 2010;21:20-24

McKinley RK, Williams V, Stephenson C. Improving the content of feedback. The Clinical Teacher 2010;7:161–166

doi: 10.1111/j.1743-498X.2010.00380.x

Thompson C, Dogra N, McKinley RK. A survey of general practitioners' attitudes towards psychiatry. The Psychiatrist 2010;34:525-528

Jones R, Mehta M, McKinley RK. Medical student access to electronic medical records in UK primary care. EdPC 2011;22:4-6

Baker R, Smith A, Tarrant C, McKinley RK, Taub N. Patient feedback in revalidation: an exploratory study using the consultation satisfaction questionnaire. BJGP 2011;61:e638- e644 doi:org/10.3399/bjgp11X601343

Bartlett M, McKinley RK, Wynn Jones J, Hays RB. An English rural undergraduate campus: virtue from opportunity and necessity. Rural and Remote Health 2011;11:1841. http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=1841

Lefroy J, Gay SP, Gibson S, Williams S, McKinley RK. Development and face validation of an instrument to assess and improve clinical consultation skills. Int J Clin Skills 2012:5;115-125

Hastings AM, McKinley RK. A national primary care curriculum for medical students: Is this another quest for the Holy Grail? Education for Primary Care 2013:24;203-205. doi: 10.1111/tct.12043

Gay SP, Bartlett M, McKinley RK. Teaching clinical reasoning to medical students. The Clinical Teacher 2013:10;308-312

Lefroy J, Thomas A, Harrison C, Williams S, O’Mahony F, Gay SP, Kinston R, McKinley RK. Development and face validation of strategies for improving consultation skills. Adv in Health Sci Educ 2014

doi: 10.1007/s10459-014-9493-9

Estacio EV, McKinley RK, Saidy-Khann S, Karic T, Clark L, Kurth, J. Health literacy: why it matters to South Asian men with diabetes. Primary Health Care Research & Development 2014 doi:10.1017/S1463423614000152

Derbyshire H, Rees E, Gay SP, McKinley RK. Undergraduate teaching in UK general practice: a geographical snapshot. Br J Gen Pract 2014; 64(623):e336-e345 doi: 10.3399/bjgp14X680113 

Sophie Park

Park, S., Khan, N., Hampshire, M., Knox, R., Malpass, A., Thomas, J., Anagnostelis, B., Newman, M., Bower, P., Rosenthal, J., Murray, E., Iliffe, S., Heneghan, C., Band, A., and Georgieva, Z. (in press). ‘A BEME systematic review of UK undergraduate medical education in the general practice setting’. Best Evidence in Medical Education (BEME) Report. 

Park, S., Khan, N., Hampshire, M., Knox, R., Malpass, A., Thomas, J., Anagnostelis, B., Newman, M., Bower, P., Rosenthal, J., Murray, E., Iliffe, S., Heneghan, C., Band, A., and Georgieva, Z. (in press). ‘A BEME systematic review of UK undergraduate medical education in the general practice setting’. Medical Teacher

Emmerich, N., Swinglehurst, D., Maybin, J., Park, S., and Quilligan, S. (in press). ‘Caring for Quality of Care: Symbolic Violence and the Bureaucracies of Audit’. BMC Medical Ethics. Special Issue: ‘The Many Meanings of ‘Quality’ in Healthcare: Interdisciplinary Perspectives’. Editors: D. Swinglehurst, Park, S., Emmerich, N., Maybin, J., and Quilligan, S.

Stevenson, F., Gibson, W., Pelletier, C., Chrysikou, V., and Park, S. (in press). ‘Reconsidering 'ethics' and 'quality' in healthcare research: the case for an iterative ethical paradigm. Special Issue: ‘The Many Meanings of ‘Quality’ in Healthcare: Interdisciplinary Perspectives’. Editors: D. Swinglehurst, Park, S., Emmerich, N., Maybin, J., and Quilligan, S.

Park, S., Pelletier, C., and Klingenberg, M. (2014). ‘The Missing Self: Competence, the Person and Foucault’. Medical Education. Commentary June 2014. 48(8): 741-744

Park, S. Griffin, A., and Berlin, A. (2014). ‘The Meta Medical Educator’ in “Professional Life in Modern UK Higher Education”. Cunningham, B., and Crook, D. (Eds.) 76-113

Swinglehurst, D., Emmerich, N., Maybin, J., Park, S., & Quilligan, S. (2014). Rethinking 'quality' in health care. JOURNAL OF HEALTH SERVICES RESEARCH & POLICY, 19 (2), 65-66. doi:10.1177/1355819613518522

Park, S., Wang, Z., Walters, K., & Buscewicz, M. (n.d.). A Systematic Review of Evaluations: Undergraduate Medical Education about Unexplained Physical Symptoms.

Park, S. (2013). Embracing Uncertainty within Medical Education. Medical Education: Global Perspectives, Challenges and Future Directions (pp. 288-313). New York: Nova.

Park, S., Griffin, A., & Berlin, A. (2013). The Meta Medical Educator. In B. Cunningham, D. Crook (Eds.), Professional Life in Modern UK Higher Education. Institute of Education: Bedford Way Papers.

Park, S. (n.d.). A qualitative study exploring the attitudes of GP trainees towards the e-portfolio and its relationship with learning.

Park, S., Rosenthal, J., & Harding, A. (2012). Educational Research in Primary Care: Addressing the challenges through creation of a Special Interest Group and a Doctoral Student Network. Primary Health Care Research and Development, 13, 98-100.

Park, S. (n.d.). How medical students develop their professional identity in relation to their experience of uncertainty in decision-making during undergraduate placements in general practice placements: a narrative inquiry.

Park, S., Knox, R., Koch, T., & Williamson, H. (n.d.). Medical Student Early Clinical Experience: fit for purpose?.

Park, S. (2012). The Industrialisation of Medical Education? Exploring Neoliberal influences within Tomorrow's Doctors Policy 2009. Policy, Discourse and Rhetoric: How New Labour challenged Social Justice and Democracy (pp. 121-140). Rotterdam: Sense.

Park, S., Griffin, A., & Gill, D. (2012). Working with words: exploring textual analysis in medical education research. Med Educ, 46 (4), 372-380. doi:10.1111/j.1365-2923.2011.04184.x

Joe Rosenthal

Rosenthal J, Stephenson A. General Practice: The Future Teaching Environment. British Journal of General Practice. 2010, Vol 60, No 571, 144-144

Rosenthal J, Chana N. Future-proofing primary health care: GP recruitment and retention in the new NHS.British Journal of General Practice, 2011, Vol 61, No 588, 430-431

Raymond M & Rosenthal J General Practice Specialty Training. Chapter in A Career Companion to Becoming a GP: Developing and Shaping Your Career. Eds Hutt P , Park S, 2011 Radcliffe

Rosenthal J, McKinley R, Pearson D. Promoting education within the SAPC: introducing the HoTs Group.Primary Health Care Research & Development, 2011, 12: 276

Park S, Rosenthal J, Harding A. Educational Research in Primary Care: Addressing the challenges through creation of a Special Interest Group and a Doctoral Student Network. Primary Health Care Research & Development, 2012, 13 : 98-100

Howman M, Buszewicz M, Good M, Rosenthal J, Walters K. Teaching about Medically Unexplained Symptoms at Medical Schools in the United Kingdom. Medical Teacher 2012 Vol 34 Issue 04 p 327-329

Calvert B, Williams H & Rosenthal J. GP Careers: Changing students’ perspectives. British Journal of General Practice. April 2014 64:201-202

Cleland J, Reeve J, Rosenthal J, Johnston P. Resisting the tick box culture: refocusing medical education and training. British Journal of General Practice. August 2014 64:422-423

Anne Stephenson

Books

Stephenson, A. (ed.) 2011, 3rd edition. A Textbook of General Practice. London: Hodder Arnold.

(1st edition 1998 and 2nd edition 2004). Winner of the Basic Book Category, The Society of Authors/ Medical Society of London Medical Book Awards, 1998; Second edition highly commended in the Primary Health Care category of the 2005 BMA Medical Book Competition. Third edition Highly Commended in the 2012 BMA Book Awards. Greek version published 2011

Stephenson, A., Mueller, M. 2009. 100 Cases in General Practice. London: Hodder Arnold. Japanese version published 2011.

Hastie, A., Stephenson, A (eds.) 2008. Choosing General Practice: Your Career Guide. Oxford: Blackwell BMJ Books.

Papers

Stephenson A. Becoming a Doctor by Wilson, H & Cunningham, W. [Book Review]. BJGP, 2014;64(620):147.

Stephenson A. Selecting medical students who will become general practitioners: is the aptitude test suitable? [Guest Editorial]. Journal of Primary Health Care. 2013;5(4):268

Duncan P, Stephenson A. Participant responsibility, researcher vulnerability and empirical ethics: a reply to Loughlin.  Journal of Evaluation in Clinical Practice. 2013;19(3):553-558

Todres M, Tsimtsiou Z, Sidhu K, Stephenson A, Jones R. Medical students' perceptions of the factors influencing their academic performance: an exploratory interview study with high-achieving and re-sitting students. Medical Teacher. 2012;34:e325-e331

Duncan P, Stephenson A. Dealing with systems and understanding contexts: what it might mean to be a ‘good health care practitioner’.  Journal of Evaluation in Clinical Practice. 2011;17:964-969 with commentary  in the same issue pages 970-975.

P John Rees, Stephenson A. The future of medical education in the UK. BJGP 2010;60:795-6.

Stephenson A. Why do medical students learn about primary care? Journal of the Japan Primary Care Association. 2010;6:174-5.

Rosenthal J, Stephenson A. General Practice: The Future Teaching Environment.  British Journal of General Practice, 2010, 60(571):144.

Todres M, Tsimtsiou Z, Stephenson A, Jones R. The emotional intelligence of medical students. Medical Teacher. 2010, 32 (1): e42-e48.

Stephenson A, Todres M, Jones R. Reply to Dornan et al.’s ‘On Evidence’. Medical Education 2009;43:388-391

Jones, R., Stephenson, A. Quality Assurance of Community-based Undergraduate Medical Curricula by Academic Departments: Cross Sectional Survey. Education for Primary Care 2008; 19:135-42.

Stephenson, A., Adshead, LE., Higgs, RH. Response to Evans {Letter]. Medical Education 2007;41:830-831

Todres, T., Stephenson, A., Jones, R.  Medical education research remains the poor relation. BMJ 2007; 335:333-335

Stephenson, A., Adshead, L., Higgs, R. The Teaching of Professional Attitudes within UK Medical Schools: Reported Difficulties and Good Practice. Medical Education 2006;40:1072-1080 .

Adshead, L., White, P., Stephenson, A. Introducing peer observation of teaching to GP teachers:   a questionnaire study. Medical Teacher 2006; l28 (2): e68-e73

Duncan, P., Cribb A., Stephenson, A. Developing ‘the good healthcare practitioner’: clues from some involved in medical education and training. Learning in Health and Social Care 2003;24:181-190.

Wylie, A., Stephenson, A., Robinson, R. Student learning centres in the community: a review of an organisational model. Medical Education 2001;35(11):1078-1079.

Stephenson, A., White, P. Supervised teaching practice – Systematic support for undergraduate teaching in general practice.  Education for General Practice 2001;12(4):370-378.

Stephenson, A., Higgs, R., Sugarman, J.  Teaching professional development in medical schools. The Lancet 2001;357:867-70.

White, P. and Stephenson, A. Supervised teaching practice: a system for teacher support and quality assurance. Medical Teacher 2000;22(6): 618-620

Wylie, A., Stephenson, A., Copperman, J., Wingfield, R., Turner, M., and Steward C. Single-handed practices - their contribution to an undergraduate teaching network in the first year of the new curriculum. Medical Education 1999;33(7):531-536

Copperman, J., Wylie, A., Stephenson, A. and Wingfield, R. Early Learning Centres. Health Service Journal 1997; 10 July.

Stephenson, A. Teaching medical students about long term illness. Education for General Practice 1996;7:318-324

Stephenson, A., Collerton, J. and White, P. Teaching medical students about long term illness. Academic Medicine 1996;71:549-550.

Stephenson, A. 1994: The Implications of greater community-based medical education for complementary practitioners. In Seabrook, M., Booton, P. and Evans, T. (eds.) Widening the Horizons of Medical Education. London: King’s Fund.

Stephenson, A. 1985: Theory and practice of decision making in coronary care in general practice. BMJ 291, 1163-1166.

Squires, IHW., Leitch BJ., Stephenson, A. and Simpson JB. 1984: Caseloads in general practice. NZFP 11, 6-11.

Stephenson, A. and Chetwynd SJ. 1984: A method of analyzing general practitioner decision making concerning home or hospital coronary care. Community Health Studies VIII (3), 297-300.

Stephenson, A. and Malcolm LA. 1983: Admissions to the Princess Margaret Coronary Care Unit. NZFP 10, 118-120.

Chetwynd, J., Stephenson A. and Ferguson DM. 1983: Costing of treatment strategies in the case of childhood respiratory illnesses. NZ Med J  96, 53-55.

Squires IHW et al. 1982: Medical Manpower - North Canterbury general practitioner opinion. NZ Med J  95, 193-194.

 

Special interest group: