Harnessing a knowledge translation framework to implement an undergraduate medical education intervention: A longitudinal study

Martine Chamberland*, Jean Setrakian, Linda Bergeron, Lara Varpio, Christina St-Onge, Aliki Thomas

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction: Implementation of evidence-informed educational interventions (EEI) involves applying and adapting theoretical and scientific knowledge to a specific context. Knowledge translation (KT) approaches can both facilitate and structure the process. The purpose of this paper is to describe lessons learned from applying a KT approach to help implement an EEI for clinical reasoning in medical students. Methods: Using the Knowledge to Action framework, we designed and implemented an EEI intended to support the development of students’ clinical reasoning skills in a renewed medical curriculum. Using mixed-methods design, we monitored students’ engagement with the EEI longitudinally through a platform log; we conducted focus groups with students and stakeholders, and observed the unfolding of the implementation and its continuation. Data are reported according to six implementation outcomes: Fidelity, Feasibility, Appropriateness, Acceptability, Adoption, and Penetration. Results: Students spent a mean of 24 min on the activity (fidelity outcome) with a high completion rate (between 75% and 95%; feasibility outcome) of the entire activity each time it was done. Focus group data from students and stakeholders suggest that the activity was acceptable, appropriate, feasible, adopted and well-integrated into the curriculum. Discussion: Through the process we observed the importance of having a structuring framework, of working closely and deliberatively with stakeholders and students, of building upon concurrent evaluations in order to adapt iteratively the EEI to the local context and, while taking students’ needs into consideration, of upholding the EEI’s core educational principles.

Original languageEnglish
Pages (from-to)333-340
Number of pages8
JournalPerspectives on Medical Education
Volume11
Issue number6
DOIs
StatePublished - Dec 2022
Externally publishedYes

Keywords

  • Clinical reasoning
  • Evidence-informed educational intervention
  • Implementation
  • Knowledge translation

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