Educational interventions for FM residents targeting the informal curriculum rarely produced behavior change: most were evaluated only at Kirkpatrick level 2 and study quality was low¶
Claim · All claims
Evidence · 1 study · reviewr2·q3
Currency · newest study 2020 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i? Of 11 included intervention studies, 10 were evaluated at Kirkpatrick level 2 (modification of attitudes/perceptions/knowledge/skills) and only 1 at level 3 (change in behavior); none reached level 4. → Rothlind Erica 2020
q3 i? BEME strength-of-findings ratings were low: mean and median score 2, with no study rated 4 or 5. → Rothlind Erica 2020
Evidence¶
Rothlind Erica 2020¶
Rothlind Erica, Fors Uno, Salminen Helena, Wändell Per, Ekblad Solvig. (2020). The informal curriculum of family medicine – what does it entail and how is it taught to residents? A systematic review. BMC Family Practice. https://doi.org/10.1186/s12875-020-01120-1
q3 · i? · review · r2
Systematic review assessment of 11 included interventions using Kirkpatrick's hierarchy and the BEME classification scale (Table 1): 10 curricula at level 2, 1 at level 3, 0 at levels 1 and 4; BEME strength ratings of 3, 3, and 5 studies at levels 1–3 respectively. No effect size printed.
"There was only one study where a change in behavior could be observed [47], the remaining studies only dealt with learning in terms of perceived modification of attitudes/perceptions/knowledge or skills [17, 43–46, 48–52]. The mean score was 2, and the median was 2."
Discussion¶
Related Claims¶
- All five pre-defined-curriculum WhatsApp studies assessed Kirkpatrick level 2 knowledge outcomes, while a majority of remaining studies reported only level 1 attitudes
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- Cultural competence in Family Medicine is largely agreed to be gained informally, and a large U.S. survey found most residency programs identify it as part of the informal curriculum — related
- Most included trials were conducted in simulated settings at Kirkpatrick evaluation level two, which may limit application to routine clinical practice — related
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