Research Dissemination

Project reports may either be downloaded if available, or purchased from the University (prices are available on request). For more information, please contact the CRMDE Administrator, or the named project contact.

Health Innovation and Education Cluster (HIEC)

Creating innovative ways to combine advances in education, service and industry to speed up the translation of new developments into health service practice, the HIEC is a partnership between NHS organisations, the higher education sector, industry and other public and private sector organisations. Its purpose is to enable high quality patient care and services by more quickly bringing to health care practice the benefits of research and innovation, co-ordinated with appropriate education and training. The Principal investigator is Professor Richard Lilford together with Professor Hywel Thomas as Co-investigator. The researchers are Ian Davison, Vickie Firmstone and Sandra Cooke. More information...

Contact:Dr Ian Davison 

Publication

Beavan, J., Burke, S., Davison, I., Firmstone, V., Gutteridge, R., Kitchen, C. and Thorpe,G. (2011) Increasing the Uptake of Home Therapies. Report to the West Midlands Specialist Commissioners Project Implementation Group. West Midlands Central Innovation and Education Centre.

Evaluation of modernising medical careers pilots

The National Evaluation of Specialty Selection (NESS) covered the selection processes for 71% of 4,060 training posts in England and 2,751 General Practice (GP) posts in the UK available at ST1/CT1 level in 2009, making it the largest evaluation of specialty selection in the world. Designed as a cross-sectional study using quantitative and qualitative methods, the report describes and analyses the effectiveness and suitability of selection processes across 13 specialties. Taking account of the GMC’s requirement that ‘processes for recruitment, selection and appointment must be open, fair and effective’, our principal analytical model examined the acceptability, reliability, validity and cost-effectiveness of the selection processes.

Our analysis of personal characteristics as determinants of selection scores raised concerns about fairness, particularly with respect to candidates trained overseas. Shortlisting scores were generally good predictors of final selection scores. However, internal consistency and pass mark reliability in the majority of selection systems were undesirably low given the high-stakes nature of specialty selection. Consequently, we recommended: having more stations but with a single assessor; more routine data analysis and sharing results between specialties; greater attention to assessor training and the piloting and evaluating of alternative training models; and using rigorous standard setting processes. Recent moves towards integrating selection within each specialty at a national, rather than a Deanery level, and eliminating shortlisting have improved the cost-effectiveness of selection. 

The principal investigator was Professor Hywel Thomas.

pdficonsmallDownload the National Evaluation of Specialty Selection Final Report (PDF)

A summary of the findings has also been published in the British Journal of Hospital Medicine The fairness, effectiveness and acceptability of selection for specialty training in the UK

Contact: Professor Hywel Thomas

A systematic review of the effectiveness of continuing dental professional development on learning, behaviour or patient outcomes

The team undertook a systematic review of studies using a randomised controlled trial or quasi-experimental design in order to synthesise the existing evidence to evaluate the effectiveness of continuing professional development (CPD) interventions in dentistry on learning gains, behaviour change or patient outcome. We searched a range of electronic databases from 1986 to the present, and screened all potentially relevant studies for inclusion, using pre-established inclusion/exclusion criteria. Following data extraction and quality appraisal of all included studies a narrative synthesis of the studies was undertaken.

Publication

Systematic Review of the Effectiveness of Coninuing Dental Professional Development on Learning, Behaviour, or Patient Outcomes (September 2012) 

Evaluation of the RCGP GP training curriculum

Commissioned by the Royal College of General Practitioners (RCGP), this £189k three-year project evaluated the introduction of a new training curriculum for general practice trainees. It examined trainee and trainer experience of the curriculum and its assessment and whether it is ‘fit for purpose’ in preparing trainees for independent practice. The principal investigator was Professor Hywel Thomas.

Contact:Professor Hywel Thomas

pdficonsmallDownload the Evaluation of the RCGP GP Training Curriculum final Report(June 2011). (PDF, opens new window)

An Evaluation of Public Health posts for General Practice specialty training for West Midlands SHA.

The new RCGP GP Training Curriculum, which came into effect in August 2007, enabled the introduction of new, innovative structures of GP training. In the West Midlands, four month public health posts were introduced as part of the GP Specialty Training Scheme which provided trainees with the opportunity to gain experience in public health.

This research was an evaluation to assess the impact of the posts on trainee learning, identify any problematical issues regarding the organisation of the posts, and further develop them to ensure they meet trainees’ educational needs.

The funder was the West Midlands Deanery/SHA and the project ran from  July 2010 to February 2011. The principal investigator was Ian Davison.

Davison, I., Cooke, S. and Thomas, H. (2011) An evaluation of Public Health placements for General Practice specialty training.

Contact: Ian Davison

A feasibility and pilot trial to test the recruitment and retention of medical students in a randomised controlled trial of medical education (on-line simulation) and to investigate the promise of the intervention

A pilot feasibility randomised controlled trial of a web-based educational intervention in undergraduate medical education. Ian Davison was the trial co-ordinator of this study in the Medical School which was designed to see if such trials were feasible. Although participation in the trial was a little low, embedding the outcome statements within the end of year exam was a success and useful lessons have been learnt for future trials.

The principal investiator was Sharon Buckley and the named researchers were Jamie Coleman, Ian Davison, David Morely and Carole Torgerson.

Contact: Ian Davison

Dentists' appraisal: a pilot implementation study

Funded by NHS West Midlands Workforce Deanery for £47k over one year, the purpose of this study was to develop and test an appraisal system for general dental practitioners in the West Midlands. The study was focussed in the Telford area. A sample of dentists were trained in appraisal, the appraisal implementation process was followed, and the pilot was then evaluated using diaries, document analysis, surveys and interviews. The study also drew on the views of appraisers and those appraised.

pdficonsmallDownload the research report (PDF 693KB, opens new window)  

Transition from Undergraduate to Practitioner: are dental graduates fit for purpose?

Funded for £48k by Birmingham & The Black Country Strategic Health Authority this project ran from 2008 - 2011. The study is investigated how well prepared dental graduates were for work in NHS dentistry. This was a longitudinal design focused on West Midlands VT trainees in 2008. 

A New Foundation Programme for Dental Therapists: Educational Evaluation

Funding was provided from the West Midlands Strategic Health Authority (SHA) to deliver a one-year pilot foundation programme for dental therapists. The new pilot foundation programme was led by the dental division of the West Midlands Workforce Deanery and launched in 2009.

The purpose of the pilot was to test out and evaluate the core components of a foundation year, the purpose of which is to develop and expand dental therapists’ clinical and personal skills within an NHS dental practice during their first year after graduation. This research tested out the educational components of the proposed foundation programme.

An Evaluation of the NHS Education South Central Developing Dental Educator Course

The Developing Dental Education Course was launched in August 2008. It aims to build the capacity of dental educators by providing experienced and new trainers in dental education with a foundation of knowledge and skills in some of the core areas detailed in the Guidelines for Dental Educators (COPDEND, 2008). It is a four day course, running over a 6 - 8 week period, rather than a one-off, or two-session course. By 2010, nine Developing Dental Educator Courses had been delivered (two of these were specifically for dental care professionals, which is a tailor made two-day course), and more than 150 participants had attended the courses and a further course was scheduled.

To determine the future funding and development of such a programme, however, it is important and timely to critically reflect on its content, format and impact: how is the programme received by its participants and what is its impact on their dental educator role? Do they feel motivated and/or prepared for further study such as a CertMedEd or PGDip MedEd. This evaluation study provided a formative evaluation of this programme, drawing together evidence for example, of attendance rates, immediate feedback from participants, as well as later, more ‘medium-term’, reflections from those who have taken part in the course.

A comprehensive evaluation is central to ensuring this course is ‘fit for purpose’ and that it meets the learning needs of those in a range of dental educator roles.