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Researching in Surgical Education: An Orientation

  • Rola AjjawiEmail author
  • Craig McIlhenny
Chapter
Part of the Innovation and Change in Professional Education book series (ICPE, volume 17)

Overview

This chapter provides an orientation to research approaches in surgical education. Education research seeks to deepen the knowledge and understanding of learning and pedagogy. We start with highlighting common research paradigms. Beliefs about knowledge and reality influence research questions and design, and so it is important to be aware of these and to actively consider these assumptions in the research design process. We then outline the link between conceptual frameworks and research questions. A brief audit of published surgical education research highlights that most of the research in this field is quantitative in nature, single site and atheoretical. We conclude with a discussion of the challenges and opportunities for surgical education research. Surgical education offers a rich and exciting setting for conducting education research. We urge surgical education researchers to go beyond their comfort zones, to use theory and to consider alternative research paradigms.

Keywords

Surgical education research Research paradigm Trends Conceptual framework Quality 

References

  1. 1.
    Isaac, S., & Michael, W. B. (1997). Handbook in research and evaluation: For education and the behavioral sciences (3rd ed.). San Diego: EdITS.Google Scholar
  2. 2.
    Ringsted, C., Hodges, B., & Scherpbier, A. (2011). ‘The research compass’: An introduction to research in medical education: AMEE Guide No. 56. Medical Teacher, 33(9), 695–709.Google Scholar
  3. 3.
    Carter, S. M., & Little, M. (2007). Justifying knowledge, justifying method, taking action: Epistemologies, methodologies, and methods in qualitative research. Qualitative Health Research, 17(10), 1316–1328.Google Scholar
  4. 4.
    Bunniss, S., & Kelly, D. R. (2010). Research paradigms in medical education research. Medical Education, 44(4), 358–366.Google Scholar
  5. 5.
    Guba, E. G., & Lincoln, Y. S. (1994). Competing paradigms in qualitative research. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (pp. 105–117). Thousand Oaks: Sage.Google Scholar
  6. 6.
    Lincoln, Y. S., Lynham, S. A., & Guba, E. G. (2011). Paradigmatic controversies, contradictions, and emerging confluences, revisited. In N. K. Denzin & Y. S. Lincoln (Eds.), The SAGE handbook of qualitative research (4th ed., pp. 97–128). Thousand Oaks: SAGE Publications.Google Scholar
  7. 7.
    van Manen, M. (1997). Researching lived experience: Human science for an action sensitive pedagogy (2nd ed.). Ontario: The Althouse Press.Google Scholar
  8. 8.
    Crotty, M. (1998). The foundations of social research: Meaning and perspective in the research process. Sydney: Allen & Unwin.Google Scholar
  9. 9.
    Cook, J. A. (2009). The challenges faced in the design, conduct and analysis of surgical randomised controlled trials. Trials, 10(1), 1–9.Google Scholar
  10. 10.
    Schifferdecker, K. E., & Reed, V. A. (2009). Using mixed methods research in medical education: Basic guidelines for researchers. Medical Education, 43(7), 637–644.Google Scholar
  11. 11.
    Maudsley, G. (2011). Mixing it but not mixed-up: Mixed methods research in medical education (a critical narrative review). Medical Teacher, 33(2), e92–e104.Google Scholar
  12. 12.
    Morgan, D. L. (2014). Integrating qualitative and quantitative methods: A pragmatic approach. Thousand Oaks: SAGE Publications.Google Scholar
  13. 13.
    Tai, J., & Ajjawi, R. (2016). Undertaking and reporting qualitative research. The Clinical Teacher, 13(3), 175–182.Google Scholar
  14. 14.
    O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine, 89(9), 1245–1251.Google Scholar
  15. 15.
    Lingard, L. (2015). Joining a conversation: The problem/gap/hook heuristic. Perspectives on Medical Education, 4(5), 252–253.Google Scholar
  16. 16.
    Bordage, G. (2009). Conceptual frameworks to illuminate and magnify. Medical Education, 43(4), 312–319.Google Scholar
  17. 17.
    Monrouxe, L. V., & Rees, C. E. (2009). Picking up the gauntlet: Constructing medical education as a social science. Medical Education, 43(3), 196–198.Google Scholar
  18. 18.
    Derossis, A. M., DaRosa, D. A., Dutta, S., & Dunnington, G. L. (2000). A ten-year analysis of surgical education research. The American Journal of Surgery, 180(1), 58–61.Google Scholar
  19. 19.
    Toumi, Z., & Lightbody, K. (2011). Systematic review of postgraduate surgical education in the last two decades. Webmed Central Surgery, 2(5), WMC001941.Google Scholar
  20. 20.
    Reed, D. A., Beckman, T. J., & Wright, S. M. (2009). An assessment of the methodologic quality of medical education research studies published in The American Journal of Surgery. The American Journal of Surgery, 198(3), 442–444.Google Scholar
  21. 21.
    Matthews, A. H., Abdelrahman, T., Powell, A. G. M. T., & Lewis, W. G. (2016). Surgical education’s 100 most cited articles: A bibliometric analysis. Journal of Surgical Education, 73, 919–929.Google Scholar
  22. 22.
    Stefanidis, D., Cochran, A., Sevdalis, N., Mellinger, J., Phitayakorn, R., Sullivan, M., et al. (2015). Research priorities for multi-institutional collaborative research in surgical education. The American Journal of Surgery, 209(1), 52–58.Google Scholar
  23. 23.
    Dutta, S., & Dunnington, G. L. (2000). Factors contributing to success in surgical education research. The American Journal of Surgery, 179(3), 247–249.Google Scholar
  24. 24.
    Cook, D. A., Bordage, G., & Schmidt, H. G. (2008). Description, justification and clarification: A framework for classifying the purposes of research in medical education. Medical Education, 42(2), 128–133.Google Scholar
  25. 25.
    Shea, J. A., Arnold, L., & Mann, K. V. (2004). A RIME perspective on the quality and relevance of current and future medical education research. Academic Medicine, 79(10), 931–938.Google Scholar
  26. 26.
    Norman, G. (2014). Data dredging, salami-slicing, and other successful strategies to ensure rejection: Twelve tips on how to not get your paper published. Advances in Health Sciences Education, 19(1), 1–5.Google Scholar
  27. 27.
    Eva, K. W., & Regehr, G. (2005). Self-assessment in the health professions: A reformulation and research agenda. Academic Medicine, 80(10), S46–S54.Google Scholar
  28. 28.
    Wong, G., Greenhalgh, T., Westhorp, G., & Pawson, R. (2012). Realist methods in medical education research: What are they and what can they contribute? Medical Education, 46, 89–96.Google Scholar
  29. 29.
    Reznick, R. K., & MacRae, H. (2006). Teaching surgical skills—changes in the wind. New England Journal of Medicine, 355(25), 2664–2669.Google Scholar
  30. 30.
    Sachdeva, A. K., Blair, P. G., & Lupi, L. K. (2016). Education and training to address specific needs during the career progression of surgeons. Surgical Clinics of North America, 96(1), 115–128.Google Scholar
  31. 31.
    Regehr, G. (2010). It’s NOT rocket science: Rethinking our metaphors for research in health professions education. Medical Education, 44(1), 31–39.Google Scholar
  32. 32.
    Aggarwal, R. (2015). Surgical education research: An IDEAL proposition. Annals of Surgery, 261(2), e55–ee6.Google Scholar
  33. 33.
    Cook, D. A., & West, C. P. (2013). Perspective: Reconsidering the focus on “Outcomes Research” in medical education: A cautionary note. Academic Medicine, 88(2), 162–167.Google Scholar
  34. 34.
    Gawande, A. A. (2001). Creating the educated surgeon in the 21st century. The American Journal of Surgery, 181(6), 551–556.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Centre for Research in Assessment and Digital Learning (CRADLE)Deakin UniversityMelbourneAustralia
  2. 2.Scottish Centre for Simulation and Clinical Human FactorsLarbertUK
  3. 3.Royal College of Surgeons of EdinburghEdinburghUK

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