Bridging the Chasm: Challenges, Opportunities, and Resources for Integrating a Dissemination and Implementation Science Curriculum into Medical Education
Background: Physicians are charged with implementing evidence-based medicine, yet few are trained in the science of Dissemination and Implementation (D&I). In view of the potential of evidence-based training in D&I to help close the gap between research and practice, the goal of this review...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2018-04-01
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| Series: | Journal of Medical Education and Curricular Development |
| Online Access: | https://doi.org/10.1177/2382120518761875 |
| _version_ | 1818205221162057728 |
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| author | Tamar Ginossar Carolyn J Heckman Deborah Cragun Lisa M Quintiliani Enola K Proctor David A Chambers Ted Skolarus Ross C Brownson |
| author_facet | Tamar Ginossar Carolyn J Heckman Deborah Cragun Lisa M Quintiliani Enola K Proctor David A Chambers Ted Skolarus Ross C Brownson |
| author_sort | Tamar Ginossar |
| collection | DOAJ |
| description | Background: Physicians are charged with implementing evidence-based medicine, yet few are trained in the science of Dissemination and Implementation (D&I). In view of the potential of evidence-based training in D&I to help close the gap between research and practice, the goal of this review is to examine the importance of D&I training in medical education, describe challenges to implementing such training, and provide strategies and resources for building D&I capacity. Methods: We conducted (1) a systematic review to identify US-based D&I training efforts and (2) a critical review of additional literature to inform our evaluation of the challenges and opportunities of integrating D&I training in medical education. Results: Out of 269 unique articles reviewed, 11 described US-based D&I training. Although vibrant and diverse training opportunities exist, their capacity is limited, and they are not designed to meet physicians’ needs. Synthesis of relevant literature using a critical review approach identified challenges inherent to changing medical education, as well as challenges related to D&I science. Finally, selected strategies and resources are available for facilitating incorporation of D&I training into medical education and overcoming existing challenges. Conclusions: Integrating D&I training in the medical education curriculum, and particularly in residency and fellowship training, holds promise for bridging the chasm between scientific discoveries and improved patient care and outcomes. However, unique challenges should be addressed, including the need for greater evidence. |
| first_indexed | 2024-12-12T03:53:41Z |
| format | Article |
| id | doaj.art-23dfb0df8ed74b5c809583cb27612cdd |
| institution | Directory Open Access Journal |
| issn | 2382-1205 |
| language | English |
| last_indexed | 2024-12-12T03:53:41Z |
| publishDate | 2018-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Medical Education and Curricular Development |
| spelling | doaj.art-23dfb0df8ed74b5c809583cb27612cdd2022-12-22T00:39:19ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052018-04-01510.1177/2382120518761875Bridging the Chasm: Challenges, Opportunities, and Resources for Integrating a Dissemination and Implementation Science Curriculum into Medical EducationTamar Ginossar0Carolyn J Heckman1Deborah Cragun2Lisa M Quintiliani3Enola K Proctor4David A Chambers5Ted Skolarus6Ross C Brownson7Department of Communication & Journalism and the Comprehensive Cancer Center, The University of New Mexico, Albuquerque, NM, USACancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA, USADepartment of Global Health, College of Public Health, University of South Florida, Tampa, FL, USASchool of Medicine, Section of General Internal Medicine, Boston University, Boston, MA, USABrown School of Social Work, Washington University in St. Louis, St. Louis, MO, USADivision of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USASection Chief, Urology, VA Ann Arbor Healthcare System Associate Professor, Department of Urology, VA Ann Arbor HSR&D Center for Clinical Management Research.Division of Public Health Sciences and Alvin J. Siteman Cancer Center, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO, USABackground: Physicians are charged with implementing evidence-based medicine, yet few are trained in the science of Dissemination and Implementation (D&I). In view of the potential of evidence-based training in D&I to help close the gap between research and practice, the goal of this review is to examine the importance of D&I training in medical education, describe challenges to implementing such training, and provide strategies and resources for building D&I capacity. Methods: We conducted (1) a systematic review to identify US-based D&I training efforts and (2) a critical review of additional literature to inform our evaluation of the challenges and opportunities of integrating D&I training in medical education. Results: Out of 269 unique articles reviewed, 11 described US-based D&I training. Although vibrant and diverse training opportunities exist, their capacity is limited, and they are not designed to meet physicians’ needs. Synthesis of relevant literature using a critical review approach identified challenges inherent to changing medical education, as well as challenges related to D&I science. Finally, selected strategies and resources are available for facilitating incorporation of D&I training into medical education and overcoming existing challenges. Conclusions: Integrating D&I training in the medical education curriculum, and particularly in residency and fellowship training, holds promise for bridging the chasm between scientific discoveries and improved patient care and outcomes. However, unique challenges should be addressed, including the need for greater evidence.https://doi.org/10.1177/2382120518761875 |
| spellingShingle | Tamar Ginossar Carolyn J Heckman Deborah Cragun Lisa M Quintiliani Enola K Proctor David A Chambers Ted Skolarus Ross C Brownson Bridging the Chasm: Challenges, Opportunities, and Resources for Integrating a Dissemination and Implementation Science Curriculum into Medical Education Journal of Medical Education and Curricular Development |
| title | Bridging the Chasm: Challenges, Opportunities, and Resources for Integrating a Dissemination and Implementation Science Curriculum into Medical Education |
| title_full | Bridging the Chasm: Challenges, Opportunities, and Resources for Integrating a Dissemination and Implementation Science Curriculum into Medical Education |
| title_fullStr | Bridging the Chasm: Challenges, Opportunities, and Resources for Integrating a Dissemination and Implementation Science Curriculum into Medical Education |
| title_full_unstemmed | Bridging the Chasm: Challenges, Opportunities, and Resources for Integrating a Dissemination and Implementation Science Curriculum into Medical Education |
| title_short | Bridging the Chasm: Challenges, Opportunities, and Resources for Integrating a Dissemination and Implementation Science Curriculum into Medical Education |
| title_sort | bridging the chasm challenges opportunities and resources for integrating a dissemination and implementation science curriculum into medical education |
| url | https://doi.org/10.1177/2382120518761875 |
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