The challenge of conducting qualitative research to understand the factors that influence equity in medical education: A scoping review

Introduction There are national and international concerns about equity in basic and postgraduate medical education, especially about differential rates of access and attainment across groups of learners. Qualitative research has been increasingly used to understand the factors that influence equ...

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Main Authors: John Sandars, Jeremy Brown, Chidiebere Nwolise, Mumtaz Patel, Nisha Dogra, Axel Kaehne, Jayne Garner, Simon Watmough, Michelle Maden, Vicky Duckworth
Format: Article
Language:English
Published: F1000 Research Ltd 2020-04-01
Series:MedEdPublish
Subjects:
Online Access:https://www.mededpublish.org/Manuscripts/2970
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author John Sandars
Jeremy Brown
Chidiebere Nwolise
Mumtaz Patel
Nisha Dogra
Axel Kaehne
Jayne Garner
Simon Watmough
Michelle Maden
Vicky Duckworth
author_facet John Sandars
Jeremy Brown
Chidiebere Nwolise
Mumtaz Patel
Nisha Dogra
Axel Kaehne
Jayne Garner
Simon Watmough
Michelle Maden
Vicky Duckworth
author_sort John Sandars
collection DOAJ
description Introduction There are national and international concerns about equity in basic and postgraduate medical education, especially about differential rates of access and attainment across groups of learners. Qualitative research has been increasingly used to understand the factors that influence equity but there are potential limitations to this understanding related to how the research has been conducted. The aim of the scoping review was to identify how qualitative research exploring the factors that influence equity in basic and postgraduate medical education has been conducted. The intention was to inform future research. Methods The electronic databases British Education Index, Campbell Library, CINAHL, Cochrane Library, EMBASE, ERIC, Google Scholar, Health Management Information Consortium (HMIC), MEDLINE, PsycINFO, Web of Science and medical education journals were searched to identify relevant published articles between 2008 and April 2019. Results Among 19,523 articles identified from the literature search, 72 full text articles were included in the review. Most studies had a focus on only one background characteristic and only two studies had a strengths-based focus on individuals. Recommendations for change was at the 'policy level' in ten studies and four studies had learner recommendations for change. No studies with a participatory approach were identified. Conclusion The approach to conducting previous qualitative research appears to limit greater understanding of the complexity of factors that influence equity. In response to this challenge, we recommend that future research widen the focus to consider the experiences and strengths of individual learners in addition to those identified by background characteristics. Future qualitative research is recommended to have a broad focus on both the 'policy level' and 'local level', especially from multiple perspectives. We also recommend greater collaboration of participants with researchers throughout the research process.
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spelling doaj.art-dde5b22fe6dd4bb987ff0679ae4e76562022-12-21T23:35:46ZengF1000 Research LtdMedEdPublish2312-79962020-04-0191The challenge of conducting qualitative research to understand the factors that influence equity in medical education: A scoping reviewJohn Sandars0Jeremy Brown1Chidiebere Nwolise 2Mumtaz Patel3Nisha Dogra4Axel Kaehne5Jayne Garner6Simon Watmough7Michelle Maden8Vicky Duckworth9Edge Hill UniversityEdge Hill UniversityUniversity of OxfordHealth Education England North WestUniversity of LeicesterEdge Hill UniversityEdge Hill UniversityEdge Hill UniversityEdge Hill UniversityEdge Hill UniversityIntroduction There are national and international concerns about equity in basic and postgraduate medical education, especially about differential rates of access and attainment across groups of learners. Qualitative research has been increasingly used to understand the factors that influence equity but there are potential limitations to this understanding related to how the research has been conducted. The aim of the scoping review was to identify how qualitative research exploring the factors that influence equity in basic and postgraduate medical education has been conducted. The intention was to inform future research. Methods The electronic databases British Education Index, Campbell Library, CINAHL, Cochrane Library, EMBASE, ERIC, Google Scholar, Health Management Information Consortium (HMIC), MEDLINE, PsycINFO, Web of Science and medical education journals were searched to identify relevant published articles between 2008 and April 2019. Results Among 19,523 articles identified from the literature search, 72 full text articles were included in the review. Most studies had a focus on only one background characteristic and only two studies had a strengths-based focus on individuals. Recommendations for change was at the 'policy level' in ten studies and four studies had learner recommendations for change. No studies with a participatory approach were identified. Conclusion The approach to conducting previous qualitative research appears to limit greater understanding of the complexity of factors that influence equity. In response to this challenge, we recommend that future research widen the focus to consider the experiences and strengths of individual learners in addition to those identified by background characteristics. Future qualitative research is recommended to have a broad focus on both the 'policy level' and 'local level', especially from multiple perspectives. We also recommend greater collaboration of participants with researchers throughout the research process.https://www.mededpublish.org/Manuscripts/2970equitybasic medical educationpostgraduate medical educationqualitative research.
spellingShingle John Sandars
Jeremy Brown
Chidiebere Nwolise
Mumtaz Patel
Nisha Dogra
Axel Kaehne
Jayne Garner
Simon Watmough
Michelle Maden
Vicky Duckworth
The challenge of conducting qualitative research to understand the factors that influence equity in medical education: A scoping review
MedEdPublish
equity
basic medical education
postgraduate medical education
qualitative research.
title The challenge of conducting qualitative research to understand the factors that influence equity in medical education: A scoping review
title_full The challenge of conducting qualitative research to understand the factors that influence equity in medical education: A scoping review
title_fullStr The challenge of conducting qualitative research to understand the factors that influence equity in medical education: A scoping review
title_full_unstemmed The challenge of conducting qualitative research to understand the factors that influence equity in medical education: A scoping review
title_short The challenge of conducting qualitative research to understand the factors that influence equity in medical education: A scoping review
title_sort challenge of conducting qualitative research to understand the factors that influence equity in medical education a scoping review
topic equity
basic medical education
postgraduate medical education
qualitative research.
url https://www.mededpublish.org/Manuscripts/2970
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