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I read this article with interest and was pleased by the emphasis
given to Medical Education in this journal(1, 2). There is necessity for
more literature on Medical Education in frontline journals like this.
Reading the RCPCH document for Level 2 competency for Core Highest
Specialist Training in Paediatrics(3), I was disappointed that Best
Evidence Medical Education (BEME)was not included.
It is nece...
It is necessary to move from opinion-based education to evidence-
based education. Since its introduction, the implementation of BEME has
been slow due to lack of awareness. We hardly read literature on
education, or more appropriately, are not even aware that such literature
Whereas it was once assumed that a competent basic or clinical
scientist would naturally be an effective teacher, it is now acknowledged
that preparation for teaching is essential. In a review of this topic,
authors conclude that the very nature of being professional in today's
social and fiscal context demands that medical educators provide evidence
of effectiveness and efficiency of their programs(5).
Fortunately we live in a time where ubiquitous acceptance of Evidence
Based Medicine (EBM) has made the concept of Evidence- based practise
irrefutable. All that is needed now is to lead Trainees into applying the
equivalent principles of seeking evidence and implementing appropriate
change based on the best available evidence to engender the thought
process of Evidence –based education.
Specialist Trainee curriculum should therefore encompass guidance on
how BEME can be applied. This may include:
1.encouraging reflection on teaching methods allowing the trainees to
identify the gaps in their teaching practice
2.encouragement to seek feedback from students and the opportunity to
discuss the feedback with experienced teachers to decide on the required
strategy for improvement
3.facilitating the process by providing information about database
such as the Campbell Collaboration (www.campbell.gse.upenn.edu) and Best
Evidence Medical Education collaboration (www.bemecollaboration.org)
These are suggestions for creating a paradigm shift to encourage
young doctors to look at teaching activities in the light of exsisting
best evidence. Emphasis given to Medical Education in high impact journals
will aid in achieving this goal.
1.McGraw ME. Delivery of the paediatric curriculum of the Royal College of
Paediatrics and Child Health (RCPCH). Arch Dis Child2009;94(4):254-7.
2.Bindal T, Wall D, Goodyear HM. Specialist registrars’ views on their
teaching role. Arch Dis Child2009;94(4):311-3.
3.A Framework for Competences for Level 2 Training in Paediatrics, 2005
Royal College of Paediatrics and Child Health
4.BEME Guide No. 1: Best Evidence Medical Education. Medical Teacher, 1999
;21 (6): 553 – 562
5.Dauphinee WD, Wood-Dauphinee S.The need for evidence in medical
education: the development of best evidence medical education as an
opportunity to inform, guide, and sustain medical education research. Acad