4.5 Article

The applicability of generalisability and bias to health professions education's research

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MEDICAL EDUCATION
卷 55, 期 2, 页码 167-173

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WILEY
DOI: 10.1111/medu.14348

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The research in health professions education involves a diverse range of topics and domains, leading to a rich understanding of complex phenomena. Scholars should be aware of different approaches to studying and evaluating research rigour, particularly when dealing with constructs like generalisability and bias. It is important for researchers to critically examine their assumptions and align standards of rigour with the research they conduct and review in order to maintain diversity and quality in the field.
Context Research in health professions education (HPE) spans an array of topics and draws from a diversity of research domains , which brings richness to our understanding of complex phenomena and challenges us to appreciate different approaches to studying them. To fully appreciate and benefit from this diversity, scholars in HPE must be savvy to the hallmarks of rigour that differ across research approaches. In the absence of such recognition, the valuable contributions of many high-quality studies risk being undermined. Methods In this article, we delve into two constructs---generalisability and bias--that are commonly invoked in discussions of rigour in health professions education research. We inspect the meaning and applicability of these constructs to research conducted from different paradigms (i.e., positivist and constructivist) and orientations (i.e., objectivist and subjectivist) and then describe how scholars can demonstrate rigour when these constructs do not align with the assumptions underpinning their research. Conclusions A one-size-fits-all approach to evaluating the rigour of HPE research disadvantages some approaches and threatens to reduce the diversity of research in our field. Generalisability and bias are two examples of problematic constructs within paradigms that embrace subjectivity; others are equally problematic. As a way forward, we encourage HPE scholars to inspect their assumptions about the nature and purpose of research-both to defend research rigour in their own studies and to ensure they apply standards of rigour that align with research they read and review.

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