Research to Actions Interview With John Ratelle, MD

In this interview, I sit down with Dr. John Ratelle, assistant professor of Medicine, consultant, Division of Hospital Internal Medicine at the Mayo Clinic. We will discuss his 2017 JCEHP publication, “Relationships Between Reflection and Behavior Change in CME.”

As with each interview, in our discussion we explored our four basics research to actions questions and hope to help the community find some actionable lessons from Dr. Ratelle’s recent research.

Here is a quick summary of what Dr. Ratelle shared:

  1. What was the problem or question you set out to answer?
    • We wanted to explore the relationship between learner reflection during conference-based CME and subsequent practice change following the CME activity.
  2. What were the methods you applied to answer the question?
    • We conducted an observational study of participants and presentations at a large CME conference.
    • We measured participant reflection following each conference presentation along with participant commitment-to-change (CTC, as a measure of practice change) at the conclusion of the conference and at three months after the conference.
    • We measured the relationships between presentation reflection scores and participant CTC.
  3. What did you learn?
    • There was a strong correlation between presentation reflection scores (i.e., how much the presentation caused learners to reflect) and participant CTC (both immediately after the conference, and at three months).
    • Additionally, presentations incorporating audience response and clinical cases had higher reflection scores.
  4. How do you think this could be applied in practice?
    • Learner reflection is a useful metric to measure the success of a presentation in conference-based CME.
    • Presentations should incorporate clinical causes and audience response systems to stimulate learner reflection and CTC.
    • Future research should focus on designing interventions to further promote reflection among CME participants.

If you learned something with this episode, please share the lessons and share the link with your colleagues. The Almanac is now fully open access, meaning everyone in your organization or professional social network can benefit.

Please feel free to reach out if you have suggestions on folks you’d like to see us interview. Or, maybe there are published articles you would like to see deconstructed or simplified. You can contact me through LinkedIn or Twitter at @briansmcgowan.

Keep in mind that with every educational program we build, there are a thousand opportunities to ask a research question. And, with every research article that is published, there are dozens of lessons to learn. You don’t have to be a research scientist to build great training experiences, but you do need to embrace what the literature says and move past the status quo.

Thanks for joining us and until next time, never stop learning.

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