In this interview, we sit down with Greg Salinas, PhD; president of CE Outcomes, LLC and discuss nearly two decades of research and publications exploring the use of clinical vignettes as outcomes methods for CME/CE professionals.
A sneak peek at what we discussed is below the video.
What was the problem or question you set out to answer?
About a decade and a half or so ago, there was quite a bit of research linking the use of case vignettes to physician practice. Previous measures of performance were limited to tedious and expensive tasks like chart reviews or using standardized patients within an office. Validation of vignettes in this way allowed many researchers and institutions a path to measuring higher level outcomes, as previous methods were too expensive or time-consuming. But are we using cases appropriately? What does the original literature say?
What were the methods you applied to answer the question?
We quickly found that there was a plethora of research that had been published and research that was quite active. We began to focus on how the broader community might apply these lessons.
What did you learn? What do we know now that we didn't know before?
One of the big mistakes is the assumption that if there’s a case in a survey, it automatically measures performance outcomes. But there is some complexity here; for example, whether the clinical area matters? What about other healthcare provider types, like nurses or pharmacists? Besides outcomes, how are case vignettes being used? I think they’re great for setting context in needs assessments and even in behavioral research within a framework, like prediction of decision-making in a theory-based design. What about using multiple-choice versus open-ended response?
How do you think this could be applied in practice? Identify two-three actionable take-aways.
- Explore how cases were originally designed for practice measurement.
- Reflect on how cases are used today. Are we using them as originally intended and validated?
- How does one design a well-crafted case vignette?
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.