Skip to main content
Quality in Health Care : QHC logoLink to Quality in Health Care : QHC
. 2001 Dec;10(Suppl 2):ii38–ii45. doi: 10.1136/qhc.0100038..

Educational outcomes and leadership to meet the needs of modern health care

J Spencer, R Jordan
PMCID: PMC1765757  PMID: 11700378

Abstract

If professionals are to be equipped better to meet the needs of modern health care systems and the standards of practice required, significant educational change is still required. Educational change requires leadership, and lack of educational leadership may have impeded change in the past. In practical terms standards refer to outcomes, and thus an outcome based approach to clinical education is advocated as the one most likely to provide an appropriate framework for organisational and system change. The provision of explicit statements of learning intent, an educational process enabling acquisition and demonstration of these, and criteria for ensuring their achievement are the key features of such a framework. The derivation of an appropriate outcome set should emphasise what the learners will be able to do following the learning experience, how they will subsequently approach these tasks, and what, as a professional, they will bring to their practice. Once defined, the learning outcomes should determine, in turn, the nature of the learning experience enabling their achievement and the assessment processes to certify that they have been met. Provision of the necessary educational environment requires an understanding of the close interrelationship between learning style, learning theory, and methods whereby active and deep learning may be fostered. If desired change is to prevail, a conducive educational culture which values learning as well as evaluation, review, and enhancement must be engendered. It is the responsibility of all who teach to foster such an environment and culture, for all practitioners involved in health care have a leadership role in education.

Quality in Health Care(Quality in Health Care 2001;10(Suppl II):ii38–ii45)

Key Words: leadership; learning; outcome based education

Full Text

The Full Text of this article is available as a PDF (140.8 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berwick D. M. A primer on leading the improvement of systems. BMJ. 1996 Mar 9;312(7031):619–622. doi: 10.1136/bmj.312.7031.619. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bordage G., Foley R., Goldyn S. Skills and attributes of directors of educational programmes. Med Educ. 2000 Mar;34(3):206–210. doi: 10.1046/j.1365-2923.2000.00425.x. [DOI] [PubMed] [Google Scholar]
  3. Chastonay P., Brenner E., Peel S., Guilbert F. F. The need for more efficacy and relevance in medical education. Med Educ. 1996 Jul;30(4):235–238. doi: 10.1111/j.1365-2923.1996.tb00823.x. [DOI] [PubMed] [Google Scholar]
  4. Davies H. T., Nutley S. M. Developing learning organisations in the new NHS. BMJ. 2000 Apr 8;320(7240):998–1001. doi: 10.1136/bmj.320.7240.998. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Davis D. A., Thomson M. A., Oxman A. D., Haynes R. B. Evidence for the effectiveness of CME. A review of 50 randomized controlled trials. JAMA. 1992 Sep 2;268(9):1111–1117. [PubMed] [Google Scholar]
  6. Encouraging educational leadership. Med Educ. 2000 Mar;34(3):199–200. doi: 10.1046/j.1365-2923.2000.0652a.x. [DOI] [PubMed] [Google Scholar]
  7. Eraut M. Do continuing professional development models promote one-dimensional learning? Med Educ. 2001 Jan;35(1):8–11. doi: 10.1046/j.1365-2923.2001.00851.x. [DOI] [PubMed] [Google Scholar]
  8. Finucane P. M., Johnson S. M., Prideaux D. J. Problem-based learning: its rationale and efficacy. Med J Aust. 1998 May 4;168(9):445–448. doi: 10.5694/j.1326-5377.1998.tb139025.x. [DOI] [PubMed] [Google Scholar]
  9. Firth-Cozens J., Mowbray D. Leadership and the quality of care. Qual Health Care. 2001 Dec;10 (Suppl 2):ii3–ii7. doi: 10.1136/qhc.0100003... [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hesketh E. A., Bagnall G., Buckley E. G., Friedman M., Goodall E., Harden R. M., Laidlaw J. M., Leighton-Beck L., McKinlay P., Newton R. A framework for developing excellence as a clinical educator. Med Educ. 2001 Jun;35(6):555–564. doi: 10.1046/j.1365-2923.2001.00920.x. [DOI] [PubMed] [Google Scholar]
  11. Leadership in academic institutions: raising the value of teaching. Med Educ. 2000 Mar;34(3):201–202. doi: 10.1046/j.1365-2923.2000.0651a.x. [DOI] [PubMed] [Google Scholar]
  12. Norman G. R. The adult learner: a mythical species. Acad Med. 1999 Aug;74(8):886–889. doi: 10.1097/00001888-199908000-00011. [DOI] [PubMed] [Google Scholar]
  13. Nowicki C. R. 21 predictions for the future of hospital staff development. J Contin Educ Nurs. 1996 Nov-Dec;27(6):259–266. doi: 10.3928/0022-0124-19961101-06. [DOI] [PubMed] [Google Scholar]
  14. Oxman A. D., Thomson M. A., Davis D. A., Haynes R. B. No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. CMAJ. 1995 Nov 15;153(10):1423–1431. [PMC free article] [PubMed] [Google Scholar]
  15. Parkhurst P. E. Criticisms of a report on teaching with interactive videodiscs. Acad Med. 1992 Oct;67(10):657–658. doi: 10.1097/00001888-199210000-00008. [DOI] [PubMed] [Google Scholar]
  16. Rolfe I., McPherson J. Formative assessment: how am I doing? Lancet. 1995 Apr 1;345(8953):837–839. doi: 10.1016/s0140-6736(95)92968-1. [DOI] [PubMed] [Google Scholar]
  17. Sackett D. L., Rosenberg W. M., Gray J. A., Haynes R. B., Richardson W. S. Evidence based medicine: what it is and what it isn't. BMJ. 1996 Jan 13;312(7023):71–72. doi: 10.1136/bmj.312.7023.71. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Scally G., Donaldson L. J. The NHS's 50 anniversary. Clinical governance and the drive for quality improvement in the new NHS in England. BMJ. 1998 Jul 4;317(7150):61–65. doi: 10.1136/bmj.317.7150.61. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Southgate L., Pringle M. Revalidation in the United Kingdom: general principles based on experience in general practice. BMJ. 1999 Oct 30;319(7218):1180–1183. doi: 10.1136/bmj.319.7218.1180. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Stanton F., Grant J. Approaches to experiential learning, course delivery and validation in medicine. A background document. Med Educ. 1999 Apr;33(4):282–297. doi: 10.1046/j.1365-2923.1999.00272.x. [DOI] [PubMed] [Google Scholar]
  21. United States: treatment of severely handicapped infants. Lancet. 1983 Oct 22;2(8356):960–961. [PubMed] [Google Scholar]

Articles from Quality in Health Care : QHC are provided here courtesy of BMJ Publishing Group

RESOURCES