
A Medical Educator's Guide to Thinking Critically about Randomised Controlled Trials
Deconstructing the "Gold Standard"
By: Margaret MacDougall (Editor)
Hardcover | 6 July 2024
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Drawing on the statistical and philosophical expertise of its authors, this book is designed to improve understanding and use of randomised controlled trials (RCTs) among medical and other health professionals.
Its primary aims are:
- To provide a comprehensive and honest consideration of the strengths and limitations of RCTs and thus a balanced representation of their role in clinical research;
- Correspondingly, with the support of topical examples, to highlight potential areas of weakness in the design, conduct and statistical reporting of RCTs;
and
- In turn, to inspire and equip educators to train their students to take a more critical approach to individual RCTs as a source of evidence for clinical effectiveness, without skipping the statistical elements.
Rather than compete with the proliferating methodological literature on RCT designs, this book focuses on cultivating a healthy skepticism among developing health professionals in their critical appraisal of their own and published work on RCTs at a fundamental level with a view to safeguarding the healthcare of future patients. It also encourages making better use of RCTs, including through a more informed understanding of the place of subgroup analyses in sound statistical inference.
Medical educators will find a wealth of reasons to encourage their students to think more critically about how the RCT operates in practice as a gold standard while following its development from a primitive form in Lind's 1747 experiment to its distinguished place in contemporary clinical research. Management of the positive predictive value in the statistical analysis of RCT findings is included as an important topic for contemporary medical curricula. In comparing RCTs with non-randomised studies, a search for empirical evidence for the superiority of RCTs is also initiated, pointing to the need for further work to confirm what form this evidence should take.
Each chapter offers key learning points as signposting to support educators in the design of their future learning content.
ISBN: 9783031258589
ISBN-10: 3031258584
Published: 6th July 2024
Format: Hardcover
Language: English
Number of Pages: 202
Audience: Professional and Scholarly
Publisher: Springer Nature B.V.
Country of Publication: CH
Dimensions (cm): 23.39 x 15.6 x 1.27
Weight (kg): 0.46
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This product is categorised by
- Non-FictionMathematicsProbability & Statistics
- Non-FictionScienceBiology, Life SciencesLife Sciences in GeneralBio-Ethics
- Non-FictionComputing & I.T.Databases
- Non-FictionMedicineMedicine in GeneralPublic Health & Preventive MedicineEpidemiology & Medical Statistics
- Non-FictionPhilosophyEthics & Moral Philosophy
- Non-FictionMedicineMedicine in GeneralMedical Equipment & TechniquesMedical ResearchClinical Trials
- Non-FictionMedicineMedicine in GeneralMedical ProfessionMedical Ethics & Professional Conduct