Feeling Better: A Comparison of Medical Research and Education Research

The education research community sometimes invokes medical research as a model to which education ought to aspire. This article reviews some recent themes and developments in the medical field to provide a more informed basis for comparison. The use of randomized clinical trials in medical research, the role of evidence in medical practice, and the rhetorical strategies for conveying research information in medical journals are discussed. A notable observation is that physicians often participate in clinical research and—in that work, as well as in their routine professional practice—function as knowledge workers. Educators also engage in knowledge work, but their practice is not always regarded in that way. The comparisons between medical research and education research suggest that the two fields face many similar challenges.

[1]  Robyn Bluhm,et al.  From Hierarchy to Network: a richer view of evidence for evidence-based medicine , 2005, Perspectives in biology and medicine.

[2]  R. Horton,et al.  Sponsorship, authorship and accountability. , 2001, Lakartidningen.

[3]  J. Engel.  Finally, a randomized, controlled trial of epilepsy surgery. , 2001, The New England journal of medicine.

[4]  G. Glass.  Primary, Secondary, and Meta-Analysis of Research1 , 1976 .

[5]  J. Kassirer,et al.  Clinical research--what should the public believe? , 1994, The New England journal of medicine.

[6]  J. Talwalkar.  An evidence-based approach to studies in cirrhosis and portal hypertension: medical management of mild to moderate ascites. , 2003, Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association.

[7]  R. Slavin.  Education Research Can and Must Address “What Works” Questions , 2004 .

[8]  W. Chan,et al.  Unusual cytoplasmic body in lymphoid cells of homosexual men with unexplained lymphadenopathy. A preliminary report. , 1983, The New England journal of medicine.

[9]  D. Sackett,et al.  Evidence based medicine: what it is and what it isn't , 1996, BMJ.

[10]  J. Bigby.  Harrison's Principles of Internal Medicine , 1988 .

[11]  W T Blume,et al.  A randomized, controlled trial of surgery for temporal-lobe epilepsy. , 2001, The New England journal of medicine.

[12]  Evidence Based Medicine: editors' overview and introduction , 2005 .

[13]  W. Cefalu,et al.  The integral role of clinical research in clinical care. , 2003, The New England journal of medicine.

[14]  Xianglin L. Du,et al.  Discrepancy between Consensus Recommendations and Actual Community Use of Adjuvant Chemotherapy in Women with Breast Cancer , 2003, Annals of Internal Medicine.

[15]  M. Freeman,et al.  Charting a new course. , 2005, Nursing management.

[16]  D. Langenberg.  Teaching children to read: An evidence-based assessment of the scientific research literature on reading and its implications for reading instruction , 2000 .

[17]  J. Grossman,et al.  The Randomized Controlled Trial: gold standard, or merely standard? , 2005, Perspectives in biology and medicine.

[18]  Susan B. Gerber,et al.  The Enduring Effects of Small Classes. , 2001 .

[19]  D. Rosenstein,et al.  The therapeutic orientation to clinical trials. , 2003, The New England journal of medicine.

[20]  T. Cook.  Randomized Experiments in Education: Why Are They So Rare?. , 2002 .

[21]  R. Slavin.  Evidence-Based Education Policies: Transforming Educational Practice and Research , 2002 .

[22]  S. Timmermans.  From Autonomy to Accountability: the role of clinical practice guidelines in professional power , 2005, Perspectives in biology and medicine.

[23]  Charles Kooperberg,et al.  Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. , 2002, JAMA.

[24]  W. Ray,et al.  Population-based studies of adverse drug effects. , 2003, The New England journal of medicine.

[25]  R. Steinbrook.  Medical journals and medical reporting. , 2000, The New England journal of medicine.

[26]  S. Piantadosi.  Clinical Trials : A Methodologic Perspective , 2005 .

[27]  C. Lenfant.  Shattuck lecture--clinical research to clinical practice--lost in translation? , 2003, The New England journal of medicine.

[28]  T. Cook.  Randomized Experiments in Educational Policy Research: A Critical Examination of the Reasons the Educational Evaluation Community has Offered for not Doing Them , 2002 .

[29]  Y. Lincoln,et al.  Scientific Research in Education , 2004 .

[30]  Ross L Prentice,et al.  Combined postmenopausal hormone therapy and cardiovascular disease: toward resolving the discrepancy between observational studies and the Women's Health Initiative clinical trial. , 2005, American journal of epidemiology.

[31]  Y. Sagara,et al.  Clinical Trial , 1998, Statistical Methods for Biomedical Research.

[32]  G. Glass.  9: Integrating Findings: The Meta-Analysis of Research , 1977 .