Medical Education Research: Lessons Learned in a Duty-Hour Flexibility Trial in Internal Medicine

Lecture by: Judy A. Shea, Ph.D.

This presentation involves a brief summary of the rationale, design and main results related to education for the Comparative Effectiveness of Models Optimizing Patient Safety and Resident Education Trail (iCOMPARE). The randomized trial involving 63 internal medicine residency programs provides lessons for medical educational researchers on multiple fronts including trial management, participation and incentives, and avenues for future work.

Objectives. By the end of this session audience members will be able to:

  1. Review and ponder the main trial results

  2. Discuss both anticipated and unanticipated lessons learned from a research perspective

  3. Ask “what was gained”?


Judy A. Shea, PhD . is a Professor in the Division of General Internal Medicine, Department of Medicine, University of Pennsylvania; Associate Dean of Medical Education Research and Director of the Office of Evaluation and Assessment in the Academic Programs Office, School of Medicine. She also co-directs the Masters of Science in Health Policy Research. She serves duels roles, working with faculty and fellows to design and evaluate research projects, and directing the evaluation of the medical school curriculum and faculty. Much of her work focuses on evaluating the psychometric properties of curriculum evaluation tools and developing measures to assess components of health such as health literacy, patient satisfaction and health-related quality of life. Majors themes to her work include assessment of medical education outcomes, health disparities and quality of life assessment.