A broken paradigm? What education needs to learn from evidence-based medicine

ABSTRACT

The paradigm of evidence-based education continues to inform the development of policy in a number of countries. At its simplest level, evidence-based education incorporates evidence, often that provided by randomised controlled trials, into classroom practice. England’s Education Endowment Foundation is in the process of exporting evidence-based school education, promoted as a medical approach, to other countries, including Australia. Australia is in the process of establishing an Education Evidence Base, informed by the government’s 2016 Productivity Commission report. While the literature around evidence-based education is explicit in identifying its basis in medicine, there has been little medical input into its development. Interdisciplinary examination of the medical literature reveals the contested nature and troubled state of evidence-based medicine and what policymakers need to consider to maximise the benefits of this translation into education.

KEYWORDS:

• Evidence-based education
• epistemology
• feminism
• diversity
• medicine

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Notes on contributors

Lucinda McKnight

Dr Lucinda McKnight is a pre-service teacher educator and senior lecturer in pedagogy and curriculum at Deakin University, Melbourne. She is also a qualified health and fitness professional. She has a published track record of research in the use of scientific metaphor in education.

Andy Morgan

Dr Andy Morgan is a British Australian medical doctor and senior lecturer in general practice at Monash University, Melbourne. He has an MA in Clinical Education from the Institute of Education, UCL, London. His research interests are in consultation skills and patient-centred care. He is a former fellow of the Royal College of General Practitioners, and current fellow of the Australian Royal College of General Practitioners.