Context Methodological shortcomings in medical education research are often attributed to insufficient funding, yet an association between funding and study quality has not been established.Objectives To develop and evaluate an instrument for measuring the quality of education research studies and to assess the relationship between funding and study quality.Design, Setting, and Participants Internal consistency, interrater and intrarater reliability, and criterion validity were determined for a 10-item medical education research study quality instrument (MERSQI). This was applied to 210 medical education research studies published in 13 peer-reviewed journals between September 1, 2002, and December 31, 2003. The amount of funding obtained per study and the publication record of the first author were determined by survey.
Main Outcome MeasuresStudy quality as measured by the MERSQI (potential maximum total score, 18; maximum domain score, 3), amount of funding per study, and previous publications by the first author.
ResultsThe mean MERSQI score was 9.95 (SD, 2.34; range,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Mean domain scores were highest for data analysis (2.58) and lowest for validity (0.69). Intraclass correlation coefficient ranges for interrater and intrarater reliability were 0.72 to 0.98 and 0.78 to 0.998, respectively. Total MERSQI scores were associated with expert quality ratings (Spearman , 0.73; 95% confidence interval [CI], 0.56-0.84; PϽ.
In a large, diverse, community-based population of primary care patients, 1 of every 20 women had experienced domestic violence in the previous year; 1 of every 5 had experienced violence in their adult life; and 1 of every 3 had experienced violence as either a child or an adult. Current domestic violence is associated with single or separated status, socioeconomic status, substance abuse, specific psychological symptoms, specific physical symptoms, and the total number of physical symptoms.
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