Evidence map›Paper›PMID 40829885›Full record

ArticleBMJ open quality2025

Transforming improvement training at scale with essential digital training skills.

Margaret Herbert, Iain M Smith, Cheryl Guest

Abstract read
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Margaret HerbertTransformation Directorate, NHS England, London, UK maggie.herbert@nhs.net.ORCID 0009-0006-6488-4337
Iain M SmithNewcastle University Business School, University of Newcastle upon Tyne, Newcastle upon Tyne, UK.ORCID 0000-0003-1138-2166
Cheryl GuestImprovement Directorate, NHS England Sustainable Improvement Team, Leeds, UK.ORCID 0009-0008-0991-7495

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternationally, healthcare systems are facing global issues due to rising costs and an ageing population. System-wide improvement is needed to help address these issues. Therefore, large-scale training of staff in improvement skills is required.An established method of training at scale is digitally delivered training, including Massive-Open-Online-Courses (MOOCs). Within the National Health Service in England, wide-scale variation exists in digital education and training standards. This study evaluates an education programme, known as MOOC School, that sought to address educational skills shortfalls by training subject matter experts and trainers in interactive, online learning techniques.

methodsThis evaluation assessed the MOOC School training programme's impact on participants' ability to design, develop and deliver online learning. A mixed-methods approach was used, with data collected from existing application and attendance records, surveys and interviews with volunteers who self-identified as having put the learning into practice. The study aimed to identify key success factors of a health educator digital upskilling programme.

resultsThe MOOC School programme ran seven formal cohorts over 3 years with 96 participants and 2 informal, coaching style cohorts with 14 participants the following year. The programme was well received with 97% rating the course as good or very good. MOOC School helped participants to reach over 30 000 enrolments through courses they created with their teams after undertaking the training, filling a significant gap. Participants reported gaining important skills and insights into the art of what is possible in delivering training in new ways.

conclusionsThe experience and plans of the participants support the need for more creative training practices and digitally literate health educators to deliver the training that is required. The findings of the evaluation highlight a way forward in defining the essential skills and knowledge needed to create high-quality digital learning at scale.

Indexed as

Education, DistanceQuality ImprovementEnglandHumansMaleProgram EvaluationState MedicineSurveys and QuestionnairesContinuous quality improvementEducationHealthcare quality improvementQuality improvementQuality improvement methodologies

Identifiers

PMID40829885
PMCPMC12366557

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.