Bench, Bedside, Curbside, and Home: Translational Research to Include Transformative Change Using Educational Research

摘要

Translational research originated in the medical field during the 1990s to describe taking discovery based research through the steps of applying it to clinical research and patient-oriented care. This model is implicitly linear, depicting the flow of information from researchers’ bench, to a clinical trial bedside, to a primary care physician’s practice. The prevailing model of translational research, referred to as “Bench to Bedside to Curbside,” is limited in that it does not adequately incorporate stakeholders outside of the professional or research community because Curbside refers to physician care delivered to patients. This omits the transformative impact that research can have on the general populace if implemented through educational research, disseminating knowledge to people who can use it. In this article we argue that a fourth category needs to be incorporated into the previous T1-T3 Bench to Bedside to Curbside model, and this fourth category represents T4, “Home.” We seek to further define and describe, while providing a new model for translational research that is more circular in nature and inclusive of the general populace. We also suggest that the incorporation of educational researchers and practitioners would expand the current collaborative nature of translational research and is a way to expand the translational model. This promises more adequate, effective, and sustainable impacts on a target population.