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Critical Appraisal

Sampling Methods

EM FINAL EXAMS Critical Appraisal · Trial methods Sampling Methods How participants are SELECTED from the target population — this drives who the results apply to, not the comparison within the trial. Definition The strategy for choosing a sample from a target population. Probability sampling gives every member a known, non-zero chance of selection (simple […]

EM FINAL EXAMS Critical Appraisal · Trial methods

Sampling Methods

How participants are SELECTED from the target population — this drives who the results apply to, not the comparison within the trial.

Definition

The strategy for choosing a sample from a target population. Probability sampling gives every member a known, non-zero chance of selection (simple random, systematic, stratified, cluster). Non-probability sampling does not (convenience, quota). Sampling is about who gets in — it mainly affects external validity (generalisability), not internal validity.

The picture

Selection runs population → frame → sample — the method sets how representative the sample is.

What it shows

The funnel from a target population, through the sampling frame you can actually reach, down to the analysed sample — via either probability methods (known chance of selection) or non-probability methods (convenience, quota).

How to read it

Read top-to-bottom and ask two questions: does the sampling frame really cover the target population (or is a slice missing — under-coverage), and was selection random or self-selected? Probability routes give a sample that mirrors the population; non-probability routes risk a skewed, unrepresentative sample.

Why it matters

Sampling decides external validity — whether the findings transfer to your ED patients. It does not fix the internal comparison: that is the job of randomisation. A daytime convenience sample can be internally valid yet ungeneralisable to night-shift or rural presentations.

Key
  • Sampling = who gets in → external validity
  • Randomisation = which arm → internal validity
  • Probability = known chance of selection; non-probability = not
Pitfall
Pitfall Convenience sampling (whoever is easiest to recruit) introduces selection bias and limits generalisability. And do not confuse sampling (who enters the study — external validity) with randomisation (how entrants are split between arms — internal validity); they are different problems.
emfinalexams.com · FRCEM / MRCEM revision
EM trial in the wild

A qualitative ED study explores why patients leave before being seen, recruiting a convenience sample of daytime weekday attenders at a single department. That sampling frame is fine for generating themes, but it under-covers night-shift, weekend and ambulance arrivals — the very groups most likely to leave. External-validity limit: conclusions apply to that site and time window, not to all ED attenders. Convenience sampling never makes the result wrong internally — it limits who it generalises to.

Examiner traps
  • Confusing sampling (selection from the population) with randomisation (allocation between arms).
  • Treating a convenience sample as representative — it carries selection bias.
  • Ignoring under-coverage: a sampling frame that misses part of the target population.
Quick check

Does the sampling method mainly affect internal or external validity?
Answer: External validity (generalisability) — it determines who the results apply to. The internal comparison is protected by randomisation, not by sampling.

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