Evaluation of an Evidence-based Medicine Educational Intervention in a Regional Medical Campus

Overview

Journal Can Med Educ J

Specialty Medical Education

Date 2018 Aug 25

PMID 30140335

Citations 5

Authors

Mylene Levesque

Janie Gauthier-Boudreau

Paul Gagnon

Bastian Bertulies-Esposito

Sharon Hatcher

Louis Gagnon

Affiliations

Soon will be listed here.

Abstract

Background: Enhanced educational activities were developed by a regional medical campus (RMC) in order to incorporate evidence-based medicine (EBM) practice in the learning process of medical students. This study aimed to measure the effectiveness of these activities.

Methods: The experimental group was made up of third-year students from the RMC. The comparison group included students from the main campus of the medical school and another of its RMCs. The experimental group received additional training on EBM: one additional hour in class, plus skills development exercises throughout the semester. During the regular academic sessions, clinical questions requiring EBM literature searching skills were incorporated in the curriculum. Tests on knowledge and self-assessment of competencies were administered to all participants at the beginning and at the end of the semester. Data were analyzed using repeated measures analysis of variance and post hoc tests for within and between groups comparison.

Results: The Friedman test demonstrated a statistically significant effect of the intervention on knowledge (p <0.0001). The score of the knowledge test was significantly higher for the experimental group, when compared with baseline testing and with the comparison group (p <0.0001). Repeated measures analysis of variance demonstrated a statistically significant effect of the intervention on the score of the self-assessment of competencies (p=0.032). The score for the self-assessment of competencies was significantly higher for the experimental group when compared to baseline score (p <0.0001), but not with respect to the comparison group.

Conclusion: Our study demonstrated the effectiveness of additional training and longitudinal integrated skills development leading to an increase in medical student knowledge and self-perception of competencies in EBM practice.

Citing Articles

Critical appraisal of journal article by psychiatry PG residents using a new module: Impact analysis.

Bhat P, Chail A, Srivastava K Ind Psychiatry J. 2021; 30(1):153-156.

PMID: 34483541 PMC: 8395553. DOI: 10.4103/ipj.ipj_135_20.

Educational Interventions for Teaching Evidence-Based Practice to Undergraduate Nursing Students: A Scoping Review.

Patelarou A, Mechili E, Ruzafa-Martinez M, Dolezel J, Gotlib J, Skela-Savic B Int J Environ Res Public Health. 2020; 17(17).

PMID: 32878256 PMC: 7503534. DOI: 10.3390/ijerph17176351.

Five ways to get a grip on grouped self-assessments of competence for program evaluation.

Zhao R, DEon M Can Med Educ J. 2020; 11(4):e90-e96.

PMID: 32821308 PMC: 7417831. DOI: 10.36834/cmej.69276.

Establishing Regional Medical Campuses to Ensure Comparable Experiences: Recommendations From a Narrative Review.

Byerley J, Foster J, Dallaghan G J Med Educ Curric Dev. 2020; 7:2382120520936617.

PMID: 32699821 PMC: 7357017. DOI: 10.1177/2382120520936617.

A prospective mixed-methods study evaluating the integration of an evidence based medicine curriculum into an internal medicine residency program.

Aneese A, Nasr J, Halalau A Adv Med Educ Pract. 2019; 10:533-546.

PMID: 31413652 PMC: 6659792. DOI: 10.2147/AMEP.S203334.

References

Vogel E, Block K, Wallingford K . Finding the evidence: teaching medical residents to search MEDLINE. J Med Libr Assoc. 2002; 90(3):327-30. PMC: 116407. View

Lai N . Teaching evidence-based medicine: a clinician's perspective. Malays Fam Physician. 2015; 8(2):7-12. PMC: 4170478. View

Johnston J, Leung G, Fielding R, Tin K, Ho L . The development and validation of a knowledge, attitude and behaviour questionnaire to assess undergraduate evidence-based practice teaching and learning. Med Educ. 2003; 37(11):992-1000. DOI: 10.1046/j.1365-2923.2003.01678.x. View

Sastre E, Denny J, McCoy J, McCoy A, Spickard 3rd A . Teaching evidence-based medicine: Impact on students' literature use and inpatient clinical documentation. Med Teach. 2011; 33(6):e306-12. DOI: 10.3109/0142159X.2011.565827. View

West C, Jaeger T, McDonald F . Extended evaluation of a longitudinal medical school evidence-based medicine curriculum. J Gen Intern Med. 2011; 26(6):611-5. PMC: 3101983. DOI: 10.1007/s11606-011-1642-8. View

Weberschock T, Ginn T, Reinhold J, Strametz R, Krug D, Bergold M . Change in knowledge and skills of Year 3 undergraduates in evidence-based medicine seminars. Med Educ. 2005; 39(7):665-71. DOI: 10.1111/j.1365-2929.2005.02191.x. View

Zwolsman S, Te Pas E, Hooft L, Wieringa-de Waard M, van Dijk N . Barriers to GPs' use of evidence-based medicine: a systematic review. Br J Gen Pract. 2012; 62(600):e511-21. PMC: 3381277. DOI: 10.3399/bjgp12X652382. View

Tuttle B, von Isenburg M, Schardt C, Powers A . PubMed instruction for medical students: searching for a better way. Med Ref Serv Q. 2010; 28(3):199-210. DOI: 10.1080/02763860903069839. View

Srinivasan M, Weiner M, Breitfeld P, Brahmi F, Dickerson K, Weiner G . Early introduction of an evidence-based medicine course to preclinical medical students. J Gen Intern Med. 2002; 17(1):58-65. PMC: 1494995. DOI: 10.1046/j.1525-1497.2002.10121.x. View

10.

Ramos K, Schafer S, Tracz S . Validation of the Fresno test of competence in evidence based medicine. BMJ. 2003; 326(7384):319-21. PMC: 143529. DOI: 10.1136/bmj.326.7384.319. View

11.

Gruppen L, Rana G, Arndt T . A controlled comparison study of the efficacy of training medical students in evidence-based medicine literature searching skills. Acad Med. 2005; 80(10):940-4. DOI: 10.1097/00001888-200510000-00014. View

12.

Coomarasamy A, Khan K . What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ. 2004; 329(7473):1017. PMC: 524555. DOI: 10.1136/bmj.329.7473.1017. View

13.

MacEachern M, Townsend W, Young K, Rana G . Librarian integration in a four-year medical school curriculum: a timeline. Med Ref Serv Q. 2012; 31(1):105-14. DOI: 10.1080/02763869.2012.641856. View

14.

Green M, Ruff T . Why do residents fail to answer their clinical questions? A qualitative study of barriers to practicing evidence-based medicine. Acad Med. 2005; 80(2):176-82. DOI: 10.1097/00001888-200502000-00016. View

15.

Aronoff S, Evans B, Fleece D, Lyons P, Kaplan L, Rojas R . Integrating evidence based medicine into undergraduate medical education: combining online instruction with clinical clerkships. Teach Learn Med. 2010; 22(3):219-23. DOI: 10.1080/10401334.2010.488460. View

16.

Barghouti F, Yassein N, Jaber R, Khader N, Al Shokhaibi S, Almohtaseb A . Short course in evidence-based medicine improves knowledge and skills of undergraduate medical students: a before-and-after study. Teach Learn Med. 2013; 25(3):191-4. DOI: 10.1080/10401334.2013.797348. View

17.

Rosenberg W, Deeks J, Lusher A, Snowball R, Dooley G, Sackett D . Improving searching skills and evidence retrieval. J R Coll Physicians Lond. 1999; 32(6):557-63. PMC: 9662986. View

18.

Holloway R, Nesbit K, Bordley D, Noyes K . Teaching and evaluating first and second year medical students' practice of evidence-based medicine. Med Educ. 2004; 38(8):868-78. DOI: 10.1111/j.1365-2929.2004.01817.x. View

19.

DEon M, Trinder K . Evidence for the validity of grouped self-assessments in measuring the outcomes of educational programs. Eval Health Prof. 2013; 37(4):457-69. DOI: 10.1177/0163278713475868. View

20.

Del Mar C, Glasziou P, Mayer D . Teaching evidence based medicine. BMJ. 2004; 329(7473):989-90. PMC: 524536. DOI: 10.1136/bmj.329.7473.989. View