Instruments for Evaluating Education in Evidence-Based Practice
JAMAPublished 5 September 2006
Terrence Shaneyfelt, Karyn D. Baum, Douglas S. Bell, David Feldstein, Thomas K. Houston, Scott Kaatz
Citations424
SJR quartileQ1
SJR score5.35
SNIP10.71
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TL;DR
High-quality instruments were identified for evaluating the EBP competence of individual trainees, determining the effectiveness of EBP curricula, and assessing EBP behaviors with objective outcome measures.
Abstract
Instruments with reasonable validity are available for evaluating some domains of EBP and may be targeted to different evaluation needs. Further development and testing is required to evaluate EBP attitudes, behaviors, and more recently articulated EBP skills.
Keywords
Decision SciencesMedicineHealth Professions
BiometricsThe Measurement of Observer Agreement for Categorical Data
78,934 Citations1977J. Richard Landis, Gary G. Koch
A general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies is presented and tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interob server agreement are developed as generalized kappa-type statistics.
New England Journal of MedicineThe Quality of Health Care Delivered to Adults in the United States
5,116 Citations2003Elizabeth A. McGlynn, Steven M. Asch +5 more
The deficits the authors have identified in adherence to recommended processes for basic care pose serious threats to the health of the American public and strategies to reduce these deficits in care are warranted.
Medical EducationValidity: on the meaningful interpretation of assessment data
1,408 Citations2003Steven M. Downing
Five sources – content, response process, internal structure, relationship to other variables and consequences – are noted by the Standards for Educational and Psychological Testing as fruitful areas to seek validity evidence.
BMJGeneral practitioners' perceptions of the route to evidence based medicine: a questionnaire survey
891 Citations1998A. McColl, Helen Smith +2 more
Promoting and improving access to summaries of evidence, rather than teaching all general practitioners literature searching and critical appraisal, would be the more appropriate method of encouraging evidence based general practice.
Annals of Internal MedicineInformation Needs in Office Practice: Are They Being Met?
863 Citations1985David G. Covell, GWEN C. UMAN +1 more
The self-reported information needs of 47 physicians during a half day of typical office practice were studied, and physicians raised 269 questions about patient management, related to all medical specialties and were highly specific to the individual patient's problem.
Physical TherapyEvidence-Based Practice: Beliefs, Attitudes, Knowledge, and Behaviors of Physical Therapists
740 Citations2003Diane U. Jette, Kimberly Bacon +7 more
The beliefs, attitudes, knowledge, and behaviors of physical therapist members of the American Physical Therapy Association as they relate to evidence-based practice (EBP) are described and hypotheses about the relationship between these attributes and personal and practice characteristics of the respondents are generated.
BMJWhat is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review
726 Citations2004Arri Coomarasamy, Khalid S. Khan
Teaching of evidence based medicine should be moved from classrooms to clinical practice to achieve improvements in substantial outcomes.
Medical EducationReliability: on the reproducibility of assessment data
716 Citations2004Steven M. Downing
This presentation explains how assessment data, like other scientific experimental data, must be reproducible in order to be meaningfully interpreted.
AJN American Journal of NursingReadiness of U.S. Nurses for Evidence-Based Practice
583 Citations2005Diane S. Pravikoff, Annelle Tanner +1 more
Nurses’ perceptions of their access to tools with which to obtain evidence and whether they have the skills to do so are examined, finding that nurses feel much more confident asking colleagues or peers and searching the Internet and World Wide Web than they do using bibliographic databases such as PubMed or CINAHL.
Evidence-Based MedicineClinical expertise in the era of evidence-based medicine and patient choice
580 Citations2002R. Brian Haynes
A new model for evidence-based clinical decision making based on patients' circumstances, patients' preferences and actions, and best research evidence is presented, with a central role for clinical expertise to integrate these components.
The LancetInpatient general medicine is evidence based
437 Citations1995D L Sackett, John E. Ellis +2 more
This study suggests that earlier pessimism over the extent to which evidence-based medicine is already practised is misplaced.
BMJValidation of the Fresno test of competence in evidence based medicine
396 Citations2003Kathleen Ramos, Sean Schafer +1 more
The Fresno test is a reliable and valid test for detecting the effect of instruction in evidence based medicine, and its use in other settings requires further exploration.
BMJDo short courses in evidence based medicine improve knowledge and skills? Validation of Berlin questionnaire and before and after study of courses in evidence based medicine
337 Citations2002Lutz Fritsche, T Greenhalgh +3 more
An intensive 3 day course in evidence based medicine led to a significant increase in knowledge and skills, and the questionnaire distinguished reliably between groups with different expertise inevidence based medicine.
Annals of Internal MedicineOnline Access to MEDLINE in Clinical Settings
294 Citations1990R. Brian Haynes, K. Ann McKibbon +4 more
Self-service access to the medical literature database, MEDLINE, into clinical settings is feasible with brief training and affects clinical decisions, however, inexperienced searchers miss many relevant citations and search inefficiently.
Journal of General Internal MedicineEvidence-based medicine and the practicing clinician
269 Citations1999Finlay A. McAlister, Ian D. Graham +2 more
The most important barriers to increased use of EBM by practicing clinicians appear to be lack of knowledge and familiarity with the basic skills, rather than skepticism about the concept.
PubMedEffectiveness of instruction in critical appraisal (evidence-based medicine) skills: a critical appraisal.
254 Citations1998Geoffrey R. Norman, Susan Shannon
Examination of the evidence that the teaching of critical appraisal skills to undergraduate medical students or residents will result in significant gains in knowledge and increased use of the literature in clinical decision-making found several suggestions from the educational literature are offered.
JAMAImpact of a Medical Journal Club on House-Staff Reading Habits, Knowledge, and Critical Appraisal Skills
249 Citations1988Mark Linzer
It is concluded that a journal club is a powerful motivator of critical house-staff reading behavior and can help teach epidemiology and biostatistics to physicians-in-training.
Cochrane Database of Systematic ReviewsTeaching critical appraisal skills in healthcare settings
245 Citations2011Tanya Horsley, Chris Hyde +4 more
Low-intensity critical appraisal teaching interventions in healthcare populations may result in modest gains; specifically rigorous randomised trials employing interventions using appropriate adult learning theories are required.
Medical TeacherAssessing professionalism: a review of the literature
244 Citations2004D C Lynch, Patricia M. Surdyk +1 more
Suggestions are presented for assessing medical students, resident physicians and practicing physicians on how to assess professionalism during the past 20 years.
New England Journal of MedicineUse of Statistical Analysis in<i>The New England Journal of Medicine</i>
227 Citations1983John D. Emerson, Graham A. Colditz
The tabulations in this study should aid clinicians and medical investigators who are planning their continuing education in statistical methods, and faculty who design or teach courses in quantitative methods for medical and health professionals.
JAMAEvaluating the Teaching of Evidence-Based Medicine
224 Citations2002Rose Hatala
The quality of the evidence for teaching EBM is poor, and the most frequently reported outcomes are subjective variables such as satisfaction or self-reported changes in attitudes or knowledge, rather than more important assessments of objectively measured clinical skills or improved patient outcomes.
Teaching and Learning in MedicineThe Effect of Using Team Learning in an Evidence-Based Medicine Course for Medical Students
212 Citations2003Daniel Hunt, Paul Haidet +2 more
Team learning served as a useful framework, enabling a large enrollment course to have small-group experiences without large numbers of faculty and fostering individual accountability and promoted teamwork-behaviors consistent with effective EBM practice.
Academic MedicineMeasuring Professionalism: A Review of Studies with Instruments Reported in the Literature between 1982 and 2002
202 Citations2005J. Jon Veloski, Sylvia K. Fields +2 more
There are few well-documented studies of instruments that can be used to measure professionalism in formative or summative evaluation, and when evaluating the tools described in published research it is essential for faculty to look critically for evidence related to the three fundamental measurement properties of content validity, reliability, and practicality.
Journal of General Internal MedicineImpact of an evidence-based medicine curriculum based on adult learning theory
201 Citations1997Michael L. Green, Peter J. Ellis
An EBM curriculum based on adult learning theory improves residents’ EBM skills and certain EBM behaviors and can guide medical educators involved in EBM training.
Journal of Advanced NursingBarriers to evidence‐based practice in primary care
195 Citations2004Hugh McKenna, Sue Ashton +1 more
Identifying barriers is just the first step to addressing issues surrounding the use of evidence-based practice, and extra resources will be needed if these barriers are to be tackled if the resultant change improves the health and wellbeing of people and communities.
JAMAA Controlled Trial of Teaching Critical Appraisal of the Clinical Literature to Medical Students
186 Citations1987Kathryn Bennett
Experimental and control clinical clerks demonstrated both statistically and "clinically" significant increases in their critical appraisal skills, improving 37% on the diagnostic test exercise and 8% in the treatment exercise; control students' scores deteriorated for both.
Medical EducationA systematic review of the effectiveness of critical appraisal skills training for clinicians
181 Citations2000Rod S Taylor, Barnaby C Reeves +4 more
This review appears to provide some evidence of the benefit of teaching critical appraisal skills to clinicians, in terms of both knowledge of methodological/statistical issues in clinical research and attitudes to medical literature.
Academic MedicineGraduate medical education training in clinical epidemiology, critical appraisal, and evidence-based medicine
172 Citations1999M L Green
These reports provide useful guides for medical educators, but many suffered from incomplete descriptions and inadequate evaluations of their curricula.
Medical EducationThe development and validation of a knowledge, attitude and behaviour questionnaire to assess undergraduate evidence‐based practice teaching and learning
165 Citations2003JM Johnston, GM Leung +3 more
A knowledge, attitude and behaviour questionnaire designed to evaluate EBP teaching and learning in an undergraduate medical curriculum is developed and validated.
BMJGeneral practitioners' self ratings of skills in evidence based medicine: validation study
164 Citations2002Jane Young, Paul Glasziou +1 more
The validity of self ratings of competence in evidence based medicine was evaluated and a blinded validation in general practice was conducted.
PubMedInformation-seeking behavior of nursing students and clinical nurses: implications for health sciences librarians.
161 Citations2005Cheryl R. Dee, Ellen E. Stanley
Nursing students made more use of all available resources and were better trained than clinical nurses, but both groups lacked database-searching skills, so health sciences librarians have the opportunity to meet nurses' information needs and improve nurses' clinical information-seeking behavior.
Journal of the American Medical Informatics AssociationDevelopment and Initial Validation of an Instrument to Measure Physicians' Use of, Knowledge about, and Attitudes Toward Computers
149 Citations1998R. D. Cork, William M. Detmer +1 more
The four scales of the questionnaire appear to measure with adequate reliability five attributes of academic physicians' attitudes toward computers in medical care: computer use, self-reported computer knowledge, demand for computer functionality, demandFor computer usability, and computer optimism.
BMJEvaluating the teaching of evidence based medicine: conceptual framework
140 Citations2004Sharon E. Straus, Michael L. Green +8 more
Although evidence for the effectiveness of evidence based medicine has accumulated, there is still little evidence on what are the most effective methods of teaching it.
Medical TeacherThe journal club in postgraduate medical education: a systematic review
139 Citations2001Jon O. Ebbert, Víctor M. Montori +1 more
It is concluded that journal clubs may improve knowledge of clinical epidemiology and biostatistics, reading habits, and the use of medical literature in practice.
Evidence-Based NursingOf studies, summaries, synopses, and systems: the “4S” evolution of services for finding current best evidence
125 Citations2005R. Brian Haynes
A perfect evidence-based clinical information system would integrate and concisely summarise all relevant and important research evidence about a clinical problem and would automatically link, through an electronic medical record, a specific patient’s circumstances to the relevant information.
Journal of General Internal MedicineTeaching residents evidence-based medicine skills
122 Citations2000Christopher A. Smith, Pamela Ganschow +7 more
A brief structured educational intervention produced substantial and durable improvements in residents’ cognitive and technical EBM skills.
Journal of General Internal MedicineEvidence-based medicine training in internal medicine residency programs
118 Citations2000Michael L. Green
Most programs reported efforts to integrate EBM teaching, but many of these attempts lacked important structural elements, and many failed to provide important medical information sources.
Medical EducationSuccessful teaching in evidence‐based medicine
115 Citations2000William A. Ghali, Richard Saitz +4 more
A mini‐course in EBM for third‐year medical students is developed and objectively evaluated to evaluate the importance of exposing medical trainees to the ‘new paradigm’ of evidence‐based medicine.
PubMedImpact of an evidence-based medicine curriculum on medical students' attitudes and skills.
114 Citations2004Josephine L. Dorsch, Meenakshy Aiyer +1 more
The introduction of E BM skills to students during a clinical clerkship provides students an opportunity to practice EBM skills and reinforces the use of evidence in making patient-care decisions.
Journal of Evaluation in Clinical PracticeHospital doctors’ self‐rated skills in and use of evidence‐based medicine – a questionnaire survey
112 Citations2004Roberto S Oliveri, Christian Gluud +1 more
Most hospital doctors seem to lack knowledge of key methodological evidence-based medicine terms, which may form a barrier when consulting EBM sources and to the implementation of EBM into clinical practice.
Computers and Biomedical ResearchHow good are clinical MEDLINE searches? A comparative study of clinical end-user and librarian searches
111 Citations1990K. Ann McKibbon, R. Brian Haynes +6 more
The conclusion is that novice searchers on MEDLINE via GRATEFUL MED after brief training have relatively low recall and precision, and further research is needed to determine the "learning curve," evaluate training interventions, and explore the non-overlapping retrieval of relevant citations by different searchers.
Journal of General Internal MedicineSins of omission
109 Citations2005Rodney A. Hayward, Steven M. Asch +3 more
It was found that the overwhelming majority of substantive medical errors identifiable from the medical record were related to people getting too little medical care, especially for those with chronic medical conditions.
Journal of General Internal MedicineTeaching evidence-based medicine skills can change practice in a community hospital
108 Citations2005Sharon E. Straus, Chris Ball +3 more
A multifaceted intervention designed to teach and support EBM significantly improved evidence-based practice patterns in a district general hospital.
Academic MedicineA Controlled Comparison Study of the Efficacy of Training Medical Students in Evidence-Based Medicine Literature Searching Skills
103 Citations2005Larry D. Gruppen, Gurpreet Rana +1 more
Evidence is provided that a single, brief training session can have a marked beneficial effect on the quality of subsequent, short-term EBM literature searching performance outcomes.
Medical EducationDevelopment and validation of a questionnaire to evaluate the effectiveness of evidence‐based practice teaching
91 Citations2001Rod S Taylor, Barnaby C Reeves +5 more
A questionnaire to evaluate the effectiveness of evidence‐based practice (EBP) teaching is developed and validated and will be used in the classroom to help teachers and students assess the value of evidence-based teaching.
Medical EducationUse of a journal club and letter‐writing exercise to teach critical appraisal to medical undergraduates
90 Citations2001Richard Edwards, Martin White +2 more
This work describes an approach using a journal club and subsequent letter writing to teach critical appraisal and writing skills to medical undergraduates.
Medical EducationAn Internet‐based learning portfolio in resident education: the KOALA™ multicentre programme
86 Citations2000Michael Fung Kee Fung, Mark Walker +5 more
The Computerized Obstetrics and Gynecology Automated Learning Anaalysis (KOALA) is described, a multicentre, Internet‐based learning portfolio and its effects on residents’ perception of their self‐directed learning abilities are determined.
BMC Medical EducationIntroducing evidence based medicine to the journal club, using a structured pre and post test: a cohort study
86 Citations2001J. Steven Cramer, Martin C. Mahoney
Following organizational revision, the introduction of a pre-test/post-test instrument supported achievement of the learning objectives with a better understanding and utilization of the concepts of Evidence Based Medicine.
Medical EducationComparison of directed and self‐directed learning in evidence‐based medicine: a randomised controlled trial
84 Citations2005Peter Bradley, Christina Oterholt +3 more
Two educational pro‐ grammes for teaching evidence‐based medicine (EBM) are compared and two new approaches are proposed for promoting evidence-based medicine in the classroom.
Journal of General Internal MedicineEarly introduction of an evidence-based medicine course to preclinical medical students
84 Citations2002Malathi Srinivasan, Michael Weiner +4 more
To the authors' knowledge, this is the first report to demonstrate that early introduction of EBM principles as a short course to preclinical medical students is feasible and practical.
Journal of the Royal College of Physicians of LondonImproving Searching Skills and Evidence Retrieval
84 Citations1998William Rosenberg, Jonathan J Deeks +4 more
A three-hour interactive training session improved the students' ability to search databases and retrieve evidence and was well received by the students.
SurgeryTeaching practicing surgeons critical appraisal skills with an Internet-based journal club: a randomized, controlled trial
81 Citations2004Helen MacRae, Glenn Regehr +9 more
A multifaceted, Internet-based intervention resulted in improved critical appraisal skills of practicing general surgeons.
Australian and New Zealand Journal of MedicineThe use of evidence‐based medicine in the practice of consultant physicians. Results of a questionnaire survey
76 Citations2000Ian Scott, R. Heyworth +1 more
The application of EBM to routine practice by physicians is constrained by deficient EBM skills, limited access to evidence, lack of time, and cognitive and environmental factors.
Journal of General Internal MedicineTeaching residents to read the medical literature
75 Citations1989James M. Kitchens, Mark Pfeifer
The residency period is a difficult but important time to teach critical appraisal skills, and educational gains may be small and need to be critically evaluated to stimulate the development of more effective educational programs.
Annals of Emergency MedicineTeaching Emergency Medicine Residents Evidence-Based Critical Appraisal Skills: A Controlled Trial
73 Citations1999Jeffrey J. Bazarian, Colleen O. Davis +3 more
Compared with a traditional approach, an EBM approach to teaching critical appraisal did not appear to improve the critical appraisal skills of emergency medicine residents, but because of the small number of subjects studied, small differences in critical appraisal skill improvement cannot be ruled out.
Academic MedicineA comparison of two formats for teaching critical reading skills in a medical journal club
71 Citations1987Mark Linzer, Elizabeth R. DeLong +1 more
Medical EducationChange in knowledge and skills of Year 3 undergraduates in evidence‐based medicine seminars
70 Citations2005Tobias Weberschock, Timothy Charles Ginn +5 more
To evaluate the effect of a compulsory evidence‐based medicine (EBM) seminar in critical appraisal skills and the overall acceptance of compulsory EBM seminars for Year 3 medical undergraduate students.
Journal of General Internal MedicineThe impact of evidence on physicians’ inpatient treatment decisions
69 Citations2004Brian Lucas, Arthur T. Evans +8 more
Searching the literature could improve the treatment of many medical inpatients, including those already receiving evidence-based treatment, according to this before-after study of attending physicians in a large public teaching hospital.
Journal of Obstetrics and GynaecologyPostgraduate journal club as a means of promoting evidence-based obstetrics and gynaecology
65 Citations1999Khalid S. Khan
It is concluded that a journal club supported by electronic means of critical appraisal and dissemination of appraised information can be used to encourage the practice of evidence-based medicine.
PubMedUse of on-line evidence-based resources at the point of care.
61 Citations2003Kendra Schwartz, Justin Northrup +4 more
Practical physicians inexperienced in the use of on-line evidence-based resources answered a proportion of their clinical questions that was comparable to reports of more-experienced searchers; however, the time required to find answers limits the practical use of these databases during patient care time.
Journal of General Internal MedicineAffecting residents’ literature reading attitudes, behaviors, and knowledge through a journal club intervention
61 Citations1991Charles B. Sellig
Journal clubs are important to residents, and their effectiveness in teaching critical appraisal and promoting reading of the literature may be augmented by applying principles of adult education.
BMC Medical Informatics and Decision MakingImproving question formulation for use in evidence appraisal in a tertiary care setting: a randomised controlled trial [ISRCTN66375463]
59 Citations2001Elmer Villanueva, Elizabeth Burrows +3 more
Health Information & Libraries JournalEducational workshop improved information‐seeking skills, knowledge, attitudes and the search outcome of hospital clinicians: a randomised controlled trial
59 Citations2003Grace Cheng
The workshop improved knowledge and skills in evidence-based searching, but this effect gradually eroded with time, and search logs confirmed that follow-up is required if effects are to be sustained.
PubMedReal-time, evidence-based medicine instruction: a randomized controlled trial in a neonatal intensive care unit.
58 Citations2002Doreen Bradley, Gurpreet Rana +2 more
Residents receiving instruction improved and retained searching skills six-months after intervention through real-time librarian instruction in MEDLINE and measurable learning outcomes were suggested.
Journal of General Internal MedicineA web exercise in evidence-based medicine using cognitive theory
57 Citations2001Farrell J. Lloyd, Valerie F. Reyna
It is concluded that fuzzy-trace theory may be a useful guide for developing learning exercises in evidence-based medicine.
BMC Medical EducationCritical appraisal skills of family physicians in Ontario, Canada
55 Citations2003Marshall Godwin, Rachelle Seguin
In a population of physicians which is younger than the general population of physicians, about 50% have reasonable knowledge regarding the critical appraisal of the methods and the interpretation of results of a research article.
Journal of General Internal MedicineA controlled trial of a seminar to improve medical student attitudes toward, knowledge about, and use of the medical literature
54 Citations1994Frank J. Landry, Louis N. Pangaro +3 more
An interactive seminar designed to introduce medical students to critical appraisal improved student knowledge and attitudes but did not increase the actual use of literature in patient writeups.
Medical TeacherAssessments in evidence-based medicine workshops: loose connection between perception of knowledge and its objective assessment
52 Citations2001Khalid S. Khan, Awoniyi O. Awonuga +2 more
Comparison of subjective scores reflecting understanding of specific literature appraisal issues with corresponding objective test scores revealed a poor correlation, and continuing medical education programs should focus on objective, not subjective tests to assess outcome.
Academic MedicineA Web-based Compendium of Clinical Questions and Medical Evidence to Educate Internal Medicine Residents
52 Citations2003Steven D. Crowley, Thomas Owens +5 more
The use of an evidence-based critical appraisal resource led residents to engage the medical literature on behalf of their patients and influenced approximately half of their patient-care decisions.
Academic MedicineEvaluating medical residentsʼ literature-appraisal skills
51 Citations1995David Stern, Mark Linzer +2 more
After further validation in other settings, the assessment instrument in this study may be used to objectively assess critical-reading skills and provide feedback and measure outcomes for interventions designed to improve critical reading.
PubMedAn integrated program for evidence-based medicine in medical school.
50 Citations2000Scott H. Barnett, Susan Kaiser +9 more
A school's four-year curriculum in evidence-based medicine and the performance of three senior classes on the summative evaluation exercise devised to measure the program's success are described.
Academic MedicineTeaching residents to read the medical literature
48 Citations1980Stephen H. Gehlbach, James A. Bobula +1 more
A seminar series was developed in a family medicine training program to provide residents with skills to interpret medical studies critically and residents who completed the series had higher scores on a practical examination of article analysis skills than a comparison group.
Journal of General Internal MedicineResident utilization of information technology
47 Citations2001Christopher H. Cabell, Connie Schardt +3 more
A simple educational intervention can markedly increase resident searching activity and is found to increase resident physician literature search activity in a Randomized controlled trial.
Academic MedicineA Computer-based OSCE Station to Measure Competence in Evidence-based Medicine Skills in Medical Students
46 Citations2002Jonathan Fliegel, John G. Frohna +1 more
A new 20-minute computer-based station to assess third-year medical students' skills in evidence-based medicine appears to be an innovative and promising tool to measure several EBM skills independently.
Journal of General Internal MedicineEvidence-based medicine knowledge, attitudes, and skills of community faculty
46 Citations2002Brent W. Beasley, Douglas C. Woolley
Community faculty are not as equipped or motivated to incorporate EBM into their clinical teaching as are full-time faculty, and Faculty development programs for community faculty should feature how to use and teach basic EBM concepts.
Academic MedicineIntroducing an Evidence-based Medicine Curriculum into a Family Practice Residency—Is It Effective?
45 Citations2003Robert Ross, Alex Verdieck
Investigating whether teaching an evidence-based medicine (EBM) curriculum increased the knowledge and use of EBM principles in residents' continuity clinics found Administering a structured EBM curriculum increased residents' knowledge andUse of E BM constructs during patient care.
Medical EducationAssessing the ability of medical students to apply evidence in practice: the potential of the OSCE
44 Citations1999Paul F. Bradley, Gerry Humphris
Assessment of critical analysis and application of evidence‐based practice are key skills for students to master and written examinations ignore assimilation of that evidence into everyday practice.
Medical EducationEvaluation of a programme of workshops for promoting the teaching of critical appraisal skills
44 Citations1998Ibbotson, Jeremy Grimshaw +1 more
The evaluation of the CASP workshop technique suggests that it does improve knowledge of clinical effectiveness, but concerns remain about the viability and reliability of this approach as it rolls out training within Scotland.
Academic MedicineIntegrating an Evidence-Based Medicine Rotation into an Internal Medicine Residency Program
43 Citations2004Elie A. Akl, Ifeoma Stella Izuchukwu +4 more
An EBM elective rotation was successfully integrated into a residency program and this multifaceted educational approach with an “on-the-ward” EBM resident may improve the EBM knowledge and skills of targeted students and residents.
PubMedA program to enhance clinical use of MEDLINE. A randomized controlled trial.
40 Citations1993R. Brian Haynes, M E Johnston +3 more
A program of assigning preceptors and providing feedback on individual searches did not enhance the quantity or quality of searches and soon after a basic introduction to searching, clinicians in both groups improved their search performance.
PubMedTeaching evidence-based medical care: description and evaluation.
40 Citations2001Roland Grad, Ann C. Macaulay +1 more
First-year family practice residents who completed a seminar series have reported increased skill at blending consideration of a clinical problem with the use of secondary sources of information to access evidence to support their health care decisions.
PubMedEvaluating medical student searches of MEDLINE for evidence-based information: process and application of results.
39 Citations1999S C Burrows, V Tylman
Evaluating medical student searches for evidence-based information is an effective way of evaluating students' searching proficiency, and, in turn, the adequacy of the instruction they receive.
Medical EducationElectronic delivery of research summaries for academic generalist doctors: a randomised trial of an educational intervention
38 Citations2005Kei Mukohara, Mark D. Schwartz
To determine whether weekly e‐mails of structured, critically appraised summaries of new articles, within the format of a Weekly Browsing Journal Club (WBJC), would encourage use of evidence in practice.
Critical Care MedicineTeaching critical appraisal during critical care fellowship training: A foundation for evidence-based critical care medicine
38 Citations2000John A. Kellum, James P. Rieker +2 more
Critical appraisal exercises used in the training of critical care medicine fellows appear to improve both ability and confidence to appraise relevant medical literature.
Medical EducationThe impact of an individual tutorial session on MEDLINE use among obstetrics and gynaecology residents in an academic training programme: a randomized trial
37 Citations1998Susan Erickson, Ellen Warner
Although the sessions were well received, it was unable to demonstrate an improvement in the outcome measures analysed, and further research is indicated so that cost‐effective educational strategies can be recommended for wide‐scale use.
Academic MedicineEvaluating Evidence-Based Medicine Skills during a Performance-Based Examination
37 Citations2004Richard A. Davidson, Margaret Duerson +3 more
The evaluation of EBM skills can be carried out during a performance-based examination and can assist in developing students’ skills and directing curricular efforts.
CIN Computers Informatics NursingPiloting an Information Literacy Program for Staff Nurses
35 Citations2002Peri Rosenfeld, NORALIZA SALAZAR-RIERA +1 more
Among the lessons learned from this pilot study was that unit-based instruction presents significant obstacles for effective learning of new technological skills for staff nurses.
Family PracticePromoting evidence-based medicine in general practice--the impact of academic detailing
35 Citations2001Peter Markey, Peter Schattner
Academic detailing led to a significant improvement in knowledge scores and self-perceived understanding of EBM, but had little influence on GP attitudes toward it.
Academic MedicineThe Impact of Structured Student Debates on Critical Thinking and Informatics Skills of Second-year Medical Students
33 Citations2000Steven Lieberman, Julie Trumble +1 more
A first-year pharmacy curriculum that incorporated debates on socioeconomic topics relevant to pharmacy practice, and the implementation of structured debates and the evaluation by students and faculty of the degree to which the informatics objectives were accomplished are described.
PubMedA multidisciplinary approach to information management and critical appraisal instruction: a controlled study.
33 Citations1992M Frasca, Josephine L. Dorsch +2 more
A study of the effectiveness of a collaborative course in teaching library and critical appraisal skills was conducted at the University of Illinois College of Medicine, suggesting that this multidisciplinary course is effective.
Journal of the American College of SurgeonsTraining surgeons to do evidence-based surgery: a collaborative approach1,2
31 Citations2004Lori J. Toedter, Lora L Thompson +1 more
The hands-on, performance-based program allows trainees' progress in developing skills that will allow them to efficiently locate the best evidence available to inform their patient care decisions.
Academic MedicineEffects of teaching first-year medical students skills to read medical literature
31 Citations1986Richard K. Riegelman
A required first-year course at George Washington University School of Medicine and Health Sciences, entitled Studying a Study: Methods for Reading the Medical Literature, was evaluated by the author to determine the students' perception of the course's effectiveness, changes in the students’ perception of their competence in reading medical literature, theStudents' knowledge of research study design and statistics, and the effect of the courses' journal reading.
Teaching and Learning in MedicineLong-Term Retention of Knowledge After a Distance Course in Medical Informatics at Charles University Prague
29 Citations2004J. P. Naidr, Theodor Adla +4 more
Retention of knowledge after the electronic distance course after 12 months is close to 67%.
PubMedFinding the evidence: teaching medical residents to search MEDLINE.
29 Citations2002Eric Vogel, Kevin Block +1 more
A workshop is developed to teach the internal medicine housestaff how to search MEDLINE efficiently and effectively to find the answers to clinical questions arising from patient care.
PubMedTraining medical students in evidence-based medicine: a community campus approach.
28 Citations1999William Wadland, Henry C Barry +3 more
Family medicine educators can lead a new curriculum in EBM and maintain consistent standards across multiple communities and many questions remain concerning the ideal curricular design to help clinicians apply the best research to patient care.
PubMedA multidisciplinary approach to information and critical appraisal instruction.
28 Citations1990Josephine L. Dorsch, M Frasca +2 more
A ten-week critical appraisal course for third-year medical students, taught cooperatively by library and Department of Medicine faculty, integrates education in the selection, evaluation, and application of information to patient care.
PubMedSecondary prevention of cardiovascular disease: a randomised trial of training in information management, evidence-based medicine, both or neither: the PIER trial.
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Combined training in information systems and evidence-based medicine should be considered in the design of future interventions, to improve secondary prevention of CVD.
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