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Evidence-based medicine training during residency: a randomized controlled trial of efficacy

BACKGROUND: Evidence-based medicine (EBM) has been widely integrated into residency curricula, although results of randomized controlled trials and long term outcomes of EBM educational interventions are lacking. We sought to determine if an EBM workshop improved internal medicine residents' EB...

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Autores principales: Feldstein, David A, Maenner, Matthew J, Srisurichan, Rachaya, Roach, Mary A, Vogelman, Bennett S
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2940785/
https://www.ncbi.nlm.nih.gov/pubmed/20807453
http://dx.doi.org/10.1186/1472-6920-10-59
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author Feldstein, David A
Maenner, Matthew J
Srisurichan, Rachaya
Roach, Mary A
Vogelman, Bennett S
author_facet Feldstein, David A
Maenner, Matthew J
Srisurichan, Rachaya
Roach, Mary A
Vogelman, Bennett S
author_sort Feldstein, David A
collection PubMed
description BACKGROUND: Evidence-based medicine (EBM) has been widely integrated into residency curricula, although results of randomized controlled trials and long term outcomes of EBM educational interventions are lacking. We sought to determine if an EBM workshop improved internal medicine residents' EBM knowledge and skills and use of secondary evidence resources. METHODS: This randomized controlled trial included 48 internal medicine residents at an academic medical center. Twenty-three residents were randomized to attend a 4-hour interactive workshop in their PGY-2 year. All residents completed a 25-item EBM knowledge and skills test and a self-reported survey of literature searching and resource usage in their PGY-1, PGY-2, and PGY-3 years. RESULTS: There was no difference in mean EBM test scores between the workshop and control groups at PGY-2 or PGY-3. However, mean EBM test scores significantly increased over time for both groups in PGY-2 and PGY-3. Literature searches, and resource usage also increased significantly in both groups after the PGY-1 year. CONCLUSIONS: We were unable to detect a difference in EBM knowledge between residents who did and did not participate in our workshop. Significant improvement over time in EBM scores, however, suggests EBM skills were learned during residency. Future rigorous studies should determine the best methods for improving residents' EBM skills as well as their ability to apply evidence during clinical practice.
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spelling pubmed-29407852010-09-17 Evidence-based medicine training during residency: a randomized controlled trial of efficacy Feldstein, David A Maenner, Matthew J Srisurichan, Rachaya Roach, Mary A Vogelman, Bennett S BMC Med Educ Research Article BACKGROUND: Evidence-based medicine (EBM) has been widely integrated into residency curricula, although results of randomized controlled trials and long term outcomes of EBM educational interventions are lacking. We sought to determine if an EBM workshop improved internal medicine residents' EBM knowledge and skills and use of secondary evidence resources. METHODS: This randomized controlled trial included 48 internal medicine residents at an academic medical center. Twenty-three residents were randomized to attend a 4-hour interactive workshop in their PGY-2 year. All residents completed a 25-item EBM knowledge and skills test and a self-reported survey of literature searching and resource usage in their PGY-1, PGY-2, and PGY-3 years. RESULTS: There was no difference in mean EBM test scores between the workshop and control groups at PGY-2 or PGY-3. However, mean EBM test scores significantly increased over time for both groups in PGY-2 and PGY-3. Literature searches, and resource usage also increased significantly in both groups after the PGY-1 year. CONCLUSIONS: We were unable to detect a difference in EBM knowledge between residents who did and did not participate in our workshop. Significant improvement over time in EBM scores, however, suggests EBM skills were learned during residency. Future rigorous studies should determine the best methods for improving residents' EBM skills as well as their ability to apply evidence during clinical practice. BioMed Central 2010-09-01 /pmc/articles/PMC2940785/ /pubmed/20807453 http://dx.doi.org/10.1186/1472-6920-10-59 Text en Copyright ©2010 Feldstein et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Feldstein, David A
Maenner, Matthew J
Srisurichan, Rachaya
Roach, Mary A
Vogelman, Bennett S
Evidence-based medicine training during residency: a randomized controlled trial of efficacy
title Evidence-based medicine training during residency: a randomized controlled trial of efficacy
title_full Evidence-based medicine training during residency: a randomized controlled trial of efficacy
title_fullStr Evidence-based medicine training during residency: a randomized controlled trial of efficacy
title_full_unstemmed Evidence-based medicine training during residency: a randomized controlled trial of efficacy
title_short Evidence-based medicine training during residency: a randomized controlled trial of efficacy
title_sort evidence-based medicine training during residency: a randomized controlled trial of efficacy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2940785/
https://www.ncbi.nlm.nih.gov/pubmed/20807453
http://dx.doi.org/10.1186/1472-6920-10-59
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