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Determinants of knowledge gain in evidence-based medicine short courses: an international assessment
BACKGROUND: Health care professionals worldwide attend courses and workshops to learn evidence-based medicine (EBM), but evidence regarding the impact of these educational interventions is conflicting and of low methodologic quality and lacks generalizability. Furthermore, little is known about dete...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Open Medicine Publications, Inc.
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3116678/ https://www.ncbi.nlm.nih.gov/pubmed/21686291 |
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author | Kunz, Regina Wegscheider, Karl Fritsche, Lutz Schünemann, Holger J Moyer, Virginia Miller, Donald Boluyt, Nicole Falck-Ytter, Yngve Griffiths, Peter Bucher, Heiner C Timmer, Antje Meyerrose, Jana Witt, Klaus Dawes, Martin Greenhalgh, Trisha Guyatt, Gordon H |
author_facet | Kunz, Regina Wegscheider, Karl Fritsche, Lutz Schünemann, Holger J Moyer, Virginia Miller, Donald Boluyt, Nicole Falck-Ytter, Yngve Griffiths, Peter Bucher, Heiner C Timmer, Antje Meyerrose, Jana Witt, Klaus Dawes, Martin Greenhalgh, Trisha Guyatt, Gordon H |
author_sort | Kunz, Regina |
collection | PubMed |
description | BACKGROUND: Health care professionals worldwide attend courses and workshops to learn evidence-based medicine (EBM), but evidence regarding the impact of these educational interventions is conflicting and of low methodologic quality and lacks generalizability. Furthermore, little is known about determinants of success. We sought to measure the effect of EBM short courses and workshops on knowledge and to identify course and learner characteristics associated with knowledge acquisition. METHODS: Health care professionals with varying expertise in EBM participated in an international, multicentre before–after study. The intervention consisted of short courses and workshops on EBM offered in diverse settings, formats and intensities. The primary outcome measure was the score on the Berlin Questionnaire, a validated instrument measuring EBM knowledge that the participants completed before and after the course. RESULTS: A total of 15 centres participated in the study and 420 learners from North America and Europe completed the study. The baseline score across courses was 7.49 points (range 3.97–10.42 points) out of a possible 15 points. The average increase in score was 1.40 points (95% confidence interval 0.48–2.31 points), which corresponded with an effect size of 0.44 standard deviation units. Greater improvement in scores was associated (in order of greatest to least magnitude) with active participation required of the learners, a separate statistics session, fewer topics, less teaching time, fewer learners per tutor, larger overall course size and smaller group size. Clinicians and learners involved in medical publishing improved their score more than other types of learners; administrators and public health professionals improved their score less. Learners who perceived themselves to have an advanced knowledge of EBM and had prior experience as an EBM tutor also showed greater improvement than those who did not. INTERPRETATION: EBM course organizers who wish to optimize knowledge gain should require learners to actively participate in the course and should consider focusing on a small number of topics, giving particular attention to statistical concepts. |
format | Online Article Text |
id | pubmed-3116678 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Open Medicine Publications, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-31166782011-06-16 Determinants of knowledge gain in evidence-based medicine short courses: an international assessment Kunz, Regina Wegscheider, Karl Fritsche, Lutz Schünemann, Holger J Moyer, Virginia Miller, Donald Boluyt, Nicole Falck-Ytter, Yngve Griffiths, Peter Bucher, Heiner C Timmer, Antje Meyerrose, Jana Witt, Klaus Dawes, Martin Greenhalgh, Trisha Guyatt, Gordon H Open Med Research BACKGROUND: Health care professionals worldwide attend courses and workshops to learn evidence-based medicine (EBM), but evidence regarding the impact of these educational interventions is conflicting and of low methodologic quality and lacks generalizability. Furthermore, little is known about determinants of success. We sought to measure the effect of EBM short courses and workshops on knowledge and to identify course and learner characteristics associated with knowledge acquisition. METHODS: Health care professionals with varying expertise in EBM participated in an international, multicentre before–after study. The intervention consisted of short courses and workshops on EBM offered in diverse settings, formats and intensities. The primary outcome measure was the score on the Berlin Questionnaire, a validated instrument measuring EBM knowledge that the participants completed before and after the course. RESULTS: A total of 15 centres participated in the study and 420 learners from North America and Europe completed the study. The baseline score across courses was 7.49 points (range 3.97–10.42 points) out of a possible 15 points. The average increase in score was 1.40 points (95% confidence interval 0.48–2.31 points), which corresponded with an effect size of 0.44 standard deviation units. Greater improvement in scores was associated (in order of greatest to least magnitude) with active participation required of the learners, a separate statistics session, fewer topics, less teaching time, fewer learners per tutor, larger overall course size and smaller group size. Clinicians and learners involved in medical publishing improved their score more than other types of learners; administrators and public health professionals improved their score less. Learners who perceived themselves to have an advanced knowledge of EBM and had prior experience as an EBM tutor also showed greater improvement than those who did not. INTERPRETATION: EBM course organizers who wish to optimize knowledge gain should require learners to actively participate in the course and should consider focusing on a small number of topics, giving particular attention to statistical concepts. Open Medicine Publications, Inc. 2010-01-05 /pmc/articles/PMC3116678/ /pubmed/21686291 Text en http://creativecommons.org/licenses/by-nc-sa/2.5/ca/ Open Medicine applies the Creative Commons Attribution Share Alike License, which means that anyone is able to freely copy, download, reprint, reuse, distribute, display or perform this work and that authors retain copyright of their work. Any derivative use of this work must be distributed only under a license identical to this one and must be attributed to the authors. Any of these conditions can be waived with permission from the copyright holder. These conditions do not negate or supersede Fair Use laws in any country. |
spellingShingle | Research Kunz, Regina Wegscheider, Karl Fritsche, Lutz Schünemann, Holger J Moyer, Virginia Miller, Donald Boluyt, Nicole Falck-Ytter, Yngve Griffiths, Peter Bucher, Heiner C Timmer, Antje Meyerrose, Jana Witt, Klaus Dawes, Martin Greenhalgh, Trisha Guyatt, Gordon H Determinants of knowledge gain in evidence-based medicine short courses: an international assessment |
title | Determinants of knowledge gain in evidence-based medicine short courses: an international assessment |
title_full | Determinants of knowledge gain in evidence-based medicine short courses: an international assessment |
title_fullStr | Determinants of knowledge gain in evidence-based medicine short courses: an international assessment |
title_full_unstemmed | Determinants of knowledge gain in evidence-based medicine short courses: an international assessment |
title_short | Determinants of knowledge gain in evidence-based medicine short courses: an international assessment |
title_sort | determinants of knowledge gain in evidence-based medicine short courses: an international assessment |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3116678/ https://www.ncbi.nlm.nih.gov/pubmed/21686291 |
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