Literature DB >> 12468485

Do 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.

L Fritsche1, T Greenhalgh, Y Falck-Ytter, H-H Neumayer, R Kunz.   

Abstract

OBJECTIVE: To develop and validate an instrument for measuring knowledge and skills in evidence based medicine and to investigate whether short courses in evidence based medicine lead to a meaningful increase in knowledge and skills.
DESIGN: Development and validation of an assessment instrument and before and after study.
SETTING: Various postgraduate short courses in evidence based medicine in Germany. PARTICIPANTS: The instrument was validated with experts in evidence based medicine, postgraduate doctors, and medical students. The effect of courses was assessed by postgraduate doctors from medical and surgical backgrounds. INTERVENTION: Intensive 3 day courses in evidence based medicine delivered through tutor facilitated small groups. MAIN OUTCOME MEASURE: Increase in knowledge and skills.
RESULTS: The questionnaire distinguished reliably between groups with different expertise in evidence based medicine. Experts attained a threefold higher average score than students. Postgraduates who had not attended a course performed better than students but significantly worse than experts. Knowledge and skills in evidence based medicine increased after the course by 57% (mean score before course 6.3 (SD 2.9) v 9.9 (SD 2.8), P<0.001). No difference was found among experts or students in absence of an intervention.
CONCLUSIONS: The instrument reliably assessed knowledge and skills in evidence based medicine. An intensive 3 day course in evidence based medicine led to a significant increase in knowledge and skills.

Entities:  

Mesh:

Year:  2002        PMID: 12468485      PMCID: PMC137813          DOI: 10.1136/bmj.325.7376.1338

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  12 in total

1.  Assessments in evidence-based medicine workshops: loose connection between perception of knowledge and its objective assessment.

Authors:  Khalid S. Khan; Awoniyi O. Awonuga; Linga S. Dwarakanath; Rod Taylor
Journal:  Med Teach       Date:  2001-01       Impact factor: 3.650

2.  Practitioners of evidence based care. Not all clinicians need to appraise evidence from scratch but all need some skills.

Authors:  G H Guyatt; M O Meade; R Z Jaeschke; D J Cook; R B Haynes
Journal:  BMJ       Date:  2000-04-08

Review 3.  A systematic review of the effectiveness of critical appraisal skills training for clinicians.

Authors:  R Taylor; B Reeves; P Ewings; S Binns; J Keast; R Mears
Journal:  Med Educ       Date:  2000-02       Impact factor: 6.251

4.  Teaching residents evidence-based medicine skills: a controlled trial of effectiveness and assessment of durability.

Authors:  C A Smith; P S Ganschow; B M Reilly; A T Evans; R A McNutt; A Osei; M Saquib; S Surabhi; S Yadav
Journal:  J Gen Intern Med       Date:  2000-10       Impact factor: 5.128

5.  Evidence-based medicine training in graduate medical education: past, present and future.

Authors:  M L Green
Journal:  J Eval Clin Pract       Date:  2000-05       Impact factor: 2.431

Review 6.  A review of journal clubs in postgraduate medical education.

Authors:  P C Alguire
Journal:  J Gen Intern Med       Date:  1998-05       Impact factor: 5.128

7.  Effectiveness of instruction in critical appraisal (evidence-based medicine) skills: a critical appraisal.

Authors:  G R Norman; S I Shannon
Journal:  CMAJ       Date:  1998-01-27       Impact factor: 8.262

8.  Teaching residents to read the medical literature: a controlled trial of a curriculum in critical appraisal/clinical epidemiology.

Authors:  J M Kitchens; M P Pfeifer
Journal:  J Gen Intern Med       Date:  1989 Sep-Oct       Impact factor: 5.128

9.  Teaching residents to read the medical literature.

Authors:  S H Gehlbach; J A Bobula; J C Dickinson
Journal:  J Med Educ       Date:  1980-04

10.  Impact of a medical journal club on house-staff reading habits, knowledge, and critical appraisal skills. A randomized control trial.

Authors:  M Linzer; J T Brown; L M Frazier; E R DeLong; W C Siegel
Journal:  JAMA       Date:  1988-11-04       Impact factor: 56.272

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  111 in total

1.  Mapping cognitive overlaps between practice-based learning and improvement and evidence-based medicine: an operational definition for assessing resident physician competence.

Authors:  Madhabi Chatterji; Mark J Graham; Peter C Wyer
Journal:  J Grad Med Educ       Date:  2009-12

2.  An Entrustable Professional Activity (EPA)-Based Framework to Prepare Fourth-Year Medical Students for Internal Medicine Careers.

Authors:  D Michael Elnicki; Meenakshy K Aiyer; Maria L Cannarozzi; Alexander Carbo; Paul R Chelminski; Shobhina G Chheda; Saumil M Chudgar; Heather E Harrell; L Chad Hood; Michelle Horn; Karnjit Johl; Gregory C Kane; Diana B McNeill; Marty D Muntz; Anne G Pereira; Emily Stewart; Heather Tarantino; T Robert Vu
Journal:  J Gen Intern Med       Date:  2017-06-20       Impact factor: 5.128

3.  Impact of an evidence-based medicine curriculum on medical students' attitudes and skills.

Authors:  Josephine L Dorsch; Meenakshy K Aiyer; Lynne E Meyer
Journal:  J Med Libr Assoc       Date:  2004-10

Review 4.  Evaluating the teaching of evidence based medicine: conceptual framework.

Authors:  Sharon E Straus; Michael L Green; Douglas S Bell; Robert Badgett; Dave Davis; Martha Gerrity; Eduardo Ortiz; Terrence M Shaneyfelt; Chad Whelan; Rajesh Mangrulkar
Journal:  BMJ       Date:  2004-10-30

5.  Evaluation of a longitudinal medical school evidence-based medicine curriculum: a pilot study.

Authors:  Colin P West; Furman S McDonald
Journal:  J Gen Intern Med       Date:  2008-07       Impact factor: 5.128

Review 6.  On-the-Job Evidence-Based Medicine Training for Clinician-Scientists of the Next Generation.

Authors:  Elaine Yl Leung; Sadia M Malick; Khalid S Khan
Journal:  Clin Biochem Rev       Date:  2013-08

7.  Extended evaluation of a longitudinal medical school evidence-based medicine curriculum.

Authors:  Colin P West; Thomas M Jaeger; Furman S McDonald
Journal:  J Gen Intern Med       Date:  2011-06       Impact factor: 5.128

8.  Development and validation of a questionnaire to identify patients with sleep apnea in Mexican population: Mexican questionnaire to identify sleep apnea.

Authors:  Zaira Romero-López; María Dolores Ochoa-Vázquez; José Antonio Mata-Marín; Luis Gerardo Ochoa-Jiménez; Favio Gerardo Rico-Méndez
Journal:  Sleep Breath       Date:  2010-02-23       Impact factor: 2.816

Review 9.  Prescribers' Knowledge and Skills for Interpreting Research Results: A Systematic Review.

Authors:  Leila Kahwati; Dennis Carmody; Nancy Berkman; Helen W Sullivan; Kathryn J Aikin; Jessica DeFrank
Journal:  J Contin Educ Health Prof       Date:  2017       Impact factor: 1.355

10.  Critical appraisal training increases understanding and confidence and enhances the use of evidence in diverse categories of learners.

Authors:  Donna H Odierna; Jenny White; Susan Forsyth; Lisa A Bero
Journal:  Health Expect       Date:  2012-12-16       Impact factor: 3.377

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