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Published in: Journal of General Internal Medicine 7/2008

01-07-2008 | Brief Report

Evaluation of a Longitudinal Medical School Evidence-Based Medicine Curriculum: A Pilot Study

Authors: Colin P. West, MD, PhD, Furman S. McDonald, MD, MPH

Published in: Journal of General Internal Medicine | Issue 7/2008

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Abstract

Background

Evidence-based medicine (EBM) is increasingly taught in medical schools, but few curricula have been evaluated using validated instruments.

Objective

To evaluate a longitudinal medical school EBM curriculum using a validated instrument.

Design, Participants, Measurements

We evaluated EBM attitudes and knowledge of 32 medical students as they progressed through an EBM curriculum. The first part was an EBM “short course” with didactic and small-group sessions occurring at the end of the second year. The second part integrated EBM assignments with third-year clinical rotations. The validated 15-item Berlin Questionnaire was administered before the course, after the short course, and at the end of the third year.

Results

EBM knowledge scores increased from baseline by 2.8 points at the end of the second year portion of the course (p = .0001), and by 3.7 points at the end of the third year (p < .0001). Self-rated EBM knowledge increased from baseline by 0.8 and 1.1 points, respectively (p = .0006 and p < .0001, respectively). EBM was felt to be of high importance for medical education and clinical practice at all time points, peaking after the short course.

Conclusions

A longitudinal medical school EBM curriculum was associated with increased EBM knowledge. This knowledge increase was sustained throughout the curriculum.
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Literature
1.
go back to reference Norman GR , Shannon SI. Effectiveness of instruction in critical appraisal (evidence-based medicine) skills: a critical appraisal. Can Med Assoc J. 1998;158:177–81. Norman GR , Shannon SI. Effectiveness of instruction in critical appraisal (evidence-based medicine) skills: a critical appraisal. Can Med Assoc J. 1998;158:177–81.
2.
go back to reference Green ML. Graduate medical education training in clinical epidemiology, critical appraisal, and evidence-based medicine: a critical review of curricula. Acad Med. 1999;74:686–94.CrossRefPubMed Green ML. Graduate medical education training in clinical epidemiology, critical appraisal, and evidence-based medicine: a critical review of curricula. Acad Med. 1999;74:686–94.CrossRefPubMed
3.
go back to reference Taylor R , Reeves B , Ewings P , Binns S , Keast J , Mears R. A systematic review of the effectiveness of critical appraisal skills training for clinicians. Med Educ. 2000;34:120–5.CrossRefPubMed Taylor R , Reeves B , Ewings P , Binns S , Keast J , Mears R. A systematic review of the effectiveness of critical appraisal skills training for clinicians. Med Educ. 2000;34:120–5.CrossRefPubMed
4.
go back to reference Akl EA , Izuchukwu IS , El-Dika S , Fritsche L , Kunz R , Schunemann HJ. Integrating an evidence-based medicine rotation into an internal medicine residency program. Acad Med. 2004;79:897–904.CrossRefPubMed Akl EA , Izuchukwu IS , El-Dika S , Fritsche L , Kunz R , Schunemann HJ. Integrating an evidence-based medicine rotation into an internal medicine residency program. Acad Med. 2004;79:897–904.CrossRefPubMed
5.
go back to reference Barnett SH , Kaiser S , Morgan LK , et al.. An integrated program for evidence-based medicine in medical school. Mt Sinai J Med. 2000;67:163–8.PubMed Barnett SH , Kaiser S , Morgan LK , et al.. An integrated program for evidence-based medicine in medical school. Mt Sinai J Med. 2000;67:163–8.PubMed
6.
7.
go back to reference Smith CA , Ganschow PS , Reilly BM , et al.. Teaching residents evidence-based medicine skills: a controlled trial of effectiveness and assessment of durability. J Gen Intern Med. 2000;15:710–5.CrossRefPubMed Smith CA , Ganschow PS , Reilly BM , et al.. Teaching residents evidence-based medicine skills: a controlled trial of effectiveness and assessment of durability. J Gen Intern Med. 2000;15:710–5.CrossRefPubMed
8.
go back to reference Fritsche L , Greenhalgh T , Falck-Ytter Y , Neumayer H-H , Kunz R. 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. BMJ. 2002;325:1338–41.CrossRefPubMed Fritsche L , Greenhalgh T , Falck-Ytter Y , Neumayer H-H , Kunz R. 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. BMJ. 2002;325:1338–41.CrossRefPubMed
9.
go back to reference Guyatt G , Rennie D. Users’ guides to the medical literature. Chicago: AMA Press; 2002. Guyatt G , Rennie D. Users’ guides to the medical literature. Chicago: AMA Press; 2002.
10.
11.
12.
go back to reference Coomarasamy A , Khan KS. What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ. 2004;329:1017–21.CrossRefPubMed Coomarasamy A , Khan KS. What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ. 2004;329:1017–21.CrossRefPubMed
13.
go back to reference Khan KS , Awonuga AO , Dwarakanath LS , Taylor R. Assessments in evidence-based medicine workshops: loose connection between perception of knowledge and its objective assessment. Med Teach. 2001;23:92–4.CrossRefPubMed Khan KS , Awonuga AO , Dwarakanath LS , Taylor R. Assessments in evidence-based medicine workshops: loose connection between perception of knowledge and its objective assessment. Med Teach. 2001;23:92–4.CrossRefPubMed
14.
go back to reference Shaneyfelt T , Baum KD , Bell D , Feldstein D , Houston TK , Kaatz S , Whelan C , Green M. Instruments for evaluating education in evidence-based practice: a systematic review. JAMA. 2006;296:1116–27.CrossRefPubMed Shaneyfelt T , Baum KD , Bell D , Feldstein D , Houston TK , Kaatz S , Whelan C , Green M. Instruments for evaluating education in evidence-based practice: a systematic review. JAMA. 2006;296:1116–27.CrossRefPubMed
15.
go back to reference Ramos KD , Schafer S , Tracz SM. Validation of the Fresno Test of competence in evidence based medicine. BMJ. 2003;326:319–21.CrossRefPubMed Ramos KD , Schafer S , Tracz SM. Validation of the Fresno Test of competence in evidence based medicine. BMJ. 2003;326:319–21.CrossRefPubMed
Metadata
Title
Evaluation of a Longitudinal Medical School Evidence-Based Medicine Curriculum: A Pilot Study
Authors
Colin P. West, MD, PhD
Furman S. McDonald, MD, MPH
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 7/2008
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-008-0625-x

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