Education in evidence-based health care: never a greater need

Nunan, David

doi:10.1136/bmjebm-2021-111792

Cited by 4 publications

(6 citation statements)

References 20 publications

(20 reference statements)

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“…Our results contribute to the literature evaluating the role of mass gatherings in the spread of infectious disease, and the benefits of social distancing more generally. In a recent survey, Nunan and Brassey (2020) conclude that the impact of mass gatherings on COVID‐19 is still poorly understood. Some evidence is originating from outdoor and partly non‐randomly scheduled events.…”

Section: Introductionmentioning

confidence: 99%

Mass gatherings contributed to early COVID‐19 mortality: Evidence from US sports

Ahammer

Halla

Lackner

2023

Contemporary Economic Policy

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Social distancing is important to slow the community spread of infectious disease, but it creates enormous economic and social cost. Thus, it is important to quantify the benefits of different measures. We study the ban of mass gatherings, an intervention with comparably low cost. We exploit exogenous spatial and temporal variation in NBA and NHL games -which arise due to the leagues' predetermined schedules -and the suspension of the 2019-20 seasons. This allows us to estimate the impact of indoor mass gatherings on COVID-19 mortality in affected US counties. One additional mass gathering increased the cumulative number of COVID-19 deaths in affected counties by 9 percent.

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Section: Introductionmentioning

confidence: 99%

Mass gatherings contributed to early COVID‐19 mortality: Evidence from US sports

Ahammer

Halla

Lackner

2023

Contemporary Economic Policy

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“…Thus, the opening and quality of new curriculums must be thoroughly reviewed to meet the patient and community needs,25 32 33 especially when educational resources vary substantially in quality 7 34–37. Hence, we will direct medical education and practice towards excellence to overcome global health challenges 8 36…”

Section: Discussionmentioning

confidence: 99%

“…Besides training our current and future clinicians in using the evidence, it is crucial that they also learn how to effectively communicate it because even the most brilliant scientific discovery is worthless if it is not disseminated widely and accurately, exacerbating the misinformation crisis 60–62. Thus, the training of medical students must incorporate the concepts of disease, diagnosis and treatment through an empathic and critical mind to contribute to the dynamic medical evidence environment since global health is at stake 7 8…”

Section: Discussionmentioning

confidence: 99%

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Teaching evidence-based medicine in Mexico: a systematic review of medical doctor curriculums at a national level

Rodríguez

Martinez-Alvarado²,

Garcia-Toto³

et al. 2022

BMJ EBM

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ObjectivesTo assess the teaching of evidence-based medicine (EBM) in medical curriculums. As a secondary objective, we assessed the representativeness of science courses related to EBM.Design and settingSystematic review. Accredited curriculums by the Mexican Council for the Accreditation of Medical Education.Main outcome measuresWe provided a descriptive analysis of the required or elective EBM courses and EBM-related courses, academic credits and teaching period. EBM-related courses included research methodology, epidemiology, biostatistics, clinical research, public health, clinical epidemiology, scientific dissemination and health informatics to explore scientific education and training offered by medical schools. Additionally, we examined the curriculum’s structure, location, type of institution, total programme duration and academic credits. Data collection occurred from December 2020 to February 2021.ResultsWe identified 171 registered curriculums, of which we assessed 60 unique programmes (50% public) in our analysis. We identified 16 EBM single courses on the fifth and sixth semesters, of which 12 (20%) were mandatory and 4 were electives (6.7%). The allocated academic credits for EBM courses are minimal, without difference between public or private institutions, representing 0.08% of the total curriculum. Public health, epidemiology, research methodology and biostatistics courses are offered with greater frequency (55% or less) and curricular value (0.6% or less). In some cases, they are taught as combined courses. Clinical research, health informatics and clinical epidemiology are taught less than EBM, while scientific dissemination is nil.ConclusionIn Mexico, EBM teaching is limited to only one of five curriculums with minimal curricular value. A comprehensive curricular review is necessary across programmes to incorporate EBM as a first step to improve medical education and, consequently, public health. We call to action through an online, collaborative platform with several applications to optimise teaching of EBM.Review protocol registrationThe systematic review protocol is excluded from the International Prospective Register of Systematic Reviews since this platform only accepts systematic reviews with health-related outcomes. Review protocol registration: https://osf.io/3xm2q/

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“…At the end of a very remarkable 2021, facing the beginning of 2022 puts several challenges at stake: redefining the scope of our journal, focusing on original research and evidence synthesis on what matters for healthcare and also the tools, methods and concepts that are basic and central to teaching and practising EBM. Learning how to practise and teach EBM is at the core of our activities, and we published a special issue on this topic 2 3. Additionally, we are producing a series on important methodological innovations, including recent advances in network meta-analysis and the importance of open science 4.…”

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confidence: 99%

Advocating for evidence-informed decisions to make healthcare fit for each person

Franco¹,

Dwan

Garegnani

et al. 2022

BMJ EBM

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Education in evidence-based health care: never a greater need

Cited by 4 publications

References 20 publications

Mass gatherings contributed to early COVID‐19 mortality: Evidence from US sports

Mass gatherings contributed to early COVID‐19 mortality: Evidence from US sports

Teaching evidence-based medicine in Mexico: a systematic review of medical doctor curriculums at a national level

Advocating for evidence-informed decisions to make healthcare fit for each person

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