Evidence-Based Medicine in Pediatric Residency Programs: Where Are We Now?

Kersten, Hans B.; Randis, Tara M.; Giardino, Angelo P.

doi:10.1367/a04-182r1.1

Cited by 18 publications

(8 citation statements)

References 16 publications

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“…In our survey, 74% of pediatric residency programs had an EBM curriculum in place, whereas Kersten et al’s survey of pediatric chief residents found that only 48% of programs had a formal EBM curriculum 12 years ago [ 18 ]. In both Kersten’s study and our study, programs utilized a number of venues for teaching EBM and covered a broad range of topics, including framing a PICO question, searching the literature, and critically appraising and applying the literature.…”

Section: Discussionmentioning

confidence: 86%

The role of librarians in teaching evidence-based medicine to pediatric residents: a survey of pediatric residency program directors

Boykan

Jacobson

2017

jmla

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Objective:The research sought to identify the general use of medical librarians in pediatric residency training, to define the role of medical librarians in teaching evidence-based medicine (EBM) to pediatric residents, and to describe strategies and curricula for teaching EBM used in pediatric residency training programs.Methods:We sent a 13-question web-based survey through the Association of Pediatric Program Directors to 200 pediatric residency program directors between August and December 2015.Results:A total of 91 (46%) pediatric residency program directors responded. Most (76%) programs had formal EBM curricula, and more than 75% of curricula addressed question formation, searching, assessment of validity, generalizability, quantitative importance, statistical significance, and applicability. The venues for teaching EBM that program directors perceived to be most effective included journal clubs (84%), conferences (44%), and morning report (36%). While 80% of programs utilized medical librarians, most of these librarians assisted with scholarly or research projects (74%), addressed clinical questions (62%), and taught on any topic not necessarily EBM (58%). Only 17% of program directors stated that librarians were involved in teaching EBM on a regular basis. The use of a librarian was not associated with having an EBM curriculum but was significantly associated with the size of the program. Smaller programs were more likely to utilize librarians (100%) than were medium (71%) or large programs (75%).Conclusions:While most pediatric residency programs have an EBM curriculum and engage medical librarians in various ways, librarians’ expertise in teaching EBM is underutilized. Programs should work to better integrate librarians’ expertise, both in the didactic and clinical teaching of EBM.

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Section: Discussionmentioning

confidence: 86%

The role of librarians in teaching evidence-based medicine to pediatric residents: a survey of pediatric residency program directors

Boykan

Jacobson

2017

jmla

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“…Although highly knowledgeable about medicine and medications in general, most physicians complete only 6 weeks of exposure to psychiatry during medical training (Serby, Schmeidler, & Smith, 2002) and receive no further required training in psychiatry during pediatric residency (Kersten, Randis, & Giardino, 2003). Thus, pediatricians are caught in a double bind -they are compelled to treat mental health disorders "in house," but they lack the training (and the time) to deliver this treatment competently and comfortably.…”

Section: Pediatricians As Provides Of Mental Health Carementioning

confidence: 99%

Pediatricians and Pharmacologically Trained Psychologists

2011

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“…Therefore, journal club is the most commonly used vehicle to teach EBM to residents, yet this rarely translates into effective EBM skills 2 . Basing curriculum on adult learning theory is critical 3 in engaging adult learners and fostering knowledge retention, but these principles are rarely applied in the context of these journal clubs.…”

Section: Introductionmentioning

confidence: 99%

Teaching trainees how to critically evaluate the literature - a crossover study at two pediatric residency programs

2017

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ObjectivesThe purpose of this study was to assess the efficacy of a concise, evidence based medicine curriculum in improving the knowledge of pediatric residents at two institutions. MethodsSixty first and second year pediatric residents at MassGeneral Hospital for Children and MedStar Georgetown University Hospital participated in a crossover study. The evidence based medicine curriculum, consisting of 4 ninety minute sessions grounded in adult learning theory principles, was developed using the methodology described in the book ‘Studying a Study’. A validated 20 question evidence based medicine multiple choice test was administered on three separate occasions to measure baseline knowledge, efficacy of the curriculum in improving knowledge, and long term retention of that knowledge. Results Post curriculum, the fall group’s scores improved 23% from baseline (M=10.3, SD=2.4) to (M=12.7, SD=3.0) students (t(26)=-3.29, p=0.0018) while the spring group improved by 41% (M=10.0, SD=2.8) to (M=14.1, SD=2.2) students (t(32)=-6.46, p<0.0001). When re-tested 4-6 months later, the fall group’s scores did not significantly decline from their immediate post curriculum scores (M=12.7, SD=3.0) to (M=11.7, SD=3.0) students (t(32) =1.33, p=0.190). There was an association between number of sessions attended and increase in post curriculum score (χ2(3, N=60) =11.75, p=0.0083). ConclusionsFindings demonstrate our curriculum was effective in teaching evidence based medicine to pediatric residents, and fostered long term retention of knowledge. Based on these results, we believe this curriculum could be implemented at any institution.

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Evidence-Based Medicine in Pediatric Residency Programs: Where Are We Now?

Cited by 18 publications

References 16 publications

The role of librarians in teaching evidence-based medicine to pediatric residents: a survey of pediatric residency program directors

The role of librarians in teaching evidence-based medicine to pediatric residents: a survey of pediatric residency program directors

Pediatricians and Pharmacologically Trained Psychologists

Teaching trainees how to critically evaluate the literature - a crossover study at two pediatric residency programs

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