Evidence summary resources may influence clinical decision making: A case-based scenario evaluation of an evidence summary tool

Heighes, Philippa T.; Doig, Gordon S.

doi:10.1016/j.jcrc.2019.10.001

Cited by 3 publications

(5 citation statements)

References 32 publications

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“…Residents in academic centers spent fewer weeks on clinics overall and were also more likely to be able to concentrate on either ER or CC on any given day rather than attempting to juggle the conflicting demands of 2 roles. This might have provided them with more opportunities to read and discuss the literature relevant to their cases, with the potential to improve clinical decision‐making and knowledge retention 5,6 . In addition, having a larger cohort of residents with whom to collaborate, work, and learn from might also be beneficial to those residents with converging learning styles who enjoy group work, 7 while having more time for each case might aid those with assimilating learning styles who enjoy having opportunities to think things through 8 …”

Section: Discussionmentioning

confidence: 99%

“…This might have provided them with more opportunities to read and discuss the literature relevant to their cases, with the potential to improve clinical decision-making and knowledge retention. 5,6 In addition, having a larger cohort of residents with whom to collaborate, work, and learn from might also be beneficial to those residents with converging learning styles who enjoy group work, 7 while having more time for each case might aid those with assimilating learning styles who enjoy having opportunities to think things through. 8 In the present study, resident age was inversely associated with first-attempt examination success; that is, residents who successfully passed the ACVECC examination at the first attempt were significantly younger than those who did not.…”

Section: Discussionmentioning

confidence: 99%

“…Diplomates mentoring a median of 3 to 5 (3)(4)(5)(6)(7)(8) Candidates reported managing a median of 10 patients (5-15) that were mechanically ventilated during their residency. Most candidates (51/97, 52.6%) did not manage any renal replacement therapy cases during their residency.…”

Section: Residency Training Program Factorsmentioning

confidence: 99%

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Prospective investigation of factors associated with success on the American College of Veterinary Emergency and Critical Care certification examination (2016‐2018)

Goggs

Kerl

Jandrey

et al. 2021

J Vet Emergen Crit Care

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Objective To assess the association of candidate attributes and residency training factors with success on the American College of Veterinary Emergency and Critical Care (ACVECC) board certification examination and to develop multivariable models of first‐attempt success. Design Prospective survey‐based study. Setting Post‐assessment ACVECC examination candidates. Animals None. Interventions None. Measurements and main results Comprehensive surveys were distributed to ACVECC examination candidates in 2016 to 2018 after completion of their assessments, but prior to publication of examination results. Unique anonymous candidate identification numbers were used to match survey responses to outcome data from the office of the ACVECC Executive Secretary. After curation to retain only the first response from each candidate, there were 97 unique candidate responses available for analysis. Univariate analyses identified multiple factors associated with first‐attempt success and multiple differences between academic and private practice residency programs. Multivariable logistic regression modeling suggested that 5 factors were independently associated with first‐attempt success on the ACVECC examination, specifically younger age, more weeks of study prior to the examination, training at a facility with more ACVECC Diplomates, training at a facility with more ACVECC residents, and having no requirement to manage both Emergency Room (ER) and Critical Care (CC) cases simultaneously. Conclusions Numerous resident and training center factors are associated with success in the ACVECC board certification examination. Residents and training centers might be able to use these data to enhance training, but caution must be exercised because these data are associative only.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prospective investigation of factors associated with success on the American College of Veterinary Emergency and Critical Care certification examination (2016‐2018)

Goggs

Kerl

Jandrey

et al. 2021

J Vet Emergen Crit Care

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“…Furthermore, well-conducted systematic reviews serve as the basis for meta-analyses and evidence-based clinical practice guidelines. Clinicians may prefer these preappraised resources as a primary source of clinical information …”

Section: Step 2: Use Pubmed Clinical Query Filtersmentioning

confidence: 99%

“…Clinicians may prefer these preappraised resources as a primary source of clinical information. 6 The original PubMed clinical query filter for systematic reviews contained more than 20 different search terms optimized to retrieve systematic reviews, metaanalyses, and clinical practice guidelines. 7 In October 2020, this filter was removed from the PubMed clinical queries page.…”

mentioning

confidence: 99%

Using Updated PubMed

Kang

Kalloniatis

Doig

2021

JAMA

Self Cite

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PubMed is a free web-based public access resource that supports the search and retrieval of literature from the National Library of Medicine's MEDLINE database. In the past 2 years, PubMed has been updated to improve functionality and add important new features, 1-3 including a set ofsearchstatementstoidentifyCOVID-19articlesandanew publicationfiltertoallowPubMedsearchestoretrieveearlyrelease preprints. 4,5 This Viewpoint describes how these importantnewPubMedfeaturesandfunctionscouldallow clinicians to use a 3-step literature searching process to obtain real-time answers to important clinical questions. A brief example of this 3-step process is in the Supplement.

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Methodological components, structure and quality assessment tools for evidence summaries: a scoping review

Whitehorn,

Lockwood,

et al. 2024

JBI Evidence Synthesis

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Objective: The objective of this review was to identify and map the available information related to the definition, structure, and core methodological components of evidence summaries, as well as to identify any indicators of quality. Introduction: Evidence summaries offer a practical solution to overcoming some of the barriers present in evidence-based health care, such as lack of access to evidence at the point of care, and the knowledge and expertise to evaluate the quality and translate the evidence into clinical decision-making. However, lack of transparency in reporting and inconsistencies in the methodology of evidence summary development have previously been cited and pose problems for end-users (eg, clinicians, policymakers). Inclusion criteria: Any English-language resource that described the methodological development or appraisal of an evidence summary was included. Methods: PubMed, Embase, and CINAHL (EBSCOhost) were systematically searched in November 2019, with no limits on the search. The search was updated in June 2021 and January 2023. Gray literature searches and pearling of references of included sources were also conducted at the same time as the database searches. All resources (ie, articles, papers, books, dissertations, reports, and websites) were eligible for inclusion in the review if they evaluated or described the development or appraisal of an evidence summary methodology within a point-of-care context and were published in English. Literature reviews (eg, systematic reviews, rapid reviews), including summaries of evidence on interventions or health care activities that either measure effects, a phenomena of interest, or where the objective was the development, description or evaluation of methods without a clear point-of-care target, were excluded from the review. Results: A total of 76 resources (n=56 articles from databases and n=20 reports from gray literature sources) were included in the review. The most common type/name included critically appraised topic (n=18) and evidence summary (n=17). A total of 25 resources provided a definition of an evidence summary: commonalities included a clinical question; a structured, systematic literature search; a description of literature selection; and appraisal of evidence. Of these 25, 16 included descriptors such as brief, concise, rapid, short, succinct and snapshot. The reported methodological components closely reflected the definition results, with the most reported methodological components being a systematic, multi-database search, and critical appraisal. Evidence summary examples were mostly presented as narrative summaries and usually included a reference list, background or clinical context, and recommendations or implications for practice or policy. Four quality assessment tools and a systematic review of tools were included. Conclusions: The findings of this study highlight the wide variability in the definition, language, methodological components and structure used for point-of-care resources that met our definition of an evidence summary. This scoping review is one of the first steps aimed at improving the credibility and transparency of evidence summaries in evidence-based health care, with further research required to standardize the definitions and methodologies associated with point-of-care resources and accepted tools for quality assessment. Supplemental digital content: A Chinese-language version of the abstract of this review is available at http://links.lww.com/SRX/A59, studies ineligible following full-text review http://links.lww.com/SRX/A60.

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Evidence summary resources may influence clinical decision making: A case-based scenario evaluation of an evidence summary tool

Cited by 3 publications

References 32 publications

Prospective investigation of factors associated with success on the American College of Veterinary Emergency and Critical Care certification examination (2016‐2018)

Prospective investigation of factors associated with success on the American College of Veterinary Emergency and Critical Care certification examination (2016‐2018)

Using Updated PubMed

Methodological components, structure and quality assessment tools for evidence summaries: a scoping review

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