Information-seeking Behavior During Residency Is Associated With Quality of Theoretical Learning, Academic Career Achievements, and Evidence-based Medical Practice

Oussalah, Abderrahim; Fournier, Jean-Paul; Guéant, Jean‐Louis; Braun, Marc

doi:10.1097/md.0000000000000535

Cited by 7 publications

(7 citation statements)

References 26 publications

(38 reference statements)

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“…This is consistent with the study by Oussalah et al which showed that enrollment in a PhD or a research Master is an independent predictor of PubMed searching skill and knowledge of main journals. 21 …”

Section: Discussionmentioning

confidence: 99%

Factors associated with practicing evidence-based medicine: a study of family medicine residents

Paulsen

Achkar

2018

AMEP

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BackgroundEvidence-based medicine (EBM) plays a critical part in ensuring that practitioners use the soundest available medical procedures while avoiding ineffective ones. As such, it plays a key role in medical residency education. However, little research has shown what factors influence residents’ adoption of habits in, self-efficacy in, and skills of EBM.Materials and methodsThis study gathered responses from a cross section of family medicine residents and new interns from 40 different residencies across the USA. The survey was based on Taylor et al’s survey of EBM attitudes and behaviors and the Fresno test’s assessment of EBM knowledge and skills. The study used negative binomial regression, ordinary least squares regression, and nonparametric tests of difference to assess the impact of residents’ background (year in residency, type of residency, previous EBM training, and previous research experience) on these EBM outcomes.ResultsResidents with previous research experience are associated with stronger EBM habits, more self-efficacy in applying EBM, and greater ability in using EBM skills. Previous research experience had a bigger impact on these outcomes than any other predictor. EBM habits, self-efficacy, and skills did not appear to show even increases by year in residency. Previous EBM training was associated with more hours spent reading the literature and higher EBM skill test scores.ConclusionOur findings suggest the practice of EBM may benefit from medical education increasing research experiences and EBM training. Research experiences provide the practical training, while EBM training provides focused instruction necessary for EBM self-efficacy, habits, and skills. These EBM outcomes are not inherently gained through time in family medicine residency. Future research, particularly longitudinal designs, should continue to pursue this line of inquiry.

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Section: Discussionmentioning

confidence: 99%

Factors associated with practicing evidence-based medicine: a study of family medicine residents

Paulsen

Achkar

2018

AMEP

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“…These factors can either strengthen or detract from the focus on resolving clinical issues. Textbooks3 42 45 49 56–67 and guidelines64 66 68 69 are frequently used due to their high credibility. Additionally, Google is employed for its accessibility to a wide range of information resources 62 70.…”

Section: Discussionmentioning

confidence: 99%

Modelling of physicians’ clinical information-seeking behaviour in Iran: a grounded theory study

Daei,

Soleymani,

Zargham‑Boroujeni

et al. 2024

BMJ Open

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ObjectivesExploring clinical information-seeking behaviour (CISB) and its associated factors contributes to its theoretical advancement and offers a valuable framework for addressing physicians’ information needs. This study delved into the dimensions, interactions, strategies and determinants of CISB among physicians at the point of care.DesignA grounded theory study was developed based on Strauss and Corbin’s approach. Data were collected by semistructured interviews and then analysed through open, axial and selective coding.SettingThe study was conducted at academic centres affiliated with Isfahan University of Medical Sciences.ParticipantsThis investigation involved recruiting 21 specialists and subspecialists from the academic centres.ResultsThe findings revealed that physicians’ CISB encompassed multiple dimensions when addressing clinical inquiries. Seven principal themes emerged from the analysis: ‘clinical information needs’, ‘clinical question characteristics’, ‘clinical information resources’, ‘information usability’, ‘factors influencing information seeking’, ‘action/interaction encountering clinical questions’ and ‘consequences of CISB’. The core category identified in this study was ‘focused attention’.ConclusionsThe theoretical explanation demonstrated that the CISB process was interactive and dynamic. Various stimuli, including causal, contextual and intervening conditions, guide physicians in adopting information-seeking strategies and focusing on resolving clinical challenges. However, insufficient stimuli may hinder physicians’ engagement in CISB. Understanding CISB helps managers, policy-makers, clinical librarians and information system designers optimally implement several interventions, such as suitable training methods, reviewing monitoring and evaluating information systems, improving clinical decision support systems, electronic medical records and electronic health records, as well as monitoring and evaluating these systems. Such measures facilitate focused attention on clinical issues and promote CISB among physicians.

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“…Residency programs are designed to train resident physicians in delivering clinical care to patients and learning their chosen specialties at the same time [1]. Many residents, while caring for patients during rounds and clinics, encounter several clinical questions that need to be answered [2].…”

Section: Introductionmentioning

confidence: 99%

“…In 1983, the concept of informationseeking behavior was introduced for the first time in the medical literature. It is defined as the necessity to acquire information in response to an individual's realization of a gap in his knowledge [1]. Accessibility, availability of information, and organizational factors contribute to health information-seeking behavior.…”

Section: Introductionmentioning

confidence: 99%

Patterns of Information Seeking Behavior among Saudi Board Residents during Clinical Practice, Saudi Arabia

2022

J Family Med Prim Care Open Acc

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Background/Purpose: Saudi Commission for Health Specialties provides multiple residency programs designed to train resident physicians to apply the best available evidence in their clinical decisions. However, while caring for patients during rounds and clinics, many residents encounter clinical questions that they need to answer. In addition, there are motivating factors and barriers that affect their seeking information behavior. The study aims to understand different patterns of information-seeking behavior among Saudi board residents during clinical practice. Methods: Our study is a cross-sectional study, and it was conducted between March 2020 and November 2021. A total of 334 Saudi residents from various specialties under the Saudi Commission for Health Specialties supervision were included in the study, and responses were collected by electronic survey. Results: Results showed that 97% of residents seek information during clinical practice to answer their clinical questions. Medical websites such as (Medscape, UpToDate) and directly asking supervisors were the most frequent resources used (87% and 67%, respectively). In addition, the most commonly asked questions were related to treatment (76%) and diagnosis or diagnostic test (15%). Among the various motivation factors to seek information, curiosity (66%) and fear of medical errors (62%) were the most reported motives. However, the most related obstacles were lack of time 73% and difficulty finding relevant information (34%). Conclusion: Outcomes of this study showed that most of the residents are encouraged to seek information and learn during clinical practice. However, there are multiple motivation factors and barriers that affect their information-seeking behavior. These factors should be recognized to understand residents' uncertainties, improve their learning experience and develop educational recommendations to improve the outcomes of Saudi training programs.

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Information-seeking Behavior During Residency Is Associated With Quality of Theoretical Learning, Academic Career Achievements, and Evidence-based Medical Practice

Abstract: Supplemental Digital Content is available in the text

Cited by 7 publications

References 26 publications

Factors associated with practicing evidence-based medicine: a study of family medicine residents

Factors associated with practicing evidence-based medicine: a study of family medicine residents

Modelling of physicians’ clinical information-seeking behaviour in Iran: a grounded theory study

Patterns of Information Seeking Behavior among Saudi Board Residents during Clinical Practice, Saudi Arabia

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