Knowledge, practices and attitudes of physicians towards evidencebased medicine in Egypt

Abdel-Kareem, Amira; Kabbash, Ibrahim Ali; Saied, Shimaa M.; Al-Deeb, Abdelaziz

doi:10.26719/emhj.18.010

Cited by 25 publications

(43 citation statements)

References 8 publications

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“…Most of the participants in this study reported positive to very positive attitudes, both collegially and individually. This is congruent with other studies in the region that showed that clinicians generally have a favorable view of EBM [ 13 , 26 , 27 ]. These studies also cited that despite having positive attitudes towards EBM, this was not necessarily translated into aptitude or knowledge.…”

Section: Discussionsupporting

confidence: 92%

Examining aptitude and barriers to evidence-based medicine among trainees at an ACGME-I accredited program

et al. 2020

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Background The aims of Evidence-Based medicine (EBM) are to promote critical thinking and produces better patients’ outcome (Profetto-McGrath J, J Prof Nurs Off J Am Assoc Coll Nurs 21:364-371, 2005). Accreditation Council for Graduate Medical Education (ACGME) competencies require trainees to locate, appraise and apply clinical evidence to patients’ care. Despite the emphasis that ACGME place on EBM, few organizations provide adequate training in EBM. This is even more critical in regions where medical trainees matriculate from diverse backgrounds of undergraduate medical education, where EBM may not be emphasized nor taught at all. EBM practice has a history of research in the West, however, EBM has not been widely studied in the Middle East. Methods Clinicians and trainees at Hamad Medical Corporation (HMC) matriculate from many countries in the Middle East and North Africa (MENA) and Asia. Because trainees in Graduate Medical Education (GME) come to HMC from a variety of geographic backgrounds, it is assumed that they also have a variety of experiences and aptitudes in EBM. To assess trainees EBM attitudes and knowledge in the internal medicine department at HMC in Doha, Qatar, the authors surveyed residents and fellows using a two-part survey. The first part was adapted from the evidence-based practice inventory by Kaper to assess trainees’ attitudes and perceptions of EBM. Trainees were also asked to complete the Assessing Competency in Evidence Based Medicine (ACE) tool to evaluate their aptitude in different elements of EBM. The results from the two parts were analyzed. Results The average score on the ACE tool among the participants was 8.9 (±1.6). Most participants rated themselves as beginners or intermediate in their EBM capabilities. Higher ACE scores were observed from participants with educational background from South Asia, and among those with more favorable attitudes towards EBM. There was no clear pattern that early incorporation of EBM into practice will result in better ACE score. Participants also reported reasonable abilities in EBM tasks and a favorable work atmosphere for EBM implementation. Lack of knowledge, resources, and time were the most reported barriers to utilizing EBM. Conclusions While it is clear that participants are enthusiastic about EBM and see it as a useful method for clinical decision making, their aptitude in EBM is not optimal and there are gaps and barriers for them to practice.

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Section: Discussionsupporting

confidence: 92%

Examining aptitude and barriers to evidence-based medicine among trainees at an ACGME-I accredited program

et al. 2020

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“…Most of the participants in this study reported positive to very positive attitudes, both collegially and individually. This is congruent with other studies in the region that showed that clinicians generally have a favorable view of EBM 13,20,21 . These studies also cited that despite having positive attitudes towards EBM, this was not necessarily translated into aptitude or knowledge.…”

Section: Discussionsupporting

confidence: 91%

Examining aptitude and barriers to Evidence Based Medicine among trainees at an ACGME-I accredited program

Mahmoud

Laws

Kamal

et al. 2020

Preprint

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Background Evidence-based medicine (EBM) promotes critical thinking and produces better patients’ outcome. Accreditation Council for Graduate Medical Education (ACGME) competencies require trainees to locate, appraise and apply clinical evidence to patients care. Despite the emphasis that ACGME place on EBM, few organizations provide adequate training in EBM. This is even more critical in regions where medical trainees matriculate from diverse backgrounds of undergraduate medical education, where EBM may not be emphasized nor taught at all. EBM practice has a history of research in the West, however, EBM has not been widely studied in the Middle East. Methods Clinicians and trainees at Hamad Medical Corporation (HMC) matriculate from many countries in the Middle East and North Africa (MENA) and Asia. Trainees’ various backgrounds in medical education hypothesize different levels and experiences of EBM. To assess trainees EBM attitudes and knowledge in the internal medicine department at HMC in Doha, Qatar, we surveyed residents and fellows using a two-part survey. The first part was adapted from the evidence-based practice inventory by Kaper to assess trainees’ attitudes and perceptions of EBM. Trainees were also asked to complete the ACE tool to assess their knowledge proficiency regarding different elements of EBM. The results from the two were analyzed. Results The average score on the ACE tool among the participants was around 9 out of 15. Most participants rated themselves as beginners or intermediate in their EBM capabilities. Higher ACE scores were observed from participants with educational background from South Asia, and among those with more favorable attitudes towards EBM. Participants also reported reasonable capabilities of doing EBM and favorable atmosphere at work for EBM implementation. Lack of knowledge, resources and time were the most reported barriers for doing EBM. Conclusions Earlier adoption of EBM education and practices leads to increased competence and it should be taught and evaluated in the undergraduate and GME programs. This's especially true since it's known that EBM practices lead to better patient outcomes. In a setting where matriculating clinicians arrive from heterogeneous educational backgrounds and EBM experiences, it is important to assess and continuously implement EBM training.

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“…The barriers to practising EBM were patient overload (68.1%), lack of tie (60.1%), colleagues' attitude (47%), lack of skills (46.7%) and fear of criticism (44.5%). 2 Lack of time has been a common barrier reported among physicians for the past 20 years. 2 3 It has been suggested that for clinicians to have a good grasp of EBM, they would need to read at least 19 original articles every day of the year.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude and practice of evidence-based medicine among primary care practitioners in Malaysia: a cross-sectional study

2021

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ObjectivesTo determine the level of knowledge and practice of evidence-based medicine (EBM) and the attitudes towards it and to identify the factors associated with its practice among primary care practitioners in Selangor, Malaysia.SettingThis cross-sectional study was conducted in randomly selected health clinics in Selangor. Data were collected from primary care physicians using self-administered questionnaires on knowledge, practice and attitudes regarding EBM.ParticipantsThe study included 225 respondents working in either government or private clinics. It excluded house officers and those working in public and private universities or who were retired from practice.ResultsA total of 32.9% had a high level of EBM knowledge, 12% had a positive attitude towards EBM and 0.4% had a good level of its practice. The factors significantly associated with EBM practice were ethnicity, attitude, length of work experience as a primary care practitioner and quick access to online reference applications on mobile phones.ConclusionsAlthough many physicians have suboptimal knowledge of EBM and low levels of practising it, majority of them have a neutral attitude towards EBM practice. Extensive experience as a primary care practitioner, quick access to online references on a mobile phone and good attitude towards EBM were associated with its practice.

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Knowledge, practices and attitudes of physicians towards evidencebased medicine in Egypt

Cited by 25 publications

References 8 publications

Examining aptitude and barriers to evidence-based medicine among trainees at an ACGME-I accredited program

Examining aptitude and barriers to evidence-based medicine among trainees at an ACGME-I accredited program

Examining aptitude and barriers to Evidence Based Medicine among trainees at an ACGME-I accredited program

Knowledge, attitude and practice of evidence-based medicine among primary care practitioners in Malaysia: a cross-sectional study

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