Perceptions and Competence in Evidence-Based Medicine

Poolman, Rudolf W.; Farrokhyar, Forough; Bhandari, Mohit; Sierevelt, Inger N.; Blankevoort, Leendert; Mazel, J A

doi:10.2106/00004623-200701000-00028

Cited by 4 publications

(7 citation statements)

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“…3 Most physicians surveyed in that study indicated interest in additional EBM education. 3 Similarly, Poolman and colleagues 4 surveyed Dutch surgeons on their knowledge of, competence in and attitudes toward EBM and found that improved knowledge of EBM was associated with younger age and working in an academic or teaching setting (p = 0.004). These authors also found that surgeons who completed the survey were receptive to EBM.…”

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confidence: 99%

“…These authors also found that surgeons who completed the survey were receptive to EBM. 4 A key requirement in the training of physicians as primary care practitioners, internists or surgeons is the development of skills necessary to critically appraise available literature. CanMEDS guidelines 5 outline 7 competency areas in which medical students, specialists and medical personnel are required to be proficient.…”

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confidence: 99%

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Principles and Practice of Clinical Research course for surgeons: an evaluation of knowledge transfer and perceptions

et al. 2012

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Background: Knowledge and training in evidence-based medicine (EBM) and clinical research is under-represented in most surgical training programs in North America. To address a lack of resources for surgeons, trainees and related specialties, we developed a Principles and Practice of Clinical Research (PPCR) course. The current study evaluated transfer of knowledge and perceptions about the course. Methods:The course was an intensive 2.5-day workshop consisting of interactive lectures and small group breakout sessions. Pre-and postcourse tests were completed by participants. The Fresno test, questions from the Centre of Applied Medical Statistics (CAMS) test and questions developed by the course chairs were used to determine if participants' knowledge of EBM, clinical research methodology and statistics improved. We also elicited participant perceptions of the course. Results:Overall participant knowledge about EBM and clinical research methods improved significantly from the pre-to the postcourse test (mean improvement in score 13.5%, relative increase 35.3%, p < 0.001). Specifically, improvements were demonstrated on the Fresno test (mean improvement 13.5%, relative increase 36.1%, p < 0.001) and the CAMS test (mean improvement 11.4%, relative increase 20.1%, p = 0.001). Participants showed the greatest improvement in general knowledge about clinical research (mean improvement 15.4%, relative increase 46.5%, p < 0.001). The PPCR course was well received; 30 (81.1%) participants who completed the course evaluation gave it a positive rating. Conclusion:Participants in a short course focusing on EBM and clinical research methodology had significant improvements in scores on tests of knowledge gained. Widespread implementation of similar courses may bridge knowledge gaps for surgeons, surgical trainees and health professionals. Whether shorter knowledge gains are retained in the longer term remains unknown.Contexte : Les connaissances et la formation en médecine fondée sur les données probantes (MFDP) et en recherche clinique sont sous-représentées dans la plupart des programmes de formation en chirurgie en Amérique du Nord. Afin de contrer un manque de ressources pour les chirurgiens, les stagiaires et les spécialités connexes, nous avons créé un cours sur les principes et la pratique de la recherche clinique (PPRC). L'étude en cours a évalué le transfert des connaissances et les perceptions au sujet du cours.

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Principles and Practice of Clinical Research course for surgeons: an evaluation of knowledge transfer and perceptions

et al. 2012

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“…Poolman et al . also found that younger surgeons, particularly those between 36 and 45 years old, as well as those with less than 10 years of professional experience, exhibited better competence in EBM [4]. Fourth, doctors practising in local clinics in counties with a better economic status and more information may be pushed to do more evidence‐based service because (1) the educated consumers may demand more service [16]; (2) economic processes also influence quality expectations and the perceived value of goods and services [17]; and (3) cities allow for more information exchange.…”

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confidence: 79%

“…Evidence‐based medicine (EBM) uses statistical and epidemiological methods as evidence for guiding clinical care. Many factors have been identified through subjective questionnaires as barriers to the practice of acting on clear evidence by physicians [1–4]. Studies have shown that the compliance with EBM was not satisfactory but none of the studies explored the performance of doctors in detail [5,6].…”

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confidence: 99%

How doctors practice evidence‐based medicine

2011

Evaluation Clinical Practice

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“…Much has been written about the incorporation of EBP into nursing,[9, 10] physical therapy,[11–13] and various medical disciplines including orthopedics. [14–16]…”

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Nullius in Verba

Amonette

Ottenbacher

2010

Sports Medicine

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Evidence-based practice (EBP) is a concept that was popularized in the early 1990’s by several physicians who recognized that medical practice should be based on the best and most current available evidence. Although this concept seems self-evident, much of medical practice was based on outdated textbooks and oral tradition passed down in medical school. Currently, exercise science is in a similar situation. Due to a lack of regulation within the exercise community, the discipline of exercise science is particularly prone to bias and misinformation, as evidenced by the plethora of available programs whose efficacy is supported by anecdote alone. In this manuscript, we provide a description of the five steps in EBP: 1) develop a question, 2) find evidence, 3) evaluate the evidence, 4) incorporate evidence into practice, and 5) re-evaluate the evidence. Although objections have been raised to the EBP process, we believe that its incorporation into exercise science will improve the credibility of our discipline and will keep exercise practitioners and academics on the cutting edge of the most current research findings.

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Perceptions and Competence in Evidence-Based Medicine

Cited by 4 publications

References 35 publications

Principles and Practice of Clinical Research course for surgeons: an evaluation of knowledge transfer and perceptions

Principles and Practice of Clinical Research course for surgeons: an evaluation of knowledge transfer and perceptions

How doctors practice evidence‐based medicine

Nullius in Verba

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