The Effect of an Evidence-Based Medicine Curriculum on Breast Cancer Knowledge and Satisfaction of Surgical Residents

Komenaka, Ian K.; Heberer, M; O’Neill, Patrick J.; Hsu, Chiu Hsieh; Nesset, Elizabeth M.; Goldberg, Richard E.; Winton, Lisa M.; Bouton, Marcia E.; Caruso, Daniel M.

doi:10.1016/j.jsurg.2014.12.017

Cited by 4 publications

(3 citation statements)

References 70 publications

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“…Ein Förderprogramm könnte dabei hilfreich sein, interessierte Assistenten in die Senologie einzuarbeiten und wissenschaftlich zu begleiten, ein Curriculum für die senologische Weiterbildung zu strukturieren und den Abteilungen zu empfehlen. Der Effekt eines strukturierten, evidenzbasierten Curriculums für die Brustchirurgie-Rotation wurde bereits in einer prospektiven Studie aus Phoenix, USA getestet, und konnte eine signifikante Zufriedenheitssteigerung sowie Wissenszuwachs unter den Teilnehmern nachweisen [11]. Der Einfluss der Assistenz bei Brustoperationen auf die Tumorfreiheit der Schnitträder wurde von Plichta et al untersucht [12].…”

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Senology in Gynaecology Specialist Training: a Baseline Survey from 2014

Puppe

Dieterich

Bayer

et al. 2016

Geburtshilfe Frauenheilkd

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Einleitung: Eine qualifizierte Weiterbildung in der Senologie ist für das Fortbestehen einer guten und qualitativ hochwertigen Patientenversorgung essenziell. Um den Ansprüchen der Weiterbildungsassistenten und der medizinischen Infrastruktur gerecht zu werden, ist es notwendig, die Weiterbildungsqualität regelmäßig zu erfassen, um diese entsprechend anpassen und optimieren zu können. Methodik: Zur Erfassung der Weiterbildungsqualität haben wir einen 10 Items umfassenden Online-Fragebogen entwickelt. Die bundesweite Umfrage wurde an 4000 Assistenten und junge Fachärzte über den Newsletter der DGGG adressiert und war über 4 Wochen lang zugängig. Ergebnisse: An der Umfrage nahmen 111 Weiterbildungsassistenten aus der Gynäkologie und Geburtshilfe teil, davon 79 % weiblich. 33 % der Befragten arbeiteten an einer Universitätsklinik, 29 % an einem Haus der Maximalversorgung ohne medizinische Fakultät, 37 % an einem Krankenhaus der Grund-und Regelversorgung sowie 2 % in einer Niederlassung. Eine zukünftige berufliche Betätigung im Bereich der Senologie konnten sich 25 % der Befragten vorstellen. Die aktuell wahrgenommene allgemeine Weiterbildungsqualität wurde durchschnittlich als befriedigend bewertet. Die senologische Weiterbildung wurde von Weiterbildungsassistenten an Universitätskliniken im Vergleich zu Häusern der Maximal-, Grund-und Regelversorgung am besten bewertet (Note: 2,95). Eine Verbesserungsmöglichkeit der senologischen Weiterbildung wurde in einer festen Rotation in ein Brustzentrum mit umfassenden Fortbildungsmöglichkeiten gesehen. Zusammenfassung: Es handelt sich um die erste Bestandsaufnahme zur senologischen Weiterbildung in Deutschland. Die Ergebnisse zeigen, dass es großen potenziellen Nachwuchs gibt. Des Weiteren existieren große Unterschiede in der emp

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Senology in Gynaecology Specialist Training: a Baseline Survey from 2014

Puppe

Dieterich

Bayer

et al. 2016

Geburtshilfe Frauenheilkd

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“…Regarding the factors in addition to the intervention that were related to an improvement in the outcome, the number of hours of EBM training was related to better results. The inclusion of EBM training in a curriculum can improve knowledge not only in areas related to research [ 46 ] but in other areas overarching specialty-specific performance in certain groups of medical residents [ 47 ]. In Spain, the MFyC training plan places special emphasis on training in these tools [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a game-based educational strategy e-EDUCAGUIA for implementing antimicrobial clinical practice guidelines in family medicine residents in Spain: a randomized clinical trial by cluster

et al. 2022

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Background Clinical practice guidelines (CPGs) have teaching potential for health professionals in training clinical reasoning and decision-making, although their use is limited. The objective was to evaluate the effectiveness of a game-based educational strategy e-EDUCAGUIA using simulated clinical scenarios to implement an antimicrobial therapy GPC compared to the usual dissemination strategies to improve the knowledge and skills on decision-making of family medicine residents. Additionally, adherence to e-EDUCAGUIA strategy was assessed. Methods A multicentre pragmatic cluster-randomized clinical trial was conducted involving seven Teaching Units (TUs) of family medicine in Spain. TUs were randomly allocated to implement an antimicrobial therapy guideline with e-EDUCAGUIA strategy ( intervention) or passive dissemination of the guideline (control). The primary outcome was the differences in means between groups in the score test evaluated knowledge and skills on decision-making at 1 month post intervention. Analysis was made by intention-to-treat and per-protocol analysis. Secondary outcomes were the differences in mean change intrasubject (from the baseline to the 1-month) in the test score, and educational game adherence and usability. Factors associated were analysed using general linear models. Standard errors were constructed using robust methods. Results Two hundred two family medicine residents participated (104 intervention group vs 98 control group). 100 medicine residents performed the post-test at 1 month (45 intervention group vs 55 control group), The between-group difference for the mean test score at 1 month was 11 ( 8.67 to 13.32) and between change intrasubject was 11,9 ( 95% CI 5,9 to 17,9). The effect sizes were 0.88 and 0.75 respectively. In multivariate analysis, for each additional evidence-based medicine training hour there was an increase of 0.28 points (95% CI 0.15–0.42) in primary outcome and in the change intrasubject each year of increase in age was associated with an improvement of 0.37 points and being a woman was associated with a 6.10-point reduction. 48 of the 104 subjects in the intervention group (46.2%, 95% CI: 36.5–55.8%) used the games during the month of the study. Only a greater number of evidence-based medicine training hours was associated with greater adherence to the educational game ( OR 1.11; CI 95% 1.02–1.21). Conclusions The game-based educational strategy e-EDUCAGUIA shows positive effects on the knowledge and skills on decision making about antimicrobial therapy for clinical decision-making in family medicin residents in the short term, but the dropout was high and results should be interpreted with caution. Adherence to educational games in the absence of specific incentives is moderate. Trial registration ClinicalTrials.gov Identifier: NCT02210442. Registered 6 August 2014.

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“…Regarding the factors in addition to the intervention that were related to an improvement in the outcome, the number of hours of EBM training was related to better results. The inclusion of EBM training in a curriculum can improve knowledge not only in areas related to research (46) but in other areas overarching specialty-speci c performance in certain groups of residents (47). In Spain, the MFyC training plan places special emphasis on training in these tools (48).…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

Effectiveness of an educational strategy using educational games e-EDUCAGUIA for implementing antimicrobial clinical practice guidelines in family medicine residents in Spain: a randomized clinical trial by cluster.

del-Cura-González

Ariza-Cardiel

Polentinos-Castro

et al. 2022

Preprint

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Background: Clinical practice guidelines (CPGs) have great teaching potential for health professionals in training, although their use is limited. The objective of this study was to evaluate the effectiveness and adherence to e-EDUCAGUIA teaching strategy using educational game with simulated clinical scenarios to implement a CPG on antimicrobial therapy compared to the usual dissemination strategies in improving the knowledge and skills of family medicine residents.Methods: This was a multicentre cluster-randomized clinical trial in 7 teaching units in Madrid (Spain). Intervention: educational games based on CPG recommendations, compared with the passive dissemination of the guideline. Main outcome variable: knowledge and skills questionnaire scores one month after the intervention. The difference in mean scores between the intervention and control groups at one month was determined, along with the 95% CI using generalized linear models.Results: A total of 202 residents participated (104 in the intervention group and 98 in the control group). One hundred residents performed the post-test at one month (45 in the intervention group vs. 55 in the control group). The differences favoured the intervention group in terms of both the final scores at month (11.4, 95% CI 6.9–15.9) and the change from baseline scores (11.9, 95% CI 5.9–17.9), with estimated effect sizes of 0.88 for the between-groups difference and 0.75 for the change in baseline difference. For each additional hour of training in evidence-based medicine there was a an increase of 0.28 points (95 % CI 0.15–0.42). Conclusions: The e-EDUCAGUIA strategy improves the knowledge and skills of medicine residents for clinical decision-making during short-term antimicrobial therapy. Adherence to educational games in the absence of specific incentives is moderate.Trial registration: ClinicalTrials.gov Identifier: NCT02210442. Registered 6 August 2014, https://www.clinicaltrials.gov/ct2/show/NCT02210442

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The Effect of an Evidence-Based Medicine Curriculum on Breast Cancer Knowledge and Satisfaction of Surgical Residents

Cited by 4 publications

References 70 publications

Senology in Gynaecology Specialist Training: a Baseline Survey from 2014

Senology in Gynaecology Specialist Training: a Baseline Survey from 2014

Effectiveness of a game-based educational strategy e-EDUCAGUIA for implementing antimicrobial clinical practice guidelines in family medicine residents in Spain: a randomized clinical trial by cluster

Effectiveness of an educational strategy using educational games e-EDUCAGUIA for implementing antimicrobial clinical practice guidelines in family medicine residents in Spain: a randomized clinical trial by cluster.

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