Effectiveness of national evidence-based medicine competition in Taiwan.

Effectiveness of national evidence-based medicine competition in Taiwan.
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DOI:
10.1186/1472-6920-13-66
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发表时间:
2013-05-07
影响因子:
3.6
通讯作者:
Chiu YW
Chiu YW
中科院分区:
医学3区
文献类型:
--
作者:
Weng YH;Kuo KN;Yang CY;Liao HH;Chen C;Lo HL;Lee WC;Chiu YW

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竞争与教育密切相关,可以通过多种方式结合在一起。竞争在循证医学(EBM)医学教育中的作用尚未得到研究。为了加强循证医学在台湾的传播和实施,在医疗保健专业人员中设立了循证医学竞赛。本研究旨在探讨竞争对循证医学学习的影响。循证医学竞赛使用PICO(患者、干预、比较和结果)问题来测试参与者在构建可回答问题、文献搜索、批判性评估和跨学科团队临床应用方面的技能。2009年和2011年进行了一项结构化问卷调查,以调查参与者的循证医学。参与者在比赛前三个月完成基线问卷调查,并在比赛结束后立即完成相同的问卷调查。有效问卷来自358名参与者,包括162名医生、71名护士、101名药剂师和24名其他专职医疗保健专业人员。参与者的循证医学知识和技能显著增加(p < 0.001)。他们搜索文献和形成可回答问题的障碍显著减少(p < 0.01)。此外,他们使用循证检索数据库的次数有了显著增加,包括Cochrane图书馆(p < 0.001)、MD Consult(p < 0.001)、ProQuest(p < 0.001)、UptoDate(p = 0.001)、CINAHL(p = 0.001)和Micromedex(p = 0.024)。目前的研究证明了一种方法,成功地增强了循证医学的知识、技能和行为。这些数据表明,使用Pico查询进行竞争可能是促进EBM学习的一种有效方式。
Competition and education are intimately related and can be combined in many ways. The role of competition in medical education of evidence-based medicine (EBM) has not been investigated. In order to enhance the dissemination and implementation of EBM in Taiwan, EBM competitions have been established among healthcare professionals. This study was to evaluate the impact of competition in EBM learning. The EBM competition used PICO (patient, intervention, comparison, and outcome) queries to examine participants’ skills in framing an answerable question, literature search, critical appraisal and clinical application among interdisciplinary teams. A structured questionnaire survey was conducted to investigate EBM among participants in the years of 2009 and 2011. Participants completed a baseline questionnaire survey at three months prior to the competition and finished the same questionnaire right after the competition. Valid questionnaires were collected from 358 participants, included 162 physicians, 71 nurses, 101 pharmacists, and 24 other allied healthcare professionals. There were significant increases in participants’ knowledge of and skills in EBM (p < 0.001). Their barriers to literature searching and forming answerable questions significantly decreased (p < 0.01). Furthermore, there were significant increases in their access to the evidence-based retrieval databases, including the Cochrane Library (p < 0.001), MD Consult (p < 0.001), ProQuest (p < 0.001), UpToDate (p = 0.001), CINAHL (p = 0.001), and MicroMedex (p = 0.024). The current study demonstrates a method that successfully enhanced the knowledge of, skills in, and behavior of EBM. The data suggest competition using PICO queries may serve as an effective way to facilitate the learning of EBM.
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