Integrating an evidence-based medicine rotation into an internal medicine residency program
Integrating an evidence-based medicine rotation into an internal medicine residency program
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DOI：
10.1097/00001888-200409000-00018
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发表时间：
2004-09-01
影响因子：
7.4
通讯作者：
Schünemann, HJ
中科院分区：
文献类型：
--
作者：
Akl, EA;Izuchukwu, IS;Schünemann, HJ
目的.目的：了解以住院医师为中心的循证医学教育干预对住院医师和学生循证医学知识的影响，评估其可行性，并评价住院医师对这种轮换的态度。2002年，基于循证医学用户和循证医学从业者模型，作者设计了循证医学选修轮换，并在布法罗，纽约大学附属的三所教学医院的内科住院医师计划中进行了对照试验。干预组（一家医院，17名医学生和居民）接受了多方面的干预。在对照组（两家医院，23名医学生和居民），没有课程变化。使用英文版的柏林问卷对前测和后测的有效性进行评估。调查119名内科住院医师对循证医学择期轮转的态度。在干预组中，知识略有改善，但并不显著（柏林问卷0-15分，p = .3）。对照组的平均评分显著降低（1.65，p = 0.005）。即使在调整协变量后，两组之间的变化评分差异也是显著的（2.52，p = .006）。居民（响应率83%）对轮换持积极态度。EBM选修轮换成功地融入了住院医师计划。这种多方面的教育方法与“在病房”循证医学居民，可以提高循证医学的知识和技能的目标学生和居民。
Purpose. To measure the impact of a resident focused evidence-based medicine (EBM) educational intervention on EBM knowledge of residents and students, to assess its feasibility, and to evaluate residents' attitudes regarding this rotation.Method. In 2002, based on the EBM user and EBM practitioner model, the authors designed the EBM elective rotation and conducted a controlled trial of its implementation in the internal medicine residency program in three teaching hospitals affiliated with the University at Buffalo, New York. The intervention group (one hospital, 17 medical students and residents) received a multifaceted intervention. In the control group (two hospitals, 23 medical students and residents), there was no curriculum change. The effectiveness in a pre- and post-test was assessed using the English version of the Berlin Questionnaire. A survey of all internal medicine residents (n = 119) was conducted to evaluate their attitudes toward the EBM elective rotation.Results. In the intervention group, knowledge improved slightly, but not significantly (.71 on a scale ranging from 0-15 on the Berlin questionnaire, p = .3). The mean score in the control group decreased significantly (1.65, p = .005). The difference in change scores between the two groups was significant even after adjustment for covariates (2.52, p = .006). Residents (response rate 83%) had positive attitudes regarding the rotation.Conclusion. An EBM elective rotation was successfully integrated into a residency program. This multifaceted educational approach with an "on-the-ward" EBM resident, may improve the EBM knowledge and skills of targeted students and residents.