Implementation of an evidence-based medicine curriculum in a fellowship program: Can it influence clinical practice?

Gerontology & Geriatrics Education
Ravishankar RamaswamyWilliam W Hung

Abstract

While evidence-based medicine (EBM) curricula improves knowledge scores, correlation with physician behavior, and patient outcomes are not clear. We established an EBM curriculum for Geriatrics and Palliative Medicine fellows that included didactic teaching, opportunity for deliberate practice and presentation, and coaching and feedback from faculty experts, to determine the impact on self-assessed confidence in teaching EBM, Practice-Based Learning and Improvement (PBLI) competency rating and patient care decisions. Seventeen fellows at a New York City academic medical center participated during 2014-2015 academic year. We analyzed pre-/posttest surveys for self-assessed confidence in teaching EBM concepts, EBM worksheets for content of clinical questions and impact on patient care, and PBLI competency ratings for overall impact. Posttest survey indicated that fellows' self-assessed confidence in teaching EBM increased significantly. While most found Journal Club discussions and EBM case conferences valuable, only 36% of fellows found EBM worksheets completion to be good use of time (average completion time 89 minutes). EBM worksheets helped reinforce or change plan of care in 32 out of 50 cases. There was no impact on end-of-...Continue Reading

References

Jan 13, 1996·BMJ : British Medical Journal·D L SackettW S Richardson
Jan 22, 1998·Journal of General Internal Medicine·M L Green, P J Ellis
Sep 2, 2000·Journal of Evaluation in Clinical Practice·M L Green
Feb 8, 2003·BMJ : British Medical Journal·Kathleen D RamosSusan M Tracz
Feb 28, 2004·Teaching and Learning in Medicine·Deirdre C LynchJoseph V Messer
Sep 7, 2006·JAMA : the Journal of the American Medical Association·Terrence ShaneyfeltMichael Green
Feb 1, 2008·Medical Teacher·Susan R Swing
Oct 1, 2009·Medical Education·Michael T Fitch, David E Manthey
Oct 31, 2009·Medical Education·David A FeldsteinLinda B Manwell
Jan 29, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Bonnie M MillerJeffrey R Balser
Apr 7, 2010·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Emmett KeelerDavid B Reuben
Feb 24, 2012·The New England Journal of Medicine·Thomas J NascaTimothy C Flynn
Mar 31, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·John H ChoeKenneth P Steinberg
Nov 3, 2016·Medical Teacher·Craig A UmscheidDavid A Feldstein
Aug 25, 2016·Journal of Clinical Epidemiology·Arnav AgarwalPablo Alonso-Coello
Oct 27, 2016·Perspectives on Medical Education·Lauren A Maggio
Jan 25, 2017·The Western Journal of Emergency Medicine·Chris MerrittSally A Santen

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