Real-time EBM: From Bed Board to Keyboard and Back

Autor: Stark, Rachel, Helenius, Ira M., Schimming, Laura M., Takahara, Nogusa, Kronish, Ian M., Korenstein, Deborah
Rok vydání: 2007
Předmět:
DOI: 10.7916/d8gx4bzw
Popis: Background: To practice Evidence-Based Medicine (EBM), physicians must quickly retrieve evidence to inform medical decisions. Internal Medicine (IM) residents receive little formal education in electronic database searching, and have identified poor searching skills as a barrier to practicing EBM. Objective: To design and implement a database searching tutorial for IM residents on inpatient rotations and to evaluate its impact on residents’ skill and comfort searching MEDLINE and filtered EBM resources. Design: Randomized controlled trial. Residents randomized to the searching tutorial met for up to 6 1-hour small group sessions to search for answers to questions about current hospitalized patients. Participants: Second- and 3rd-year IM residents. Measurements: Residents in both groups completed an Objective Structured Searching Evaluation (OSSE), searching for primary evidence to answer 5 clinical questions. OSSE outcomes were the number of successful searches, search times, and techniques utilized. Participants also completed self-assessment surveys measuring frequency and comfort using EBM databases. Results: During the OSSE, residents who participated in the intervention utilized more searching techniques overall (p
Databáze: OpenAIRE