Document Type : Original Article
Authors
1 Nursing Education & Master of Medical Education, Assistant Professor, Department of Internal-Surgical Nursing, Razi School of Nursing and Midwifery, Educational Development Center (EDC), Kerman University of Medical Sciences, Kerm
2 Epidemiology, Professor, Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
3 M.Sc. in Medical Education, Educational Development Center, Kerman University of Medical Sciences, Kerman, Iran
4 Ph.D. Student, Tarbiat Modares University, Tehran, Iran
Abstract
Background & Objective: Evidencebased medicine (EBM) is a systematic review process for evaluating and using results of the best clinical trials for diagnosis and treatment of diseases It must comply with the values and specific circumstances of each patient in need of treatment Since very few studies have examined the competence of different groups of medical professionals in this area this study was conducted to assess the competence of residents in EBM Methods: This descriptive crosssectional study was conducted on 90 residents from 4 main clinical departments in Kerman University of Medical Sciences Iran in 2013 The data collection tool was the Berlin Standard Questionnaire The samples were selected using census method and data were analyzed using SPSS software Results: Among the participants in the study 422% were male and 578% female with the mean age of 3117 ± 332 years Based on the results of the study residents had little competence in the field of evidencebased medicine their scores ranged from 0 to 8 and their mean score was 254 ± 143 of a total of 15 Conclusion: Considering the mean score and low competence of residents in evidencebased medicine shortterm programs by the relevant departments seem essential to rapidly promote knowledge of evidencebased medicine
Keywords
- Huddle TS, Heudebert GR. Taking apart the art; the risk of anatomizing clinical competence. Acad Med 2007; 82(6): 536-41.
- Sackett DL, Rosenberg WM, Gray JA, Haynes RB. Evidence based medicine: what it is and what it isn't. BMJ 1996; 312(7023):71-2.
- Sackett DL, Richardson WS, Rosenberg W, Haynes RB. Evidence-Based Medicine: How to Practice and Teach EBM. London: Churchill living stone; 1997.
- Lameei A. Evidence-Based Medicine, The book of workshop participants. 1nd ed. Tehran: General Medical Education Council; 2011. [In Persian]
- Jordan TJ. Understanding Medical Information: A user guide to introduction and decision-making. New York: Mc Grow Hill; 2002.
- Haynes RB, Sackett DL, Gray JM, Cook DJ, Guyatt GH. Transferring evidence from research into practice: 1. The role of clinical care research evidence in clinical decisions. ACP J Club. 1996; 125(3):A14-6.
- Bigby M. Evidence Based Medicine in a Nutshell. A guide to finding and using the best evidence in caring for patients. Arch Dermatology. 1998; 134: 1609-18.
- Tomlin A, Dearness KL, Badenoch DS. Enabling evidence based change in health care. Evid Based Ment Health 2002; 5(3): 68-71.
- Badenoch D, Heneghan C. Evidence based Medicine Toolkit. 2nd ed. Malden Massachusetts: Blackwell Publishing Professional; 2006: 2-23.
- Rangraz JF, Moraveji A, Abazari F. Knowledge and practice of evidence based medicine among the general physicians, residents and specialists in some parts of the country. Urmia Med J 2012, 23(6): 646-54. [In Persian]
- Sadeghi M, Khanjani N, Motamedi F. Knowledge, Attitude and Application of Evidence Based Medicine (EBM) among Residents of Kerman Medical Sciences University. Iran J Epidemiol 2011; 7(3): 20-6. [In Persian]
- Alahdab F, Firwana B, Hasan R, Sonbol MB, Fares M, Alnahhas I, et al. Undergraduate medical students’ perceptions attitudes, and competencies in evidence-based medicine (EBM), and their understanding of EBM Reality in Syria. BMC Res Notes 2012; 5(1): 431.
- Kunz R, Wegscheider K, Fritsch L, Schünemann J, Moyer V. Determinants of knowledge gain in evidence-based medicine short courses: an international assessment. Open Med 2010; 4(1): e3-e10.
- Amini M, Sagheb MM, Shayegh S. Knowledge and practice of evidence based medicine among the medical residents of Shiraz University. Strides Dev Med Educ J 2007; 4(1): 30-5. [In Persian]
- Taheri H, MirMohammad Sadeghi M, Adibi I, Ashourioun V, Sadeghizadeh A, Adibi P. The Effect of an Evidence Based Medicine Workshop on Undergraduate Medical Students' Skills in Applying EBM. Iran J Med Educ 2007; 6(2): 717. [In Persian]
- Fritsch L, Greenhalgh T, Falck-Ytter Y, Neumayer HH, Kunz R. Do short courses in evidence based medicine improve knowledge and skills? Validation of Berlin questionnaire and before and after study of courses in evidence based medicine. BMJ 2002; 325(7376): 1338–41.
- Nadiahatmi Z, Tahvildari S, Dabiran S, Soheili S, Sabouri A, Raznahan M. Teaching evidencebased medicine more effectively. Acta Med Iran 2010; 48(5): 332-6.
- Rafiei S, Abdollahzadeh S. Impact of evidencebased medicine course on critical appraisal skills of medical students. Iran J Med Educ 2008; 8(1): 149-53. [In Persian]
- Zare V. The practice of evidence based medicine among clinical academics. J Tabriz Med Univ 2006; 28(1): 61-6. [In Persian]
- Zohal MA, Yazdi Z, Fekri S, Dizaniha M, Movahhed F. Family Physicians' knowledge and attitude towards Evidence Based Medicine in Qazvin 2008. J Med Educ Deve Qazvin Univ Med Sci 2011; 5(2): 18-24. [In Persian]
- Feldstein DA, Maenner MJ, Sriurichan R, Roach MA, Vogelman BS. Evidence based medicine training during residency: a randomised controlled trial of efficacy. BMC Med Educ 2010; 10(1): 59.
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