Strides in Development of Medical Education

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EvidenceBased Medicine Presentation Skills and the Quality of Morning Report in Medical Students: An Operations Research

Document Type : Original Article

Authors

1 Infectious Disease Specialist, Assistant Professor, Department of Internal Medicine, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran

2 General Practitioner, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran

3 MSc in Medical Education, Vice-chancellery of Education, Shahroud University of Medical Sciences, Shahroud, Iran

4 Expert in Health Care Management, Vice-chancellery of Treatment, Shahroud University of Medical Sciences‎, Shahroud, Iran

Abstract

Background & Objective: The morning report is a common useful and valuable clinical ‎training method in the world This method when applied on the basis ‎of evidencebased medicine (EBM) plays a more effective role in learning among medical ‎students This study aimed to determine the impact of EBM on medical students skill in ‎presentation of morning report and its quality‎ Methods: This study was operations research and 80 students were selected through simple random sampling ‎from among all medical practitioners of Shahroud University of Medical ‎Sciences (Iran) The selected participants took part in the 3day workshop of introduction to ‎EBM with emphasis on morning report presentation Data were gathered using a researcher‎made questionnaire which was validated by experts and its reliability was approved using ‎Cronbachs alpha coefficient Questionnaires were distributed among the students before and after ‎the study and the results were compared Data were analyzed using chisquared test and ttest in ‎SPSS software‎ Results: Of the 80 interns participating in the study 22 individuals (275%) were men and the rest were female Average ‎time of internship training for the interns was 105 ± 65 months (range: 316 months) The mean quality ‎score of morning increased significantly from 903 ± 256 at baseline to 1328 ± 303 (P ‎‎= 0001) Significant changes were observed in broadband facilities computer ‎facilities and the emergence of new and accessible scientific resources the ‎average number of interns participating in the meeting average attendance of those on ‎duty the night before regular attendance of teachers regular participation ‎of interns the regular and timely attendance of those managing the discussion active participation of interns in discussions role of teachers in the meeting the selection of patients the method of discussion about different parts of the ‎patient followup of previously introduced patients and the positive role ‎of group administrators before and after EBM training‎ Conclusion: Morning reports presentation based on EBM during internship at this ‎University was desirable which can effectively result in the ‎improvement of the quality of education regular and more beneficial attendance of teachers ‎especially onduty specialists and more active participation of students and thus improve care ‎training and update clinical teachers information However due to students and professors lack ‎of knowledge regarding EBM holding training courses on ‎this topic seems necessary‎

Keywords

References
  1. Sioofy BA, Nosraty L, Ebrahimi Mamagani M, Hajebrahimi S. Evidence-Based practice work book. (Translation) Glasziou P, ed. First ed. Tabriz: Tabriz University of Medical Science; 2013. [In Persian]
  2. Sadeghi M, Khanjani N, Motamedi F. Knowledge Attitude and Application of Evidence-Based Medicine (EBM) among residents of Kerman Medical Science. Iran J Epidemiol. 2011; 7(3):20-26. [In Persian]
  3. Beasley BW, Woolley DC. Evidence-based Medicine Knowledge, Attitudes, and Skills of Community Faculty. J Gen Intern Med. 2002; 17(8): 632–640.
  4. Abedini  Z,  Ahmari  Tehran  H,  Khorami  Rad  A, Heidarpour  A.  Nursing  Students  Experience  on Evidence  –Based  Learning  in  Clinical  Setting:  A Qualitative Study. Iran J 2012;11(8):864  -73.  [In  Persian] Med  Educ.
  5. Omid  A,  Adibi  P,  Jouhari  Z,  Shakour  M,  Changiz T.  Best  Evidence  Medical  Education(BEME)  : Concepts  and  Steps.  Iran  J  Med  Educ.  2012; 12(4):297-307.  [In  Persian]
  6. Srinivasan  M,  Weiner  M,  Breitfeld  P,  Brahmi  F, Dickerson  K  ,  Weiner  G.  Early  Introduction  of  an Evidence-based  Medicine  Course  to  Preclinical Medical  Students.  J  Gen  Intern  Med.  2002;  17(1): 58–65.
  7. Christie  J,  Hamill  C,  Power  J.  How  can  we maximize  nursing  students'  learning  about research evidence and utilization in undergraduate,  preregistration  programmes?  A discussion  paper.  J  Adv  Nurs.  2012;  68(12):   2789-801.
  8. Green  ML.  Evidence-based  medicine  training  in internal  medicine  residency  programs  a  national survey.  J  Gen  Intern  Med.  2000;15(2):129-33.
  9. Rafiee  S,  Abdolahzadeh  S,  Gajarzadeh  M, Habibolahi  P,  Fayazbakhsh  A.  The  effect  of Introducing  Evidence-Based  Medicine  on  critical Appraisal  Skills  of  Medical  Students.  Iran  J  Med Educ.  2008;  8(1):149-153.  [In  Persian]
  10. Sanderlin BW,  AbdulRahim  N.  Evidence-based medicine,  part  6.  An  introduction  to  critical appraisal  of  clinical  practice  guidelines.  J  Am Osteopath  Assoc.  2007;  107(8):321-4.
  11. Moattari  M,  Abed  HA.  Nursing  students' experiences  in  reflective  thinking:  A  Qualitative Study.  Iran  J  Med  Educ.  2008;  8(1):101-12.   [In  Persian]
  12. Norman  GR,  Shannon  SI.  Effectiveness  of instruction  in  critical  appraisal  (evidence-based medicine)  skills:  a  critical  appraisal.  CMAJ.  1998; 158(2):  177–81.
  13. Taylor R,  Reeves  B,  Ewings  P,  Binns  S,  Keast  J, Mears  R.  A  systematic  review  of  the  effectiveness of  critical  appraisal  skills  training  for  clinicians. Med  Educ.  2000;  34(2):120-5.
  14. Taylor  S,  Allen  D.  Visions  of  evidence-based nursing  practice.  Nurse  Res.  2007;15(1):78-83.
  15. Parkes J,  Hyde  C,  Deeks  J,  Milne  R.  Teaching critical  appraisal  skills  in  health  care  settings. Cochrane Database 2001;3(3):CD001270. Syst Rev.
  16. Lai  NM,  Nalliah  S.  Information-seeking  practices of  senior  medical  students:  the  impact  of  an evidence-based  medicine  training  programme. Educ  Health  (Abingdon).  2010;  23(1):151.
  17. Ahmadi-Abhari S,  Soltani  A,  Hosseinpanah  F. Knowledge  and  attitudes  of  trainee  physicians regarding evidence-based medicine: a questionnaire  survey  in  Tehran,  Iran.  J  Eval  Clin Pract.  2008;14(5):775-9.
  18. Moharari  RS,  Soleymani  HA,  Nejati  A,  Rezaeefar A,  Khashayar  P,  Meysamie  AP.  Evaluation  of morning  report  in  an  emergency  medicine department.  Emerg  Med  J.  2010;27(1):32-6.
  19. Banks  DE,  Shi  R,  Timm  DF,  Christopher  KA, Duggar  DC,  Comegys  M,  et  al.  Decreased hospital length  of  stay  associated  with presentation  of  cases  at  morning  report  with librarian  support.  J  Med  Libr  Assoc.  2007;  95(4): 381–387.
  20. Jouybari  L,  Cheraghali  F,  Padash  L,  Sanagoo  A. Effect  of  Participation  in  the  “Principles  of  the Morning  Report  Case  Presentation”  Workshop  on Clinical  Faculty  Members'  Performance.  Future Med  Educ  J.  2012;  4(2):12-6.
  21. Barbour  GL,  Young  MN.  Morning  report.  Role  of the  clinical  librarian.  JAMA.  1986;  255(14): 1921-2.
  22. Wenger  NS,  Shpiner  RB.  An  analysis  of  morning report: implications  for  internal  medicine education.  Ann  Intern  Med.  1993; 119(5):395-9.
  23. Razavi  SM,  Shahbaz  Ghazvini  S,  Dabiran  S. Students’  benefit  rate  from  morning  report sessions  and  its  related  factors  in  Tehran University  of  Medical  Sciences.  Iran  J  Med  Educ. 2012;  11(7):  798-806.  [In  Persian]
  24. Shahbanejad  L,  Mahmoodi  M,  Vahid  shahi  k, Shakery  S.  A  Study  of  medical  students  and faculty  members  views  about  the  morning  report favorable  features  in  various  sectors  in Mazandaran  University  of  medical  sciences. Proceedings  of  the  8th  Congress  Medical Education;  2007  Mar  6-8;  Kerman,  Iran.  2012: 196.  [In  Persian]
  25. Pupa  LE  Jr,  Carpenter  JL.  Morning  report.  A successful  format.  Arch  Intern  Med.  1985; 145(5):897-9.
  26. Westman EC.  Factors  influencing  morning  report case  presentations.  South  Med  J.  1999;92(8):   775-7.
  27. Battinelli  D.  Morning  report:  chief  residents manual.  Proceedings  of  the  American  College  of Physicians  Annual  Meeting;  2011  Apr  25-28;  San Francisco,  United  State.  2011:  41-5.
  28. Parrino  TA.  The  social  transformation  of  medical morning  report.  J  Gen  Intern  Med.  1997;  12(5): 332-3.
  29. Ways  M,  Kroenke  K,  Umali  J,  Buchwald  D. Morning  report.  A  survey  of  resident  attitudes. Arch  Intern  Med.  1995;  155(13):1433-7.
  30. Sanfey  H,  Stiles  B,  Hedrick  T,  Sawyer  RG. Morning  report:  combining  education  with  patient handover.  Surgeon.  2008;6(2):94-100.
Strides in Development of Medical Education
Volume 13, Issue 4
November 2016
Pages 403-410
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