Iqbal Mobeen, Quadri Khajah Mujtaba
Department of Medicine, King Abdulaziz National Guard Hospital, Alhasa, Saudi Arabia.
J Pak Med Assoc. 2007 Mar;57(3):120-2.
To observe the advantages of implementing learner - centered evidence based format morning report at King Abdulaziz National Guard Hospital, Alhasa, Saudi Arabia.
We modified conventional morning report by changing to a semicircular seating pattern to promote small group interactive discussions during case presentations. A facilitator was appointed to guide the sessions and asking problem based questions emanating from patient centered discussions. The question was formulated based on Evidence based medicine principles on a modified educational prescription and assigned to a volunteer to be answered in subsequent morning report sessions. Volunteers were asked to mention the search strategy, results and the evaluation of the process. The perceptions of the participants regarding the new format were assessed by a 17-statement questionnaire rated on Likert scale.
A total of 46 different types of questions were asked during the initial 3-month period. All of them were answered. Participants utilized Medline and UpToDate the most to retrieve evidence. The commonest evidence retrieved were abstracts/journal articles followed by UpToDate articles. The new format was well perceived by the participants.
Evidence based medicine can be applied successfully in the setting of morning report. Semicircular seating pattern and presence of facilitator promotes interactive discussions.
观察在沙特阿拉伯哈萨阿卜杜勒阿齐兹国民警卫队医院实施以学习者为中心的循证式早会汇报的优势。
我们对传统早会汇报进行了改进，改为半圆形座位模式，以促进病例汇报期间的小组互动讨论。指定一名主持人来引导会议，并根据以患者为中心的讨论提出基于问题的疑问。这些问题是根据循证医学原则在一份修改后的教育处方上制定的，并分配给一名志愿者在随后的早会汇报中回答。要求志愿者提及检索策略、结果和对过程的评估。通过一份有17项陈述的李克特量表问卷来评估参与者对新形式的看法。
在最初的3个月期间共提出了46种不同类型的问题。所有问题都得到了回答。参与者检索证据时最常使用Medline和UpToDate。检索到的最常见证据是摘要/期刊文章，其次是UpToDate文章。参与者对新形式评价良好。
循证医学可以在早会汇报的环境中成功应用。半圆形座位模式和主持人的存在促进了互动讨论。
