Sadeghi Masoumeh, Khanjani Narges, Motamedi Fatemeh, Saber Maryam, Rad Gholamreza Sharifi
MSc Student, Department of Epidemiology, School of Public Health, Kerman Medical University & Member of Kerman Oral and Dental Research Center, Kerman, Iran.
J Res Med Sci. 2011 Oct;16(10):1372-7.
Using Evidence Based Medicine (EBM) in clinical practice is an important strategy for improving and updating medical services. Therefore, EBM has recently attracted a lot of attention in many medical schools around the world. In this study we tried to evaluate the familiarity of clinical residents who are one of the main clinical decision makers in public hospitals and also the next generation of specialists with EBM and EBM databases.
This was a cross-sectional study in 2010 in which clinical residents of Kerman Medical University (KMU) participated. Residents were asked about the four main EBM databases. The data was collected by a self-administered questionnaire.
The data showed that from the respondents only 26.6% knew about EBM and only 28.7% of the respondents were familiar with "Up to Date", 22.3% were familiar with "Ovid EBM Reviews", 6.4% were familiar with "Cochrane" and 5.3% were familiar with "BMJ Clinical Evidence". The frequencies of those that actually used the databases for clinical decision making and could answer the search questions were even less.
The results showed most of the residents lack sufficient knowledge about EBM and its databases. The reason is probably the inexistence of a systematic and comprehensive curriculum for EBM education during their residency program or undergraduate program. Thus, due to the importance of learning EBM in this group, there is a necessity to plan a comprehensive and proper education schedule for EBM and EBM database use at the beginning or further stages of residency.
在临床实践中运用循证医学(EBM)是改善和更新医疗服务的一项重要策略。因此,循证医学最近在世界各地的许多医学院校引起了广泛关注。在本研究中,我们试图评估公立医院主要临床决策者之一且作为下一代专家的临床住院医师对循证医学及其数据库的熟悉程度。
这是一项2010年开展的横断面研究,克尔曼医科大学(KMU)的临床住院医师参与其中。向住院医师询问了四个主要的循证医学数据库。数据通过自填式问卷收集。
数据显示,在受访者中,只有26.6%了解循证医学,只有28.7%的受访者熟悉“最新医学信息”,22.3%熟悉“Ovid循证医学综述”,6.4%熟悉“考科蓝”,5.3%熟悉“英国医学杂志临床证据”。实际将这些数据库用于临床决策并能回答检索问题的人数比例甚至更低。
结果表明,大多数住院医师对循证医学及其数据库缺乏足够的了解。原因可能是在他们的住院医师培训项目或本科项目中不存在系统全面的循证医学教育课程。因此,鉴于该群体学习循证医学的重要性,有必要在住院医师培训开始阶段或后续阶段制定一个全面且合适的循证医学及循证医学数据库使用教育计划。