Haimerl P, Arlt S, Heuwieser W
Prof. Dr. W. Heuwieser, Tierklinik für Fortpflanzung, Fachbereich Veterinärmedizin, Freie Universität Berlin, Königsweg 65, 14163 Berlin, E-Mail:
Tierarztl Prax Ausg K Kleintiere Heimtiere. 2013;41(4):229-36.
In daily practice, a veterinarian has to judge information and decide whether it can be adequately implemented for a given case. In this context, it is vital to base decisions on the most recent and reliable scientific findings. In Germany, every practitioner must take part in 20 to 40 hours annually of continuing education. To outline the current assessment and employment of evidence-based veterinary medicine (EBVM), we surveyed practitioners concerning continuing education and their skills in obtaining and evaluating scientific information.
A survey amongst veterinary practitioners was conducted throughout five continuing education courses between May 2010 and November 2011. The questionnaire contained 32 questions concerning demographic data and profession (n = 4), qualification (n = 3), continuing education (n = 5) and skills related to EBVM (n = 20). Besides evaluating the statements of all participants, veterinarians were classified based on the type of practice and their statements compared.
In total, 293 questionnaires were returned. The majority of small animal practitioners (58.3%) and those working with food animals (54.9%) declared being capable of comprehending scientific talks or papers in English without difficulty. 10.4% of all practitioners neglected reading veterinary journals on a regular basis, while 20.8% stated they regularly read English veterinary journals. The majority of the practitioners sought advice from their employer or a colleague. They attributed a high or very high quality to both these information sources. Almost every participant (92.6%) stated that they consulted medical books, and 88.6% certified this information source as being of high or very high quality. 68.6% of the practitioners evaluated their skills in finding suitable literature as high or very high. However, only approximately half (52.1%) of all participants attributed themselves a high ability to evaluate the quality of the literature found.
Most practitioners are very limited in their ability to assess the evidence of scientific information. Therefore, courses that introduce EBVM should be taught in both veterinary and postgraduate education to train critical appraisal of information and to support decision-making based on valid, clinically relevant data.
在日常实践中，兽医必须对信息进行判断，并决定其是否能够适用于特定病例。在这种情况下，基于最新且可靠的科学发现做出决策至关重要。在德国，每位从业者每年必须参加20至40小时的继续教育。为了概述循证兽医学（EBVM）的当前评估和应用情况，我们就继续教育以及他们获取和评估科学信息的技能对从业者进行了调查。
在2010年5月至2011年11月期间，通过五场继续教育课程对兽医从业者进行了一项调查。问卷包含32个问题，涉及人口统计学数据和职业（4个问题）、资质（3个问题）、继续教育（5个问题）以及与循证兽医学相关的技能（20个问题）。除了评估所有参与者的陈述外，还根据执业类型对兽医进行了分类，并比较了他们的陈述。
共收回293份问卷。大多数小动物从业者（58.3%）和从事食用动物工作的从业者（54.9%）宣称能够毫无困难地理解英文的科学讲座或论文。所有从业者中有10.4%忽视定期阅读兽医期刊，而20.8%表示他们定期阅读英文兽医期刊。大多数从业者会向雇主或同事寻求建议。他们认为这两个信息来源的质量都很高或非常高。几乎每位参与者（92.6%）表示他们会查阅医学书籍，88.6%认为这个信息来源的质量很高或非常高。68.6%的从业者将他们寻找合适文献的技能评为高或非常高。然而，所有参与者中只有大约一半（52.1%）认为自己有很高的能力来评估所找到文献的质量。
大多数从业者评估科学信息证据的能力非常有限。因此，应在兽医教育和研究生教育中都开设介绍循证兽医学的课程，以培养对信息的批判性评估能力，并支持基于有效、临床相关数据的决策制定。
