Freundlich Robert E, Newman Jessica W, Tremper Kevin K, Mhyre Jill M, Kheterpal Sachin, Sanford Theodore J, Tait Alan R
Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI 48105, USA.
Department of Anesthesiology, University of Arkansas, Little Rock, AR 72205, USA.
Anesthesiol Res Pract. 2015;2015:623959. doi: 10.1155/2015/623959. Epub 2015 Jan 13.
An educational intervention was implemented at the University of Michigan starting in 2008, in which anesthesiology interns complete a dedicated month-long didactic rotation in evidence-based medicine (EBM) and research methodology. We sought to assess its utility. Scores on a validated EBM test before and after the rotation were compared and assessed for significance of improvement. A survey was also given to gauge satisfaction with the quality of the rotation and self-reported improvement in understanding of EBM topics. Fourteen consecutive interns completed the research rotation during the study period. One hundred percent completed both the pre- and postrotation test. The mean pretest score was 7.78 ± 2.46 (median = 7.5, 0-15 scale, and interquartile range 7.0-10.0) and the mean posttest score was 10.00 ± 2.35 (median = 9.5, interquartile range 8.0-12.3), which represented a statistically significant increase (P = 0.011, Wilcoxon signed-rank test). All fourteen of the residents "agreed" or "strongly agreed" that they would recommend the course to future interns and that the course increased their ability to critically review the literature. Our findings demonstrate that this can be an effective means of improving understanding of EBM topics and anesthesiology research.
从2008年开始,密歇根大学实施了一项教育干预措施,麻醉学实习生要完成为期一个月的循证医学(EBM)和研究方法专项理论培训。我们试图评估其效用。比较并评估了培训前后在一项经过验证的循证医学测试中的分数,以确定分数提高是否具有统计学意义。还进行了一项调查,以衡量对培训质量的满意度以及自我报告的对循证医学主题理解的提高情况。在研究期间,连续有14名实习生完成了研究培训。100%的实习生都完成了培训前和培训后的测试。测试前的平均分数为7.78±2.46(中位数=7.5,0-15分制,四分位间距7.0-10.0),测试后的平均分数为10.00±2.35(中位数=9.5,四分位间距8.0-12.3),这表明有统计学意义的提高(P=0.011,Wilcoxon符号秩检验)。所有14名住院医生都“同意”或“强烈同意”他们会向未来的实习生推荐该课程,并且该课程提高了他们批判性审查文献的能力。我们的研究结果表明,这可能是提高对循证医学主题和麻醉学研究理解的一种有效方法。