Moore Caroline E, McBee Elexis
Internal Medicine, Naval Medical Center San Diego, San Diego, USA.
Internal Medicine, Uniformed Services University of the Health Sciences, San Diego, USA.
Cureus. 2023 Sep 18;15(9):e45451. doi: 10.7759/cureus.45451. eCollection 2023 Sep.
The Accreditation Council for Graduate Medical Education (ACGME) endorses evolving scholarly education regarding evidence-based medicine (EBM) and its clinical application in Internal Medicine (IM). The IM residents at Navy Medical Readiness and Training Center San Diego (NMRTC-SD) communicated the need for both increased ambulatory didactic sessions as well as a formal EBM curriculum. Prior to the academic year of 2021-2022, no formal ambulatory or EBM curriculum existed. In July 2021, an integrated EBM-ambulatory curriculum was implemented.
A pre-curriculum needs assessment was performed and thereafter an eight-session integrated ambulatory-EBM curriculum was implemented in the 2021-2022 academic year. Faculty members facilitated small group discussions focused on a particular didactic topic and EBM principle and integrated the learning of both into one session. After each session, residents completed a feedback form. At the end of the year, a post-curriculum needs assessment was collected.
Thirty-four residents of all post-graduate years (PGY) levels participated from July 2021 to June 2022. Primary outcomes were satisfaction with the didactic portion of the curriculum, perception of receipt of adequate training in EBM principles, and perception of level of competency in practicing EBM principles. Overall, participants reported a substantial increase in satisfaction with didactic teaching and a large increase in the perceived competency in practicing EBM principles.
This integrated didactic-EBM curriculum represents an effective method of incorporating didactic topics in IM with the teaching and application of EBM principles, which improved resident satisfaction with the curricula and self-perception of competency in critically appraising medical literature.
毕业后医学教育认证委员会（ACGME）支持开展有关循证医学（EBM）及其在内科医学（IM）临床应用的不断发展的学术教育。圣地亚哥海军医疗战备与训练中心（NMRTC-SD）的内科住院医师表示需要增加门诊教学课程以及正式的循证医学课程。在2021-2022学年之前，没有正式的门诊或循证医学课程。2021年7月，实施了一门综合的循证医学-门诊课程。
进行了课程前需求评估，随后在2021-2022学年实施了为期八节的综合门诊-循证医学课程。教员组织了以特定教学主题和循证医学原则为重点的小组讨论，并将两者的学习整合到一节课中。每节课后，住院医师填写一份反馈表。在学年结束时，收集了课程后需求评估结果。
2021年7月至2022年6月，共有34名各研究生阶段（PGY）的住院医师参与。主要结果包括对课程教学部分的满意度、对循证医学原则接受充分培训的认知以及对实践循证医学原则能力水平的认知。总体而言，参与者报告对教学的满意度大幅提高，实践循证医学原则的感知能力也大幅提高。
这一综合教学-循证医学课程是将内科教学主题与循证医学原则的教学及应用相结合的有效方法，提高了住院医师对课程的满意度以及对批判性评价医学文献能力的自我认知。
