The Impact of an Evidence-Based Medicine Workshop on Residents’ Attitudes towards and Self-Reported Ability in Evidence-Based Practice

Baum M.D., Karyn D. (2003) The Impact of an Evidence-Based Medicine Workshop on Residents’ Attitudes towards and Self-Reported Ability in Evidence-Based Practice. [Journal (On-line/Unpaginated)]

Full text available as:



Background: Evidence-based medicine (EBM) is a part of many medical school and residency curricula worldwide, but there is little research into the most effective methods to teach these skills. Purpose: To evaluate whether a course on EBM utilizing adult learning principals leads to both immediate and short-term attitudinal, confidence, and behavioral change. Methods: Seventy-three (73) Internal Medicine and Internal Medicine/Pediatric residents attended a half-day seminar on EBM. Participants completed pre- and post-course 5-point Likert questionnaires, and set two personal goals for integrating EBM into their daily practice. We performed nonparametric two-sample Wilcoxon Rank-Sum tests to compare responses. We also elicited the self-reported success of the residents in meeting their goals one-month post-course. Results: Attitudes about EBM improved (3.5 pre-course vs. 3.7 post-course), as well as self-reported EBM skills (3.0 vs. 3.3). Seventy-two percent of residents reported having met at least one of their two goals for the integration of EBM into their practice. Conclusions: An EBM workshop based upon adult learning principles was successful in meeting multiple educational goals. The links between andragogy, learners’ internal drive for behavior change, and successful EBM education should be further explored.

Item Type:Journal (On-line/Unpaginated)
Keywords: medical education; health professional education; peer-reviewed; Evaluation; Evidence-based medicine
Subjects:JOURNALS > Medical Education Online > MEO Peer Reviewed
ID Code:2838
Deposited By: David, Solomon
Deposited On:19 Mar 2003
Last Modified:11 Mar 2011 08:55

References in Article

Select the SEEK icon to attempt to find the referenced article. If it does not appear to be in cogprints you will be forwarded to the paracite service. Poorly formated references will probably not work.

1. Sackett D, Rosenberg W, Gray JM, Haines R, Richardson W. Evidence-based Medicine: What it is and what it isn't. BMJ 1996;312:71-2.

2. Schwartz A, Hupert J, Elstein A, Noronha P. Evidence-based morning report for inpatient pediatric rotations. Acad Med 2000;75(12):1229.

3. Reilly B, Lemon M. Evidence-based morning report: a popular new format in a large teaching hospital. Am J Med 1997;103(5):419-26.

4. Fagan MJ, Griffith RA. An evidence-based physical diagnosis curriculum for third-year internal medicine clerks. Acad Med 2000;75(5):528-9.

5. Thomas P, Cofrancesco J. Introduction of evidence-based medicine into an ambulatory clinical clerkship. J Gen Intern Med 2001;16:244-9.

6. Srinivasan M, Weiner M, Breitfeld PP, Brahmi F, Dickerson KL, Weiner G. Early intro-duction of an evidence-based medicine course to preclinical medical students. Journal of General Internal Medicine. 2002;17(1):58-65.

7. Hatala R, Guyatt G. Evaluating the Teaching of Evidence-based Medicine. Jama 2002;288(9):1110-2.

8. Green ML. Graduate medical education training in clinical epidemiology, critical ap-praisal, and evidence-based medicine: a critical review of curricula. Academic Medicine 1999;74(6):686-94.

9. Bazarian JJ, Davis CO, Spillane LL, Blumstein H, Schneider SM. Teaching emergency medicine residents evidence-based critical appraisal skills: a controlled trial. Ann Emerg Med 1999;34(2):148-54.

10. Green ML, Ellis PJ. Impact of an evidence-based medicine curriculum based on adult learning theory. J Gen Intern Med 1997;12(12):742-50.

11. Norman GR, Shannon SI. Effectiveness of instruction in critical appraisal (evidence-based medicine) skills: a critical appraisal. Cmaj 1998;158(2):177-81.

12. Oxman AD, Thomson MA, Davis DA, Haynes RB. No magic bullets: a systematic re-view of 102 trials of interventions to improve professional practice. CMAJ (Canadian Medical Association Journal) 1995;153(10):1423-31.

13. Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applica-tions to addictive behaviors. American Psychologist 1992;47(9):1102-14.

14. Rosenberg WM, Deeks J, Lusher A, Snowball R, Dooley G, Sackett D. Improving searching skills and evidence retrieval. Journal of the Royal College of Physicians of London 1998;32(6):557-63.

15. Lundgren A, Wahren LK. Effect of education on evidence-based care and handling of peripheral intravenous lines. J Clin Nurs 1999;8(5):577-85.

16. Taylor R, Reeves B, Mears R, Keast J, Binns S, Ewings P, Khan K. Development and validation of a questionnaire to evaluate the effectiveness of evidence-based practice teaching. Medical Education 2001;35(6):544-7.

17. Grad R, Macaulay AC, Warner M. Teaching evidence-based medical care: description and evaluation. Fam Med 2001;33(8):602-6.

18. Lee RE, Nigg CR, DiClemente CC, Courneya KS. Validating motivational readiness for exercise behavior with adolescents. Research Quarterly for Exercise & Sport 2001;72(4):401-10.

19. Main DS, Cohen SJ, DiClemente CC. Measuring physician readiness to change cancer screening: preliminary results. American Journal of Preventive Medicine 1995;11(1):54-8.

20. Knowles M, Holton E, Swanson R. The Adult Learner. Woburn: Butterworth-Heinemann; 1998.

21. Furney SL, Orsini AN, Orsetti KE, Stern DT, Gruppen LD, Irby DM. Teaching the one-minute preceptor. A randomized controlled trial. Journal of General Internal Medicine. 2001;16(9):620-4.


Repository Staff Only: item control page