Two strategies to intensify evidence-based medicine education of undergraduate students: A randomised controlled trial

Hao Min Cheng, Fei Ran Guo, Teh Fu Hsu, Shao Yuan Chuang, Tsang Yen Hung, Fa Yauh Lee, Ying Ying Yang, Te Li Chen, Wen Shin Lee, Chiao Lin Chuang, Chen Huan Chen, Low Tone Ho

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Introduction: Undergraduate evidence-based practice (EBP) is usually taught through standalone courses and workshops away from clinical practice. This study compared the effects of 2 clinically integrated educational strategies on fnal year medical students. Materials and Methods: Final year medical students rotating to the general medicine service for a 2-week internship were randomly assigned to participate in a weekly EBP-structured case conference focusing on students' primary care patients (Group A, n = 47), or to receive a weekly didactic lecture about EBP (Group B, n = 47). The teaching effects of these 2 interventions were evaluated by a validated instrument for assessment of EBP related knowledge (EBP-K), attitude (EBP-A), personal application (EBP-P), and anticipated future use (EBP-F) on the frst and last days of rotation. Results: All scores improved signifcantly after the 2-week EBM-teaching for both groups. When compared to Group B, students in Group A had signifcantly higher post-intervention scores of EBP-K (21.2 ± 3.5 vs 19.0 ± 4.6; ie. 57.8 ± 72.9% vs 29.1 ± 39.1%; P <0.01) and EBP-P (18.7 ± 4.3 vs 15.3 ± 3.9; ie. 28.5 ± 25.5% vs 14.1 ± 18.7%; P <0.001). In contrast, the scores of EBP-A and EBP-F were similar between the 2 groups. Conclusion: Structured case conference, when compared to the didactic lectures, signifcantly improved EBP-K and EBP-P for fnal year medical students.

Original languageEnglish
Pages (from-to)4-11
Number of pages8
JournalAnnals of the Academy of Medicine, Singapore
Volume41
Issue number1
StatePublished - Jan 2012

Keywords

  • Evidence-based medicine
  • Medical education
  • Preclinical medical student

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