Clinical teachers' attitudes toward the efficacy of evidence-based medicine workshop and self-reported ability in evidence-based practice in Iran

Rationale, aims and objectives Efforts to implement evidence-based medicine (EBM) training in developing countries are limited. We describe the results of an international effort to improve research capacity in a developing country; we conducted a course aimed at improving basic EBM attitudes and identified challenges. Method Between 2005 and 2009, we conducted an annual 3-day course in Perú consisting of interactive lectures and case-based workshops. We assessed self-reported competence and importance in EBM using a Likert scale (1 = low, 5 = high). Results Totally 220 clinicians participated. For phase I (2005–2007), self-reported EBM competence increased from a median of 2 to 3 (P < 0.001) and the perceived importance of EBM did not change (median = 5). For phase II (2008–2009), before the course, 8–72% graded their competence very low (score of 1–2). After the course, 67–92% of subjects graded their increase in knowledge very high (score of 4–5). The challenges included limited availability of studies relevant to the local reality written in Spanish, participants’ limited time and lack of long-term follow-up on practice change. Informal discussion and written evaluation from participants were universally in agreement that more training in EBM is needed. Conclusions In an EBM course in a resource-poor country, the baseline self-reported competence and experience on EBM were low, and the course had measurable improvements of self-reported competence, perceived utility and readiness to incorporate EBM into their practices. Similar to developed countries, translational research and building the research capacity in developing countries is critical for translating best available evidence into practice.

Section: Challenges and Lessons Learnedsupporting

confidence: 80%

Evidence‐based medicine training in a resource‐poor country, the importance of leveraging personal and institutional relationships

Tomatis

Taramona

Rizo-Patrõn

et al. 2011

“…For this reason, holding workshops on EBM and search strategies for clinicians, and including courses for the same in medical colleges, is essential. Most studies have recommended such courses in addition to further education on effective searching skills and use of proper keywords [16,20,22,[27][28][29][30][31][32][33]. Although EBM workshops and courses are now held by the Iranian Center for EBM, informing academic members and physicians about EBM and expanding the workshops appears essential.…”

Section: Discussionmentioning

confidence: 99%

Evidence databases application: comparison of university faculties versus clinical residents in a developing country

Sadeghi-Ghyassi¹,

Nosraty

Ghojazadeh

et al. 2012

“…Little is known about effective methods of teaching EBM skills in developing countries [23]. In medical schools in Jordan, EBM skills have not been yet included in undergraduate nor in postgraduate education.…”

Section: Introductionmentioning

confidence: 99%

The effect of evidence‐based medicine (EBM) training seminars on the knowledge and attitudes of medical students towards EBM

Khader

Batayha

Al‐Omari

2010