Effectiveness of Modalities to Teach Evidence Based Medicine to Pediatric Clerkship Students: A Randomized Controlled Trial

Abstract

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Methods of teaching evidence-based practice: a systematic review

“…2 . Four studies had a low risk of bias [ 24 , 26 , 39 , 46 ], ten studies [ 23 , 29 , 31 , 34 , 35 , 37 , 44 , 47 , 51 , 53 ] had a high risk of bias and seven studies [ 41 – 43 , 45 , 49 , 50 , 52 ] had uncertain risk of bias as there was a lack of detail in the study methodology to genuinely judge the quality of the study. Table 3 provides further details about the evidence to support judgements about risk of bias for all included studies.…”

“…EBM knowledge and skills training constituted a component of this block. Six students were absent during the EBM labs, and 3 did not take the formative test, leaving a total study size of 71.’ Hadvani 2020 [ 35 ] Low Risk ‘We created a computer-generated randomization scheme, where each 2-week block of students were randomized to receive either TDS or SPM Low Risk The investigator (S.K.) created the scheme and was unaware of student rotation assignments.…”

“…A total of 12 studies delivered teaching programs on the 4 steps of EBP (asking a clinical question, searching the literature, critical appraisal of the evidence, and integration of evidence in the clinical setting). P Bradley, C Oterholt, J Herrin, L Nordheim and A Bjorndal [ 24 ], J Davis, S Crabb, E Rogers, J Zamora and K Khan [ 31 ], T Hadvani, A Dutta, E Choy, S Kumar, C Molleda, V Parikh, MA Lopez, K Lui, K Ban and SS Wallace [ 35 ], D Ilic, RB Nordin, P Glasziou, JK Tilson and E Villanueva [ 39 ], JM Johnston, CM Schooling and GM Leung [ 42 ], M Sanchez-Mendiola, LF Kieffer-Escobar, S Marin-Beltran, SM Downing and A Schwartz [ 50 ] and IS Widyahening, A Findyartini, RW Ranakusuma, E Dewiasty and K Harimurti [ 53 ] delivered their programs to undergraduate medical students. HM Cheng, FR Guo, TF Hsu, SY Chuang, HT Yen, FY Lee, YY Yang, TL Chen, WS Lee, CL Chuang, et al [ 29 ] and K Schilling, J Wiecha, D Polineni and S Khalil [ 51 ] delivered their programs to undergraduate medical students as an integrated clinical rotation.…”

Effectiveness of evidence-based medicine instruction in medical school clerkships

“…Understood by those who practice it to be the "conscientious, judicious, explicit use of the current best evidence in making decisions about the care of individual patients," 1 Evidence-Based Medicine (EBM) is an important component in the education of medical professionals. Combined with other medical training, it seeks to provide a more qualitative approach to clinical care by providing more informed input for clinical decision-making.…”

“…[5][6][7][8] A 2014 survey of US and Canadian medical schools revealed that over 100 medical schools (out of approximately 170) incorporate some form of EBM teaching in their 4-year curriculum. 9 Subsequent studies investigate both the prevalence of EBM instruction and modalities used in undergraduate medical education, 10 and found a number of different approaches, including flipped classroom settings, 1,11 online and interactive modules, hybrid courses, 12 peer-assessment seminars, 13,14 and longitudinal courses. 15 The effectiveness of such training can vary but has increased overall competence in evidence-based medicine knowledge.…”