How doctors practice evidence‐based medicine

Lu, Yun-Chieh; Li, Yingchun

doi:10.1111/j.1365-2753.2011.01765.x

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…Moreover, healthcare workers in Saudi Arabia have a good culture of incorporating evidencebased practice in the management of patients. [17] It is, therefore, evident that diabetic patients in Saudi Arabia benefit from doctors who are updated with the latest information on the management of diabetes. [18,19] Posts that wellinformed patients positively influence the quality of health services rendered to them.…”

Section: Discussionmentioning

confidence: 99%

Assessment of ocular services status for diabetic patients in Saudi Arabia

2023

JPTCP

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Background: Diabetes mellitus is estimated to be the seventh cause of death in the world and it is prevalent in Saudi Arabia about 23.9%. Moreover, individuals with diabetes-related eye complications accounted for about 35.3% of diabetics, and the trend was still on the rise. Objectives: This study aimed to assess the status of the ocular services for diabetic patients in Saudi Arabia. Methods: This study adopted a cross-sectional study design among healthcare professionals who provide ocular services including ophthalmologists, opticians, optometrists, and physicians. The study included 63 participants, composed of healthcare providers directly involved in providing ocular services in Saudi Arabia. A random sampling technique was used to select eye care provider clinics in the country. Data collection was done through closed-ended questionnaires and observation techniques. The Data were checked for completeness and analyzed using SPPS version 24.0, and presented using tables. Results:The findings showed that seventy-one percent of the females disagreed that as long as blood sugars are well controlled, there is no need to worry about complications of diabetes mellitus while 35% of males disagreed with the statement. Most 84% of ophthalmologists stated that preventing visual impairments was a crucial matter that needed public attention. Most eye care providers performed dilated fundus examinations. Among the treatment options for diabetic retinopathy, laser coagulation was the most common treatment approach, accounting for 59%. Intravitreous corticosteroids were the least utilized treatment method for diabetic retinopathy. The choice of test to evaluate the diabetic patient's eye depends on whether a doctor he/she is a physician, optometrist, optician, administration of the hospital, or ophthalmologist (p = 0.004). There was not enough evidence to claim that number of patients visiting in a month does not depend on the working place of a doctor (p=0.003). Conclusion:The number of patients who developed eye-related problems as a complication of diabetes was increasing due to missed diagnoses and lack of adequate optical care in Saudi Arabia. In addition, there were few optical clinics and opticians, compared to other eye professionals, and therefore this limits access to essential eye services by diabetic patients in Saudi Arabia.

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Section: Discussionmentioning

confidence: 99%

Assessment of ocular services status for diabetic patients in Saudi Arabia

2023

JPTCP

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“…The vital role that the development of clinical research plays in the effectiveness of evidence-based Copyright: © 2020 PPCR. The Principles and Practice of Clinical Research medicine has been shown by many authors (Lu & Li, 2013).…”

Section: Introductionmentioning

confidence: 99%

Development of the distance education course Principles and Practice of Clinical Research: 9 years of experience in the Dominican Republic

Kandany

Gutiérrez

Pichardo

et al. 2020

ppcrj

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Introduction: Critical thinking is an ideal tool for evaluating information as a guiding action. With the conjunct use of the internet and applied pedagogy, PPCR looks to develop its alumni's superior cognitive skills. We aim to characterize alumni and their experiences in the Dominican Republic for over nine years. Method: This descriptive, cross-sectional study used a survey instrument formatted with closed and semi-closed questions, which was sent to each participant's email. The survey had two segments, the first with twelve questions related to the participant's personal information and characteristics related to their background education and profession. The second section evaluated satisfaction during their participation in the PPCR course. Results: Out of a total of 62 graduates from 2012 to 2019, data was collected from 52 participants, of which 92% are medical doctors. The mean age was 36 years, with a predominance of the female gender (56%). The vast majority of participants are Dominican (90%), with a postgraduate program (61.2%). More than half carry out university teaching activities (54%), and a part of them continued to be affiliated in the program as Teaching Assistants, performing pedagogical assistance tasks (38%). The global satisfaction rate was high (92%), with a low dropout rate (2%). Conclusions: Based on our study's characteristics, this course is estimated to be a novel element capable of promoting scientific production and promoting clinical research activities in developing countries. It creates connections and exploits virtuality to improve knowledge through the critical analysis of information. This experience plays a prominent role in the enrichment of many teachers by providing them with methodological tools, developing the excellent training of educators.

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“…Improvements in clinical research methods have effected widespread support of evidence-based medicine. 1 , 2 Although evidence-based medicine aims to improve clinical care, it challenges clinicians and researchers. 3 , 4 Moderate-to-advanced knowledge of the methodology is necessary to apply the resulting findings into practice and assess the cost-effectiveness of new interventions.…”

Section: Introductionmentioning

confidence: 99%

Five-year review of an international clinical research-training program

Suemoto¹,

Ismail²,

Corrêa³

et al. 2015

AMEP

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The exponential increase in clinical research has profoundly changed medical sciences. Evidence that has accumulated in the past three decades from clinical trials has led to the proposal that clinical care should not be based solely on clinical expertise and patient values, and should integrate robust data from systematic research. As a consequence, clinical research has become more complex and methods have become more rigorous, and evidence is usually not easily translated into clinical practice. Therefore, the instruction of clinical research methods for scientists and clinicians must adapt to this new reality. To address this challenge, a global distance-learning clinical research-training program was developed, based on collaborative learning, the pedagogical goal of which was to develop critical thinking skills in clinical research. We describe and analyze the challenges and possible solutions of this course after 5 years of experience (2008–2012) with this program. Through evaluation by students and faculty, we identified and reviewed the following challenges of our program: 1) student engagement and motivation, 2) impact of heterogeneous audience on learning, 3) learning in large groups, 4) enhancing group learning, 5) enhancing social presence, 6) dropouts, 7) quality control, and 8) course management. We discuss these issues and potential alternatives with regard to our research and background.

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How doctors practice evidence‐based medicine

Abstract: Our study suggested that EBM was still not well practised, using rosiglitazone prescription as a study case. Further education and encouragement to strengthen physicians' EBM practice remain urgently needed within the medical community.

Cited by 4 publications

References 18 publications

Assessment of ocular services status for diabetic patients in Saudi Arabia

Assessment of ocular services status for diabetic patients in Saudi Arabia

Development of the distance education course Principles and Practice of Clinical Research: 9 years of experience in the Dominican Republic

Five-year review of an international clinical research-training program

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