Objectives
To
evaluate a practice-based, self-directed EBM-course in an undergraduate medical
curriculum in terms of EBM attitude and motivation beliefs.
Methods
This study was conducted in a 4-week course
of the first-year undergraduate medical curriculum, which takes place twice in
an academic year. One group of students (n=210) received a normal EBM-module in
November. A practice-based EBM-module was implemented in January for another
group of students (n=130). We approached all students following the courses for
participation in our research project. In a quasi-experimental design, a
validated survey was used to assess students' EBM task value and self-efficacy
on a 7-point Likert-scale. In the experimental group, complementary qualitative
data were gathered on attitude and motivation by open evaluative questions.
Results
Overall response rate was 93,5%, resulting
in 191 students in the control group and 127 students in the experimental
group. We did not find differences between the groups in terms of EBM task
value and self-efficacy. However, the experimental group showed a higher
increased perception of the importance of EBM in decision making in clinical
practice (60.0% vs 77.2%; χ
2
(1, N=318) = 8.432, p=0.004). These
students obtained a better understanding of the complexities and time-consuming
nature of EBM in medical practice.
Conclusions
The practice-based EBM-course helps
students to reflect on practice and knowledge critically. Our findings indicate
that integrating clinical practice in the undergraduate learning environment
fosters attitude and motivation, suggesting that practice-based learning in EBM
education may advance student development as a critically reflective
practitioner.