Teaching of evidence-based medicine to medical students in Mexico: A randomized controlled trial

BMC Medical Education

Volumn 12, Issue 1, 2012, Pages

  Sánchez Mendiola, Melchor ^a   Kieffer Escobar, Luis F ^a   Marín Beltrán, Salvador ^b   Downing, Steven M ^c   Schwartz, Alan ^c  

^a UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO   (Mexico)

^b Central Military Hospital   (Mexico)

^c UNIVERSITY OF ILLINOIS   (United States)

Author keywords

Critical appraisal skills; Curriculum development; Educational assessment; Evidence based medicine; Undergraduate medical education

Indexed keywords

ADULT; AEROSPACE MEDICINE; ARTICLE; ATTITUDE TO HEALTH; CLINICAL COMPETENCE; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CROSSOVER PROCEDURE; CURRICULUM; DEVELOPING COUNTRY; EDUCATION; EVIDENCE BASED MEDICINE; FEMALE; HUMAN; MALE; MEDICAL EDUCATION; MEDICAL SCHOOL; MEXICO; MILITARY MEDICINE; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL;

AEROSPACE MEDICINE; CLINICAL COMPETENCE; CROSS-OVER STUDIES; CURRICULUM; DEVELOPING COUNTRIES; EDUCATION, MEDICAL, UNDERGRADUATE; EDUCATIONAL MEASUREMENT; EVIDENCE-BASED MEDICINE; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INTERNSHIP AND RESIDENCY; MALE; MEXICO; MILITARY MEDICINE; QUESTIONNAIRES; SCHOOLS, MEDICAL; YOUNG ADULT;

EID: 84870425421     PISSN: None     EISSN: 14726920     Source Type: Journal    
DOI: 10.1186/1472-6920-12-107     Document Type: Article

References (48)

1. Straus SE, Glasziou P, Richardson WS, Haynes RB, Evidence-Based Medicine. How to Practice and Teach it Philadelphia, PA: Elsevier Churchill Livingstone 4 2011
2. Institute of Medicine (US), Health Professions Education: A Bridge to Quality Washington (DC): National Academies Press 2003
3. Why we must teach evidence-based medicine. Whitcomb ME, Acad Med 2005 80 1 2 10.1097/00001888-200501000-00001 15618082
4. Second International Conference of Evidence-Based Health Care Teachers and Developers. Sicily statement on evidence-based practice. Dawes M, Summerskill W, Glasziou P, Cartabellotta A, Martin J, Hopayian K, Porzsolt F, Burls A, Osborne J, BMC Med Educ 2005 5 1 1 http://www.biomedcentral.com/1472- 6920/5/110.1186/1472-6920-5-1 15634359
5. WFME Task Force on Defining International standards in basic medical education. Report from the World Federation on Medical Education, Med Educ 2000 34 665 75 10964216
6. What evidence supports teaching evidence-based medicine? Dobbie AE, Schneider FD, Anderson AD, Littlefield J, Acad Med 2000 75 1184 5 10.1097/00001888-200012000-00010 11112715
7. Effectiveness of instruction in critical appraisal (evidence-based medicine) skills: a critical appraisal. Norman GR, Shannon SI, CMAJ 1998 158 177 81 9469138
8. A systematic review of the effectiveness of critical appraisal skills training for clinicians. Taylor R, Reeves B, Ewings P, Binns S, Keast J, Mears R, Med Educ 2000 34 120 125 10.1046/j.1365-2923.2000.00574.x 10652064
9. Teaching critical appraisal skills in healthcare settings. Cochrane Database of Systematic Reviews. Horsley T, Hyde C, Santesso N, Parkes J, Milne R, Stewart R, The Cochrane Library, Issue 05, Art. No. CD001270
10. A systematic review of postgraduate teaching in evidence-based medicine and critical appraisal. Coomarasamy A, Taylor R, Khan KS, Med Teach 2003 25 77 81 10.1080/0142159021000061468 14741863
11. What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. Coomarasamy A, Khan KS, BMJ 2004 329 1017 1021 10.1136/bmj.329.7473.1017 15514348
12. Graduate medical education training in clinical epidemiology, critical appraisal, and evidence-based medicine: a critical review of curricula. Green ML, Acad Med 1999 74 686 94 10.1097/00001888-199906000-00017 10386099
13. Evaluating the teaching of Evidence-based Medicine. Hatala R, Guyatt G, JAMA 2002 288 1110 2 10.1001/jama.288.9.1110 12204080
14. Evidence based practice in postgraduate healthcare education: a systematic review. Flores-Mateo G, Argimon JM, BMC Health Serv Res 2007 7 119 10.1186/1472-6963-7-119 17655743
15. Evidence-based medicine-how to teach critical scientific thinking to medical undergraduates. Pitkäla K, Mäntyranta T, Strandberg TE, Mäkelä M, Vanhanen H, Varonen H, Med Teach 2000 22 22 6 10.1080/01421590078760
16. Successful teaching in evidence-based medicine. Ghali WA, Saitz R, Eskew AH, Gupta M, Quan H, Hershman WY, Med Educ 2000 34 18 22 10.1046/j.1365-2923. 2000.00402.x 10607274
17. Developing an Evidence-Based Medicine and Use of the Biomedical Literature component as a longitudinal theme of an outcomes-based medical school curriculum: year 1. Burrows S, Moore K, Arriaga J, Paulaitis G, Lemkau HL, J Med Libr Assoc 2003 91 34 41 12568156
18. An integrated program for Evidence-based Medicine in medical school. Barnett SH, Kaiser S, Morgan LK, Sullivant J, Siu A, Rose D, Mt Sinai J Med 2000 67 163 8 10747374
19. Early introduction of an evidence-based medicine course to preclinical medical students. Srinivasan M, Weiner M, Breitfled PP, Brahmi F, Dickerson KL, Weiner G, J Gen Intern Med 2002 17 58 65 10.1046/j.1525-1497.2002.10121.x 11903776
20. Evidence-based medicine comes to Gaza. Elessi K, Mokhallalati M, Madbak S, Lancet 2011 378 9806 1834 5 10.1016/S0140-6736(11)61513-4 22067132
21. Evidence-based medicine teaching in the Mexican Army Medical School. Sánchez-Mendiola M, Med Teach 2004 26 7 661 663 10.1080/ 01421590412331282309 15763862
22. La Medicina Basada en Evidencias y la Escuela de Medicina. Sánchez-Mendiola M, Gac Med Mex 2004 140 314 316
23. Longitudinal analysis of integrating evidence-based medicine into a medical student curriculum. Liabsuetrakul T, Suntharasaj T, Tangtrakulwanich B, Uakritdathikarn T, Pornsawat P, Fam Med 2009 41 8 585 8 19724944
24. Issues in outcomes research: an overview of randomization techniques for clinical trials. Kang M, Ragan B, Park J, J Athl Train 2008 43 2 215 221 10.4085/1062-6050-43.2.215 18345348
25. Fraenkel JR, Wallen NE, How to Design and Evaluate Research in Education New York: McGraw-Hill 5 2003
26. The use and interpretation of quasi-experimental studies in medical informatics. Harris AD, McGregor JC, Perencevich EN, Furuno JP, Zhu J, Peterson DE, Finkelstein J, J Am Med Inform Assoc 2006 13 16 23 16221933
27. Expert consensus on contamination in educational trials elicited by a Delphi exercise. Howe A, Keogh-Brown M, Miles S, Bachmann M, Med Educ 2007 41 2 196 204 10.1111/j.1365-2929.2006.02674.x 17269954
28. Lifshitz A, Sánchez-Mendiola M, Medicina Basada en Evidencias México: McGraw-Hill Interamericana 2002
29. Development and validation of a questionnaire to evaluate the effectiveness of evidence-based practice teaching. Taylor R, Reeves B, Mears R, Keast J, Binns S, Ewings P, Khan K, Med Educ 2001 35 544 7 10.1046/j.1365-2923. 2001.00916.x 11380856
30. Instruments for evaluating education in evidence-based practice. A systematic review. Shaneyfelt T, Baum KD, Bell D, Feldstein D, Houston TK, Kaatz S, Whelan C, Green M, JAMA 2006 296 1116 1127 10.1001/jama.296.9.1116 16954491
31. Twelve steps for effective test development. Downing SM, Handbook of Test Development Mahwah, N.J: Lawrence Erlbaum Associates, Downing SM, Haladyna TM, 2006 3 25
32. Cohen J, Statistical power analysis for the behavioral sciences Hillsdale, NJ: Lawrence Earlbaum Associates 2n 1988
33. Randomized controlled trials and meta-analysis in medical education: what role do they play? Cook DA, Med Teach 2012 34 6 468 73 10.3109/0142159X.2012. 671978 22489980
34. A hierarchy of effective teaching and learning to acquire competence in evidence-based medicine. Khan KS, Coomarasamy A, BMC Med Educ 2006 6 59 Available in: http://www.biomedcentral.com/1472-6920/6/59 10.1186/1472-6920-6-59 17173690
35. Evidence-based medicine training during residency: a randomized controlled trial of efficacy. Feldstein DA, Maenner MJ, Srisurichan R, Roach MA, Vogelman BS, BMC Med Educ 2010 10 59 http://www.biomedcentral.com/1472-6920/10/ 5910.1186/1472-6920-10-59 20807453
36. Critical appraisal skills training for health care professionals: a randomized controlled trial. Taylor RS, Reeves BC, Ewings PE, Taylor RJ, BMC Med Educ 2004 4 1 30 http://www.biomedcentral.com/1472-6920/4/30 10.1186/1472-6920-4-30 15585061
37. Comparison of directed and self-directed learning in evidence-based medicine: a randomized controlled trial. Bradley P, Oterholt C, Herrin J, Nordheim L, Bjorndal A, Med Educ 2005 39 10 1027 35 10.1111/j.1365-2929.2005. 02268.x 16178830
38. Exploring language barriers to Evidence-based Health Care (EBHC) in post-graduate medical students: a randomised trial. Letelier LM, Zamarin N, Andrade M, Gabrielli L, Caiozzi G, Viviani P, Riquelme A, Educ Health (Abingdon) 2007 20 3 82
39. Evidence-based medicine training in a resource-poor country, the importance of leveraging personal and institutional relationships. Tomatis C, Taramona C, Rizo-Patrón E, Hernández F, Rodríguez P, Piscoya A, Gonzales E, Gotuzzo E, Heudebert G, Centor RM, Estrada CA, J Eval Clin Pract 2011 17 4 644 50 10.1111/j.1365-2753.2011.01635.x 21276140
40. Accuracy of physician self-assessment compared with observed measures of competence. A systematic review. Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L, JAMA 2006 296 1094 1102 10.1001/jama.296.9.1094 16954489
41. Self-perceived competence correlates poorly with objectively measured competence in evidence based medicine among medical students. Lai NM, Teng CL, BMC Med Educ 2011 11 25 http://www.biomedcentral.com/1472-6920/11/25 10.1186/1472-6920-11-25 21619672
42. Two strategies to intensify evidence-based medicine education of undergraduate students: a randomised controlled trial. Cheng HM, Guo FR, Hsu TF, Chuang SY, Yen HT, Lee FY, Yang YY, Chen TL, Lee WS, Chuang CL, Chen CH, Ho T, Ann Acad Med Singapore 2012 41 1 4 11 22499474
43. One hundred years of forgetting: a quantitative description of retention. Rubin DC, Wenzel AE, Psychol Rev 1996 103 734 760
44. Teaching critical appraisal: a pilot randomized controlled outcomes trial in undergraduate osteopathic medical education. Krueger PM, J Am Osteopath Assoc 2006 106 11 658 62 17192453
45. Using effect size-or why the P value is not enough. Sullivan GM, Feinn R, J Grad Med Educ 2012 4 3 279 82
46. The effectiveness and effects of effect sizes. Norman G, Adv Health Sci Educ Theory Pract 2003 8 3 183 7 14632021
47. Extended evaluation of a longitudinal medical school evidence-based medicine curriculum. West CP, Jaeger TM, McDonald FS, J Gen Intern Med 2011 26 6 611 5 10.1007/s11606-011-1642-8 21286836
48. Beyond journal clubs. Moving toward an integrated evidence-based medicine curriculum. Hatala R, Keitz SA, Wilson MC, Guyatt G, J Gen Intern Med 2006 21 538 541 10.1111/j.1525-1497.2006.00445.x 16704406