Evidence map›Paper›PMID 15514348›Full record

SynthesisBMJ (Clinical research ed.)2004

What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review.

Arri Coomarasamy, Khalid S Khan

Abstract readComparative StudySystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 208 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
208citing papers in PubMed, 17 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

208 citing papers in PubMed, 17 syntheses or guidelines pooled it.

  1. Pooled it
  2. Interventions for recurrent embryo implantation failure: An umbrella review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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  10. Prescribers' Knowledge and Skills for Interpreting Research Results: A Systematic Review.The Journal of continuing education in the health professions · 2017
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  13. Teaching critical appraisal skills in healthcare settings.The Cochrane database of systematic reviews · 2011
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148 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Arri CoomarasamyEducation Resource Centre, Birmingham Women's Hospital, Birmingham, B15 2TG. arricoomar@blueyonder.co.uk
Khalid S Khan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effects of standalone versus clinically integrated teaching in evidence based medicine on various outcomes in postgraduates.

designSystematic review of randomised and non-randomised controlled trials and before and after comparison studies. DATA SOURCES: Medline, Embase, ERIC, Cochrane Library, DARE, HTA database, Best Evidence, BEME, and SCI. STUDY SELECTION: 23 studies: four randomised trials, seven non-randomised controlled studies, and 12 before and after comparison studies. 18 studies (including two randomised trials) evaluated a standalone teaching method, and five studies (including two randomised trials) evaluated a clinically integrated teaching method.

main outcome measuresKnowledge, critical appraisal skills, attitudes, and behaviour.

resultsStandalone teaching improved knowledge but not skills, attitudes, or behaviour. Clinically integrated teaching improved knowledge, skills, attitudes, and behaviour.

conclusionTeaching of evidence based medicine should be moved from classrooms to clinical practice to achieve improvements in substantial outcomes.

Indexed as

Evidence-Based MedicineClinical CompetenceControlled Clinical Trials as TopicEducation, Medical, GraduateHealth Knowledge, Attitudes, PracticeRandomized Controlled Trials as TopicTeaching

Identifiers

PMID15514348
PMCPMC524555

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.