Evidence map›Paper›PMID 25512942›Full record

ArticleJournal of advances in medical education & professionalism2014

Comparison of residents' approaches to clinical decisions before and after the implementation of Evidence Based Medicine course.

Zahra Karimian, Javad Kojuri, Mohammad Mahdi Sagheb, Ali Mahboudi, Mahboobeh Saber, Mitra Amini, Mohammad Reza Dehghani

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Article in Journal of advances in medical education & professionalism, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zahra KarimianQuality improvement in clinical education Research Center, Shiraz University of Medical Science, Shiraz, Iran;
Javad KojuriQuality improvement in clinical education Research Center, Shiraz University of Medical Science, Shiraz, Iran;
Mohammad Mahdi SaghebQuality improvement in clinical education Research Center, Shiraz University of Medical Science, Shiraz, Iran;
Ali MahboudiEnglish Language Department, Paramedical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Mahboobeh SaberQuality improvement in clinical education Research Center, Shiraz University of Medical Science, Shiraz, Iran;
Mitra AminiQuality improvement in clinical education Research Center, Shiraz University of Medical Science, Shiraz, Iran;
Mohammad Reza DehghaniQuality improvement in clinical education Research Center, Shiraz University of Medical Science, Shiraz, Iran;

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIt has been found that the decision-making process in medicine is affected, to a large extent, by one's experience, individual mentality, previous models, and common habitual approaches, in addition to scientific principles. Evidence-based medicine is an approach attempting to reinforce scientific, systematic and critical thinking in physicians and provide the ground for optimal decision making. In this connection, the purpose of the present study is to find out to what extent the education of evidence based medicine affects clinical decision making.

methodsThe present quasi-experimental study was carried out on 110 clinical residents, who started their education in September, 2012 and finally 62 residents filled out the questionnaires. The instrument used was a researcher-made questionnaire containing items on four decision-making approaches. The questionnaire was used both as a pre-test and a post-test to assess the residents' viewpoints on decision making approaches. The validity of the questionnaire was determined using medical education and clinical professionals' viewpoints, and the reliability was calculated through Chronbach alpha; it was found to be 0.93. The results were analyzed by paired t-test using SPSS, version 14.

resultsThe results demonstrated that evidence-based medicine workshop significantly affected the residents' decision-making approaches (p<0.001). The pre-test showed that principles-based, reference-based and routine model-based approaches were more preferred before the program (p<0.001). However, after the implementation of the program, the dominant approaches used by the residents in their decision making were evidence-based ones.

conclusionTo develop the evidence-based approach, it is necessary for educational programs to continue steadily and goal-orientedly. In addition, the equipment infrastructure such as the Internet, access to data bases, scientific data, and clinical guides should develop more in the medical departments.

Indexed as

ClinicalDecision makingEvidence-based medicineResident

Identifiers

PMID25512942
PMCPMC4235562

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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.