Evidence map›Paper›PMID 28710209›Full record

ArticleBMJ open2017

Does a one-day workshop improve clinical faculty's comfort and behaviour in practising and teaching evidence-based medicine? A Canadian mixed methods study.

David Allen, Jacques Abourbih, Marion Maar, Lisa Boesch, James Goertzen, Catherine Cervin

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
6.4field-weighted citation impact, top 4% of its field
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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. A multi-faceted intervention to improve screening of erectile dysfunction for men with diabetes mellitus in public health clinics: A pilot study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2022
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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

6 authors at 1 institution in 1 country.

David AllenDivision of Clinical Sciences, Northern Ontario School of Medicine, Sudbury, Ontario, Canada.
Jacques AbourbihDivision of Clinical Sciences, Northern Ontario School of Medicine, Sudbury, Ontario, Canada.
Marion MaarDivision of Human Sciences, Northern Ontario School of Medicine, Sudbury, Ontario, Canada.
Lisa BoeschDivision of Human Sciences, Northern Ontario School of Medicine, Sudbury, Ontario, Canada.
James GoertzenDivision of Clinical Sciences, Northern Ontario School of Medicine, Sudbury, Ontario, Canada.
Catherine CervinDivision of Clinical Sciences, Northern Ontario School of Medicine, Sudbury, Ontario, Canada.
NOSM University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to determine the impact of a 1-day evidence-based medicine (EBM) workshop on physician attitudes and behaviours around teaching and practicing EBM.

designA mixed methods study using a before/after cohort.

settingA medical school delivering continuing professional development to 1250 clinical faculty over a large geographic area in Canada.

participants105 physician clinical faculty members.

interventionA 1-day workshop presented at 11 different sites over an 18-month period focusing on EBM skills for teaching and clinical practice. OUTCOME MEASURES: (1) A quantitative survey administered immediately before and after the workshop, and 3-6 months later, to assess the hypothesis that comfort with teaching and practising EBM can be improved.(2) A qualitative survey of the expectations for, and impact of the workshop on, participant behaviours and attitudes using a combination of pre, post and 3 to 6-month follow-up questionnaires, and telephone interviews completed 10-14 months after the workshop.

resultsPhysician comfort with their EBM clinical skills improved on average by 0.93 points on a 5-point Likert scale, and comfort with EBM teaching skills by 0.97 points (p values 0.001). Most of this improvement was sustained 3-6 months later. Three to fourteen months after the workshop, half of responding participants reported that they were using the Population Intervention Comparator Outcome (PICO) methodology of question framing for teaching, clinical practice or both.

conclusionsComfort in teaching and practicing EBM can be improved by a 1-day workshop, with most of this improvement sustained 3-6 months later. PICO question framing can be learnt at a 1-day workshop, and is associated with a self-reported change in clinical and teaching practice 3-14 months later. This represents both level 2 (attitudes) and level 3 (behaviours) change using the Kirkpatrick model of evaluation.

Indexed as

Attitude of Health PersonnelPersonal SatisfactionPhysiciansCanadaClinical CompetenceEvidence-Based MedicineHumansInservice TrainingInterviews as TopicSurveys and Questionnairesmedical education and trainingprimary carequalitative research

Identifiers

PMID28710209
PMCPMC5734352
OpenAlexW2734696490

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.