Evidence map›Paper›PMID 30506887›Full record

ArticleThe clinical teacher2019

An evidence-based medicine approach for case presentations by trainees.

Thomas W Lycan, Tamjeed Ahmed, Mary Beth Seegars, Meera Patel, Ryan Woods, Susan A Melin

Abstract read
In one paragraph

Article in The clinical teacher, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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.

Thomas W LycanWake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0001-9475-1558
Tamjeed AhmedWake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Mary Beth SeegarsWake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Meera PatelWake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Ryan WoodsWake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Susan A MelinWake Forest School of Medicine, Winston-Salem, North Carolina, USA.

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
NCI NIH HHS P30 CA012197
6 · The paper itself

Abstract

backgroundEvidence-based medicine (EBM) is a key aspect of medical training that can be challenging for trainees to learn. Tumour boards (TBs) are multidisciplinary meetings that are often opportunities for trainees to deliver patient case presentations, which is another integral part of medical education; however, TBs are time intensive, typically lack academic structure and may fail to emphasise EBM.

objectiveTo design a systematic approach to improve both trainee satisfaction and the level of evidence cited at typical academic TBs.

methodsFrom 2017 to 2018, Plan-Do-Study-Act (PDSA) methodology was used to develop a systematic approach for medical oncology trainees towards TBs. Statistical testing was used to assess which characteristics of a patient case made it more difficult to apply EBM. Anonymous surveys were distributed to trainees before and after the intervention to assess the educational utility.

resultsWe developed a shared voluntary case database, so that references with higher levels of evidence could be rapidly recalled and applied to similar cases. We then developed EBM-focused review sessions to highlight database trends. Both the database and the review sessions had high participation rates (>90% cases had voluntary data entry), and each were reported to have educational value by trainees.

conclusionsA two-step implementation of an easy-to-use case database followed by review sessions focused on high-yield sources of evidence improved trainee satisfaction for TBs, but did not significantly improve the strength of the evidence cited.

Indexed as

Attitude of Health PersonnelClinical CompetenceEvidence-Based MedicineHumansInternship and ResidencyInterprofessional RelationsNeoplasmsTeaching

Identifiers

PMID30506887
PMCPMC12750990

What OpenQuestion holds

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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.