Evidence map›Paper›PMID 31848856›Full record

ArticleJournal of general internal medicine2020

Development and Validation of a Test for Competence in Evidence-Based Medicine.

Rushad Patell, Paola Raska, Natalie Lee, Gina Luciano, Deborah J DiNardo, Amiran Baduashvili, Mel L Anderson, Frank Merritt, Michael B Rothberg

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2020. 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
–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. Trial
  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

9 authors.

Rushad PatellDepartment of Hematology-Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Paola RaskaDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Natalie LeeNational Clinician Scholar, Medicine, Perelman School of Medicine, Pennsylvania, PA, USA.
Gina LucianoDivision of General Medicine and Geriatrics, Baystate Health, Springfield, MA, USA.
Deborah J DiNardoDepartment of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Amiran BaduashviliSection of Hospital Medicine, Department of General Internal Medicine, Weill Cornell Medical College, New York, NY, USA.
Mel L AndersonDepartment of Medicine, University of Colorado Denver School of Medicine, Aurora, CO, USA.
Frank MerrittDepartment of Medicine, University of Colorado Denver School of Medicine, Aurora, CO, USA.
Michael B RothbergDepartment of Internal Medicine , Cleveland Clinic, 9500 Euclid Avenue, Mail Code G10, Cleveland, OH, 44195, USA. rothbem@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical educators need valid, reliable, and efficient tools to assess evidence-based medicine (EBM) knowledge and skills. Available EBM assessment tools either do not assess skills or are laborious to grade.

objectiveTo validate a multiple-choice-based EBM test-the Resident EBM Skills Evaluation Tool (RESET).

designCross-sectional study.

participantsA total of 304 medicine residents from five training programs and 33 EBM experts comprised the validation cohort. MAIN MEASURES: Internal reliability, item difficulty, and item discrimination were assessed. Construct validity was assessed by comparing mean total scores of trainees to experts. Experts were also asked to rate importance of each test item to assess content validity. KEY

resultsExperts had higher total scores than trainees (35.6 vs. 29.4, P < 0.001) and also scored significantly higher than residents on 11/18 items. Cronbach's alpha was 0.6 (acceptable), and no items had a low item-total correlation. Item difficulty ranged from 7 to 86%. All items were deemed "important" by > 50% of experts.

conclusionsThe proposed EBM assessment tool is a reliable and valid instrument to assess competence in EBM. It is easy to administer and grade and could be used to guide and assess interventions in EBM education.

Indexed as

Clinical CompetenceEducational MeasurementCross-Sectional StudiesEvidence-Based MedicineHumansReproducibility of Resultsevidence-based medicinemedical educationtest

Identifiers

PMID31848856
PMCPMC7210361

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.