Evidence map›Paper›PMID 32256233›Full record

ArticleJournal of the Medical Library Association : JMLA2020

Understanding medical student evidence-based medicine information seeking in an authentic clinical simulation.

Joey Nicholson, Adina Kalet, Cees van der Vleuten, Anique de Bruin

Open access · diamondAbstract read
In one paragraph

Article in Journal of the Medical Library Association : JMLA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

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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

4 authors at 3 institutions in 2 countries.

Joey NicholsonVice Chair for Education; Head, Education and Curriculum Support; Associate Curator; and Coordinator, Systematic Review Services, NYU Health Sciences Library, New York University School of Medicine, New York, NY, Joseph.Nicholson@med.nyu.edu, http://orcid.org/0000-0001-8658-5879.
Adina KaletDirector of the Kern Institute, Medical College of Wisconsin, Milwaukee, WI, akalet@mcw.edu, https://orcid.org/0000-0003-4855-0223.
Cees van der VleutenProfessor of Education, School of Health Professions Education, Maastricht University, Maastricht, Netherlands, c.vandervleuten@maastrichtuniversity.nl, https://orcid.org/0000-0001-6802-3119.
Anique de BruinProfessor of Self-Regulation in Higher Education, School of Health Professions Education, Maastricht University, Maastricht, Netherlands, anique.debruin@maastrichtuniversity.nl, https://orcid.org/0000-0001-5178-0287.
Maastricht University · NLMedical College of Wisconsin · USNew York Public Library · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvidence-based medicine practices of medical students in clinical scenarios are not well understood. Optimal foraging theory (OFT) is one framework that could be useful in breaking apart information-seeking patterns to determine effectiveness and efficiency of different methods of information seeking. The aims of this study were to use OFT to determine the number and type of resources used in information seeking when medical students answer a clinical question, to describe common information-seeking patterns, and identify patterns associated with higher quality answers to a clinical question.

methodsMedical students were observed via screen recordings while they sought evidence related to a clinical question and provided a written response for what they would do for that patient based on the evidence that they found.

resultsHalf (51%) of study participants used only 1 source before answering the clinical question. While the participants were able to successfully and efficiently navigate point-of-care tools and search engines, searching PubMed was not favored, with only half (48%) of PubMed searches being successful. There were no associations between information-seeking patterns and the quality of answers to the clinical question.

conclusionClinically experienced medical students most frequently relied on point-of-care tools alone or in combination with PubMed to answer a clinical question. OFT can be used as a framework to understand the information-seeking practices of medical students in clinical scenarios. This has implications for both teaching and assessment of evidence-based medicine in medical students.

Indexed as

Evidence-Based MedicineInformation Seeking BehaviorClinical CompetenceHealth LiteracyHumansStudents, MedicalTime Factors

Identifiers

PMID32256233
PMCPMC7069825
OpenAlexW3015131754

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.