How can we teach EBM in clinical practice? : an analysis of barriers to implementation of on-the-job EBM teaching and learning.

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State: Public
Version: author
Serval ID
serval:BIB_A0730B3A6281
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
How can we teach EBM in clinical practice? : an analysis of barriers to implementation of on-the-job EBM teaching and learning.
Journal
Medical Teacher
Author(s)
Oude Rengerink Katrien, Thangaratinam Shakila, Barnfield Gemma, Suter Katja, Horvath Andrea R., Walczak Jacek, Welminska Anna, Weinbrenner Susanne, Meyerrose Berit, Arvanitis Theodoros N., Onody Rita, Zanrei Gianni, Kunz Regina, Arditi Chantal, Burnand Bernard, Gee Harry, Khan Khalid S., Mol Ben W.J.
ISSN
1466-187X (Electronic)
ISSN-L
0142-159X
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
33
Number
3
Pages
e125-e130
Language
english
Abstract
Introduction: Evidence-based medicine (EBM) improves the quality of health care. Courses on how to teach EBM in practice are available, but knowledge does not automatically imply its application in teaching. We aimed to identify and compare barriers and facilitators for teaching EBM in clinical practice in various European countries.
Methods: A questionnaire was constructed listing potential barriers and facilitators for EBM teaching in clinical practice. Answers were reported on a 7-point Likert scale ranging from not at all being a barrier to being an insurmountable barrier.
Results: The questionnaire was completed by 120 clinical EBM teachers from 11 countries. Lack of time was the strongest barrier for teaching EBM in practice (median 5). Moderate barriers were the lack of requirements for EBM skills and a pyramid hierarchy in health care management structure (median 4). In Germany, Hungary and Poland, reading and understanding articles in English was a higher barrier than in the other countries. Conclusion: Incorporation of teaching EBM in practice faces several barriers to implementation. Teaching EBM in clinical settings is most successful where EBM principles are culturally embedded and form part and parcel of everyday clinical decisions and medical practice.
Keywords
Adult , Attitude of Health Personnel , Education, Medical/organization & administration* , Europe , Evidence-Based Medicine/education* , Female , Humans , Knowledge , Male , Middle Aged , Time Factors
Pubmed
Web of science
Open Access
Yes
Create date
22/03/2011 12:45
Last modification date
20/08/2019 16:06
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