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Wednesday
Nov062013

Effective EBM Instruction

Good article.  Of the 10 factors, the three that most resonate with me (from my experience at UMich) are:

  • Using a situational cue of role modeling for teaching EBM
A positive learning environment, with attending physicians serving as EBM role models, might be one of the most important factors influencing the behavior of residents. EBM teachers’ role-modeling helps learners see how evidence is incorporated with other knowledge into clinical decisions and how evidence is used as part of good practice. 
  • Increasing learners' awareness of EBM information resources
Learners’ awareness and perceptions of existing EBM information resources can affect the subsequent steps of evidence-based practice that they take, including critically appraising the evidence and applying it to patient care. Green and Huff found that a lack of awareness and limited access to clinical information resources posted barriers for residents in taking the series of steps involved in learning and practicing EBM...
It is important for health sciences librarians to partner with EBM faculty to identify learners' information needs; to acquire point-of-care, pre-appraised EBM information resources; and to incorporate the resources into EBM instructional content and activities to support EBM learning and enhance learners' ability to practice EBM.
  • Developing a longitudinal EBM curriculum to reinforce EBM knowledge and skills
Medical students' learning is developmental and progressive. A longitudinal EBM learning experience provides students with continuous reinforcement and relevance of concepts and statistics that underline EBM. The introduction of EBM in preclinical years should be aligned with the students' developmental stage. As students progress to clinical clerkships, they are provided opportunities to apply EBM principles and critical appraisal skills to evaluate the clinical evidence relevant to the patient problem that they encounter in clinics.  

 

Mi M. (2013). Factors that influence effective evidence-based medicine instruction. Medical Reference Services Quarterly, 32(4), 424-433. PMID 24180650