%0 Journal Article
%T Effect of a brief intervention on evidence-based medicine skills of pediatric residents
%A Eugene Dinkevich
%A Andrea Markinson
%A Sama Ahsan
%A Barbara Lawrence
%J BMC Medical Education
%D 2006
%I BioMed Central
%R 10.1186/1472-6920-6-1
%X With-in subjects study design with pre- and post-test evaluation was performed in a large urban pediatric residency training program in Brooklyn, New York. We included PGY-1s during intern orientation, while second and third year pediatric residents were selected based on schedule availability. Sixty-nine residents were enrolled into the study, 60 (87%) completed the training. An EBM training module consisting of three or four weekly two-hour seminars was conducted. The module was designed to teach core EBM skills including (1) formulating answerable clinical questions, (2) searching the evidence, (3) critical appraisal skills including validity and applicability, and (4) understanding levels of evidence and quantitative results for therapy articles. A portion of the Fresno test of competence in EBM was used to assess EBM skills. The test presented a clinical scenario that was followed by nine short answer questions. One to three questions were used to assess EBM skills for each of the four core skills. The ¦Ê co-efficient for inter-rater reliability was 0.74 (95% CI: 0.56¨C0.92).Prior to the training module, the residents achieved a mean score of 17% correct overall. Post intervention, the mean score increased to 63% with improvement in each EBM category. A mean of 4.08 more questions (out of 9) were answered correctly after the training (95% CI of 3.44¨C4.72).A brief training module was effective in improving EBM skills of pediatric residents.Training in Evidence-Based Medicine (EBM) Skills has been widely implemented throughout medical school and residency curricula. The quality of training that medical students receive in the US has not been consistent, while residents who attended medical school outside the US may not have received adequate EBM training. A recent randomized study done in the US found that medical students were not able to adequately use quality of evidence to guide clinical practice[1]. Despite 95% of Internal Medicine residencies reporting having
%U http://www.biomedcentral.com/1472-6920/6/1