%0 Journal Article
%T A cluster randomized controlled trial to evaluate the effectiveness of the clinically integrated RHL evidence -based medicine course
%A Regina Kulier
%A Khalid S Khan
%A A Metin Gulmezoglu
%A Guillermo Carroli
%A Jose G Cecatti
%A Maria J Germar
%A Pisake Lumbiganon
%A Suneeta Mittal
%A Robert Pattinson
%A Jean-Jose Wolomby-Molondo
%A Anne-Marie Bergh
%A Win May
%J Reproductive Health
%D 2010
%I BioMed Central
%R 10.1186/1742-4755-7-8
%X The study will be a multicentre, cluster randomized controlled trial, carried out in seven countries (Argentina, Brazil, Democratic Republic of Congo, India, Philippines, South Africa, Thailand), involving 50-60 obstetrics and gynaecology teaching units. The trial will be carried out on postgraduate trainees in the first two years of their training. In the intervention group, trainees will receive the RHL-EBM course. The course consists of five modules, each comprising self-directed e-learning components and clinically related activities, assignments and assessments, coordinated between the facilitator and the postgraduate trainee. The course will take about 12 weeks, with assessments taking place pre-course and 4 weeks post-course. In the control group, trainees will receive electronic, self-directed EBM-teaching materials. All data collection will be online.The primary outcome measures are gain in EBM knowledge, change in attitudes towards EBM and competencies in EBM measured by multiple choice questions (MCQs) and a skills-assessing questionniare administered eletronically. These questions have been developed by using questions from validated questionnaires and adapting them to the current course. Secondary outcome measure will be educational environment towards EBM which will be assessed by a specifically developed questionnaire.The trial will determine whether the RHL EBM (clinically integrated e-leraning) course will increase knowledge, skills and attitudes towards EBM and improve the educational environment as compared to standard teaching that is not clinically integrated. If effective, the RHL-EBM course can be implemented in teaching institutions worldwide in both, low-and middle income countries as well as industrialized settings. The results will have a broader impact than just EBM training because if the approach is successful then the same educational strategy can be used to target other priority clinical and methodological areas.ACTRN12609000198224Res
%U http://www.reproductive-health-journal.com/content/7/1/8