scholarly journals Evaluation of a Rural Healthcare System Featuring Medical and Premedical Students: The Essentia Health Summer Research Intern Program

2020 ◽  
Vol 3 (2) ◽  
Author(s):  
Catherine Pastorius Benziger ◽  
Ryan Thiel ◽  
Nicole Groth ◽  
Vicki Pink ◽  
Joseph Doerer ◽  
...  
Keyword(s):  
Clinical Research ◽  
Rural Areas ◽  
Evidence Based Medicine ◽  
Research Training ◽  
Evidence Based ◽  
University Of Minnesota ◽  
Clinical Patient ◽  
Premedical Students ◽  
Specialty Practice ◽  
Based Medicine

Background: Training medical and premedical students in clinical research is challenging with the demands of medical education. Students pursue research opportunities in specialty practice to acquire knowledge and gain experience in the clinical setting. Pairing clinical observation with mentored research informs the value of evidence-based medicine and prepares students for a career in medicine and science. However, programs that offer both research training and clinical observership are rare, particularly in rural areas.   Hypothesis: Early exposure to sub-specialty practice in rural areas is important to recruit and train the next generation of physicians to serve this population.   Methods: This report provides a description of the Essentia Health Summer Research Internship Program, a pilot program with the University of Minnesota Medical School aimed to provide mentored clinical research training and clinical observership for medical and premedical students. The program provided an experiential model of clinical patient interaction, problem solving, and access to research that is integrated into clinical experiences as students learn the value of evidence-based medicine.   Results: Six medical and four premedical students have participated in the internship within the programs first two years. Student-completed weekly journals and surveys reveal enthusiasm for various research and clinical components of the program. Program highlights include the acquisition of research and clinical knowledge through mentorship and research lectures, and observerships throughout the Heart and Vascular Center.   Conclusion: The program aims to provide underrepresented rural students training in research methodology through mentorship and observership within specialty practice. 

scholarly journals Impact of deliberate practice on evidence-based medicine attitudes and behaviours of health care professionals

2020 ◽  
Author(s):  
Eelco Draaisma ◽  
Lauren A. Maggio ◽  
Jolita Bekhof ◽  
A. Debbie C. Jaarsma ◽  
Paul L. P. Brand
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Clinical Research ◽  
Health Care Professionals ◽  
Evidence Based Medicine ◽  
Deliberate Practice ◽  
Medical Decision ◽  
Evidence Based ◽  
Teaching Activities ◽  
Based Medicine

Abstract Introduction Although evidence-based medicine (EBM) teaching activities may improve short-term EBM knowledge and skills, they have little long-term impact on learners’ EBM attitudes and behaviour. This study examined the effects of learning EBM through stand-alone workshops or various forms of deliberate EBM practice. Methods We assessed EBM attitudes and behaviour with the evidence based practice inventory questionnaire, in paediatric health care professionals who had only participated in a stand-alone EBM workshop (controls), participants with a completed PhD in clinical research (PhDs), those who had completed part of their paediatric residency at a department (Isala Hospital) which systematically implemented EBM in its clinical and teaching activities (former Isala residents), and a reference group of paediatric professionals currently employed at Isala’s paediatric department (current Isala participants). Results Compared to controls (n = 16), current Isala participants (n = 13) reported more positive EBM attitudes (p < 0.01), gave more priority to using EBM in decision making (p = 0.001) and reported more EBM behaviour (p = 0.007). PhDs (n = 20) gave more priority to using EBM in medical decision making (p < 0.001) and reported more EBM behaviour than controls (p = 0.016). Discussion Health care professionals exposed to deliberate practice of EBM, either in the daily routines of their department or by completing a PhD in clinical research, view EBM as more useful and are more likely to use it in decision making than their peers who only followed a standard EBM workshop. These findings support the use of deliberate practice as the basis for postgraduate EBM educational activities.

The Principles of Evidence-Based Medicine

Cephalalgia ◽  
2000 ◽  
Vol 20 (2_suppl) ◽  
pp. 10-13 ◽  
Author(s):  
S Wiebe
Keyword(s):  
Clinical Practice ◽  
Clinical Research ◽  
Evidence Based Medicine ◽  
Information Overload ◽  
Clinical Performance ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Performance Information ◽  
Research Findings ◽  
Based Medicine

Evidence-based medicine (EBM) integrates individual clinical expertise with the best available external evidence in the care of individual patients. By enabling clinicians to directly appraise and apply current clinical research, EBM deals with the problems of deterioration in clinical performance, information overload, and lag in application of research findings to clinical practice. Thus, EBM is a useful tool to address the problems faced by clinicians attempting to provide optimum, current care for their patients. The rationale for EBM, its principles and application, as well as some limitations, are described here.

scholarly journals Confirmation bias by consumers of clinical research demonstrates the need for implementation science

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
James Peter Meza
Keyword(s):  
Clinical Practice ◽  
Clinical Research ◽  
Implementation Science ◽  
Research Design ◽  
Evidence Based Medicine ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Confirmation Bias ◽  
Evidence Based ◽  
Based Medicine

<p>The Journal's Editor holds that, although Evidence-based medicine typically only looks for bias of the research design, still evidence-based practice must also include the biases of those using the research evidence and how it is deployed in clinical practice.</p>

Evidence-based medicine in otolaryngology journals

2002 ◽  
Vol 126 (4) ◽  
pp. 371-376 ◽  
Author(s):  
Boris L. Bentsianov ◽  
Marina Boruk ◽  
Richard M. Rosenfeld
Keyword(s):  
Clinical Research ◽  
Internal Control ◽  
Evidence Based Medicine ◽  
Research Articles ◽  
Control Group ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Level Of Evidence ◽  
Therapeutic Recommendations ◽  
Based Medicine

OBJECTIVE: We set out to assess, within the context of evidence-based medicine, the levels of supporting evidence for therapeutic recommendations made in leading otolaryngology journals. DESIGN: We used a cross-sectional survey of clinical research articles published in 1999 in 4 high-circulation otolaryngology journals. OUTCOME MEASURES: We used study design methodology and level of evidence for clinical research articles with therapeutic recommendations. Outcomes were stratified by type of recommendation (positive vs negative) and by study focus (medical vs surgical therapy). RESULTS: Of the 1019 articles identified, 737 (72%) were clinical research and 268 (36%) made therapeutic recommendations. Median sample size was modest (27 subjects), with only 38% of studies reflecting planned research and 22% including an internal control or comparison group. positive studies were 20 times more prevalent than negative ones, but were 69% less likely to have an internal control group ( P = .042) and 93% less likely to include confidence intervals ( P = .020). Moreover, the level of evidence for positive studies was lower than for negative studies ( P = .037), with twice as many negative recommendations supported by analytic research. Similarly, the level of evidence for operation was lower than for medical therapy ( P < .001), with 3 times as many medical recommendations supported by analytic research. CONCLUSIONS: Most therapeutic recommendations in otolaryngology journals are on the basis of descriptive case series (80%) and least often on randomized controlled trials (7%). A dual standard appears to exist for negative versus positive studies and for medical versus surgical recommendations. Greater scrutiny of the breadth and quality of evidence levels supporting therapeutic recommendations is likely to occur as the popularity of—and demand for—evidence-based medicine increases. SIGNIFICANCE: Evaluation of levels of evidence in otolaryngology decision making.

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