Awareness and use of evidence based medicine (EBM) in medical trainees

MAHDIEH MOMAYYEZI, HOSSEIN FALLAHZADEH, MOHAMMAD MOMAYYEZI

Abstract


The concept of evidence based medicine (EBM)
involves a systematic approach for integration
of best available research evidence into medical
decision making for physicians, medical trainees
and researchers. The EBM process includes five
essential steps: formulating the questions, searching
for evidence, appraising the evidence, and applying
and evaluating the results (1). In a descriptive study,
the data about EBM skills obtained from the medical
trainees showed that printed textbooks served as
the first source of information in 80% of cases and
followed by E-books as the second source. The
hard copy journals in libraries had the lowest use.
Easy access to information was selected as the main
reason for using printed resources. Also, fast access
to information was the most important reason for
using electronic resources. In a study conducted by
Rohani, it was found that physicians used printed
sources more than e-books (2). This was due to
their easy access to the printed reference books.
Considering the fact that it takes a lot of time for
new medical information to log in into the reference
books, effective treatment of a disease may be entered
in printed sources after its efficiency is confirmed.
45.2% of the participants were familiar with
INLM. 32.1% of the students had attended the
training course on INLM. 85.7% of the participants
were familiar with the PubMed, 28.6% with the
Elsevier and 16.7% with Science direct. 31% of the
participants were familiar with the concept of EBM,
but 7.1% were aware of the resources of EBM, and
12.2% had attended the special courses on EBM. The
results of the recent data taken from internet showed
that 53.8% of participants sometimes used it in
diagnosis and treatment process and 28.2% of them
used it after being developed into textbooks. Also,
this information was sometimes useful for 75.8% of
participants.
Half of the students were familiar with the concept
of EBM, but a few had attended the introductory
course on EBM. Hanson in his study maintained that
only 1.9% of physicians used specific methods to find
valid evidence of medicine (3). Taheri showed that
medical students were satisfied with the workshop
on EBM and stated that familiarity with EBM was
essential for proper functioning (4). Therefore, it
seems necessary to organize the training workshops
on the concepts of EBM as a part of formal training
for medical trainees to change the students' attitudes.

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 P ISSN: 2322-2220            E ISSN:2322-3561      

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