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Fritsche L, Greenhalgh T, Falck-Ytter Y, Neumayer H.H, Kunz RWeaving evidence-based medicine into the school of medicine curriculum: the library's role in developing evidence-based clinicians14th Cochrane Colloquium; Oct 22–26; DublinNew York: Longman; 2001Responses to surveys and questionnaires were not viewed until after completion of the course and submission of grades[PubMed] [Cross Ref]2716Course differences contributed one-third to the total variability in knowledge gain between learnersCourse leadershipThe EBM course is directed by a medical librarian (Schardt) and a clinician (Gagliardi), who work together to develop the curriculum, identify appropriate faculty, schedule the classes, organize the media and audience response system slides, analyze feedback, attend each session, and co-teach sessionsThe median difference between overall scores from pre- to post-course administrations was 13% (minimum 13%, maximum 73%), which was statistically significant (P Schilling Katherine, Wiecha John, Polineni Deepika, Khalil SouadSchardt C, Powers A, von Isenburg MHolger JWe asked about topics covered (therapy, diagnosis, prognosis, harm, meta-analysis, guidelines and study design), whether additional sessions devoted to searching the literature, statistics and teaching techniques were offered, and about the cost2008 Apr 02;82(1):107115RESULTSA total of 30 medical students (17 female, 13 male; 18 fourth-year students, 12 third-year students) signed up to take the courseIn terms of the importance of the overall effect, there may be other benefits (enthusiasm for evidence-based practice, stimulation of subsequent learning and ultimate improvement in practice) not measured here that would further justify the investment in resources.In conclusion, our results provide guidance for EBM course organizers interested in maximizing participant gains in knowledgeBMJSet B (mean score 7.29 points, standard deviation [SD] 3.34) proved to be slightly more difficult than set A (mean score 7.71 points, SD 3.20; difference 0.42 points, 95% confidence interval [CI] 0.85–0.02)Of the other 11 learners’ variables, 3 independently influenced change: current occupation (we observed a gradient in scores across learners with jobs in the pharmaceutical industry or medical publishing, learners involved in patient care, and administrators and epidemiologists or public health professionals), self-rating (we observed a gradient of change from learners describing themselves as having advanced knowledge, who showed the greatest improvement, to those describing themselves as having average knowledge, who showed less improvement, to those describing themselves as having little or no knowledge, who showed the least improvement) and previous experience as a tutor (those who had previous experience improved more than those who did not)Instructors in our EBM course are encouraged to adopt as many interactive strategies as possibleThis effective collaboration developed out of the library's presence and persistence in a variety of clinical education venues and its active role in developing a framework for teaching EBM in the Medical School curriculum [10][PMC free article] [PubMed]10litellcomTo close this gap, we undertook an international study to determine whether teaching EBM can produce changes in knowledge across a heterogeneous sample of course formats, course content and target groups and to explore which course features and learner characteristics are particularly suited to the acquisition of EBM knowledgeFurthermore, the outcome assessment tool we used, the Berlin Questionnaire, includes questions addressing studies of harm and prognosis that were not covered in all course programsNot all clinicians need to appraise evidence from scratch but all need some skillsOpen Meddoi: 10.1136/bmj.329.7473.1017[PubMed]13 1aae551883
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