Effectiveness of Evidence-based Medicine Curriculum for Improving Global EssentialCompetencies of Undergraduate Medical Students: A Systematic Review_Chinese Journal of Evidence-Based Medicine

Authors：

ZHENG Huixian ,  CHEN Jin , LI Youping , CHEN Yanling

Division of Evidence-Based Medicine and Clinical Epidemiology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

CHEN Jin, Email: zhenghuixian825@163.com

Keywords：

Evidence-based medicine; Medical undergraduate; Core or minimal competencies; Systematic review

DOI：

10.7507/1672-2531.20090186

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Objective 　To assess the effectiveness of evidence-based medicine for improving core competencies of undergraduate medical students.
Methods 　MEDLINE, ERIC, Academic Source Premier, Campbell Library databases and three Chinese Databases (CBM, CNKI, VIP) were searched from January 1992 to May 2009.We also used Google to searching related literature. The design is a systematic review of randomized, non-randomized, and before-after studies. Two reviewers did study selection, quality assessment, and data abstraction independently. Different opinions were resolved by consensus. We used an adaptation of the quality measure from Gemma Flores-Mateo et al to assess the quality of selected studies. And descriptive analysis was conducted.
Results 　A total of 17 studies met the selection criteria, 2 of them were of high quality, the others were of moderate quality. Studies involved Competencies of Scientific Foundation of Medicine, Clinical Skills, and Management of Information.
Conclusion 　Competencies of Scientific Foundation of Medicine, Clinical Skills, and Management of Information are improved by evidence-based medicine teaching. No study on professional values, attitudes, behavior and ethics, population health and health systems, management of information, critical thinking and research is available. It is impossible to assess the four domains above.

Citation： ZHENG Huixian,CHEN Jin,LI Youping,CHEN Yanling. Effectiveness of Evidence-based Medicine Curriculum for Improving Global EssentialCompetencies of Undergraduate Medical Students: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2009, 09(10): 1048-1054. doi: 10.7507/1672-2531.20090186 Copy

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2.	Gemma Flores-Mateo, Josep M Argimon. Evidence based practice in postgraduate healthcare education: A systematic review. BMC Health Services Research, 2007, 7: 119.
3.	黄伯成, 卢天祥, 汤海峰. 在临床实习期间进行短期循证医学课程培训的效果分析. 继续医学教育, 2006, 20(31): 36-39.
4.	梁莉, 曹励之, 李清香, 等. 开展教学活动加强医学生核心知识与核心能力的培养. 中国现代医学杂志, 2003, 13(18): 157-158.
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7.	Okoromah CAN, Adenuga AO, Alesi FA. Evidence-based medicine curriculum: impact on medical students. Medical Teacher, 2006, 40: 459-489.
8.	Taheri H, Mirmohamadsadeghi M, Adibi I, et al. Evidence-based medicine (EBM) for undergraduate medical students. Ann Acad Med Singapore, 2008, 37: 764-768.
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11.	Dorsch JL, Aiyer MK, Meyer LE. Impact of an evidence-based medicine curricuium on medical students’ attitudes and skills. J Med Libr Assoc, 2004, 92(4): 397-406.
12.	Sanchez-Mendiola M. Evidence-based medicine teaching in the Mexican Army Medical School. Medical Teacher, 2004, 26(7): 661-663.
13.	Weberschock TB, Ginn TC, Reinhold J, et al. Change in knowledge and skills of Year 3 undergraduates in evidence-based medicine seminars. Medical Education, 2005, 39: 665-671.
14.	Gruppen LD, Gurpreet K. A controlled comparison study of the efficacy of training medical students in evidence-based medicine literature searching skills. Acad Med, 2005, 80: 940-944.
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16.	Ryce A, Dodson S. Partnership in teaching evidence-based medicine to interns at the University of Washington Medical Center. J Med Libr Assoc, 2007, 95(3): 283-286.
17.	Schilling K, Wiecha J, MD, et al. An interactive web-based curriculum on evidence-based medicine design and effectiveness. Fam Med, 2006, 38(2): 126-132.
18.	West CP, Furman S. Evaluation of a Longitudinal Medical School Evidence-Based Medicine Curriculum: A Pilot Study. J Gen Intern Med, 2008, 23(7): 1057-1059.
19.	Srinivasan M, Weiner M, Breitfeld PP, et al. Early introduction of an evidence-based medicine course to preclinical medical students. J Gen Intenmed, 2002, 17: 58-65．.
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21.	Flores-Mateo G, Argimon JM. Evidence based practice in postgraduate healthcare education: Asystematic review. BMC Health Services Research, 2007, 7: 119.
22.	刘建平. 循证医学与循证医学教育. 医学教育, 2002, 1: 12-14.
23.	Cartwright CA, Korsen N, Urbach LE. Teaching the teachers: helping faculty in a family practice residency improve their informatics skills. Acad Med, 2002, 77: 385-391.
24.	Green ML. Evidence-based medicine training in internal medicine residency programs:a national survey. J Gen Intern Med, 2000, 15: 129-133.
25.	Knowles MS, Downie CM, Basford P. Teaching and assessing in clinical practice. London:University of Greenwich, 1998. 23-38.
26.	Parkes J, Hyde C, Deeks J, et al. Teaching critical appraisal skills in health care settings [database on CD-ROM]. Oxford, England: Cochrane Library, Update Software; 2002, Issue 2.
27.	Hatala R, Guyatt G. Evaluating the Teaching of Evidence-Based Medicine. JAMA, 2002, 288(9): 1057-1059.
28.	Reed D, Price EG, Windish DM, et al. Challenges in systematic reviews of educational intervention studies. Ann Intern Med, 2005, 142: 1080-1089.

1. 万学红, 张肇达, 李甘地, 等. “全球医学教育最基本要求” 的研究与在中国的实践. 医学教育, 2005, 2: 11-13.
2. Gemma Flores-Mateo, Josep M Argimon. Evidence based practice in postgraduate healthcare education: A systematic review. BMC Health Services Research, 2007, 7: 119.
3. 黄伯成, 卢天祥, 汤海峰. 在临床实习期间进行短期循证医学课程培训的效果分析. 继续医学教育, 2006, 20(31): 36-39.
4. 梁莉, 曹励之, 李清香, 等. 开展教学活动加强医学生核心知识与核心能力的培养. 中国现代医学杂志, 2003, 13(18): 157-158.
5. 詹思延, 吴涛, 南奕, 等. 循证医学教学的短期效果评估. 医学教育, 2005, (4): 86-90.
6. Graham T McMahon & Robert G Dluhy. Impact of a novel evidencebased medicine curriculum. Medical Teacher, 2006, 40: 459-489.
7. Okoromah CAN, Adenuga AO, Alesi FA. Evidence-based medicine curriculum: impact on medical students. Medical Teacher, 2006, 40: 459-489.
8. Taheri H, Mirmohamadsadeghi M, Adibi I, et al. Evidence-based medicine (EBM) for undergraduate medical students. Ann Acad Med Singapore, 2008, 37: 764-768.
9. Paul M, Krueger DO. Teaching critical appraisal: a pilot randomized controlled outcomes trial in undergraduate osteopathic medical education. J Am Osteopath Assoc, 2006, 106: 658-662.
10. Ghail WA, Richard SR, Eskew AH. Successful teaching in evidencebased medicine. Medical Teacher, 2000, 34: 18-22.
11. Dorsch JL, Aiyer MK, Meyer LE. Impact of an evidence-based medicine curricuium on medical students’ attitudes and skills. J Med Libr Assoc, 2004, 92(4): 397-406.
12. Sanchez-Mendiola M. Evidence-based medicine teaching in the Mexican Army Medical School. Medical Teacher, 2004, 26(7): 661-663.
13. Weberschock TB, Ginn TC, Reinhold J, et al. Change in knowledge and skills of Year 3 undergraduates in evidence-based medicine seminars. Medical Education, 2005, 39: 665-671.
14. Gruppen LD, Gurpreet K. A controlled comparison study of the efficacy of training medical students in evidence-based medicine literature searching skills. Acad Med, 2005, 80: 940-944.
15. Cayley WE. Evidence-based medicine for medical students: introducing EBM in a primary care rotation. Wisconisn. Wisconsin Medical Journal, 2005, 104(3): 34-37.
16. Ryce A, Dodson S. Partnership in teaching evidence-based medicine to interns at the University of Washington Medical Center. J Med Libr Assoc, 2007, 95(3): 283-286.
17. Schilling K, Wiecha J, MD, et al. An interactive web-based curriculum on evidence-based medicine design and effectiveness. Fam Med, 2006, 38(2): 126-132.
18. West CP, Furman S. Evaluation of a Longitudinal Medical School Evidence-Based Medicine Curriculum: A Pilot Study. J Gen Intern Med, 2008, 23(7): 1057-1059.
19. Srinivasan M, Weiner M, Breitfeld PP, et al. Early introduction of an evidence-based medicine course to preclinical medical students. J Gen Intenmed, 2002, 17: 58-65．.
20. Coomarasamy A, Khan KS. What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ, 2004, 329(23): 15-19.
21. Flores-Mateo G, Argimon JM. Evidence based practice in postgraduate healthcare education: Asystematic review. BMC Health Services Research, 2007, 7: 119.
22. 刘建平. 循证医学与循证医学教育. 医学教育, 2002, 1: 12-14.
23. Cartwright CA, Korsen N, Urbach LE. Teaching the teachers: helping faculty in a family practice residency improve their informatics skills. Acad Med, 2002, 77: 385-391.
24. Green ML. Evidence-based medicine training in internal medicine residency programs:a national survey. J Gen Intern Med, 2000, 15: 129-133.
25. Knowles MS, Downie CM, Basford P. Teaching and assessing in clinical practice. London:University of Greenwich, 1998. 23-38.
26. Parkes J, Hyde C, Deeks J, et al. Teaching critical appraisal skills in health care settings [database on CD-ROM]. Oxford, England: Cochrane Library, Update Software; 2002, Issue 2.
27. Hatala R, Guyatt G. Evaluating the Teaching of Evidence-Based Medicine. JAMA, 2002, 288(9): 1057-1059.
28. Reed D, Price EG, Windish DM, et al. Challenges in systematic reviews of educational intervention studies. Ann Intern Med, 2005, 142: 1080-1089.

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