The understanding of evidence-based medicine in undergraduate medical students: an integrative review
DOI:
https://doi.org/10.33448/rsd-v11i15.36918Keywords:
Medical students; University graduate; EBM.Abstract
Evidence-based medicine (EBM) is defined as the conscious, explicit and judicious use of the best current evidence in making decisions about the care of individual patients. It has been associated with better clinical outcomes for patients, in addition to being an update tool for health professionals. Thus, evidence-based practice has been adopted in many schools around the world, despite this, it is practiced suboptimally, especially in developing countries. Thus, this work aims to answer the following question: "What knowledge do undergraduate medical students in the world have about EBM?", in addition to evaluating the different ways of teaching and behavioral changes after teaching EBM. Articles were collected in the MEDLINE and BSV databases, using the following descriptors: “Evidence-Based Medicine”, “Education, Medical, Undergraduate” during the month of October 2022. Subsequently, a careful analysis of the selected material was carried out in order to gather the most relevant information concerning the proposed theme. Eleven articles of the 111 found after using the exclusion criteria were included. It can be concluded, with this integrative review, that more studies are needed about the teaching of MBE in schools, in order to discover the best teaching method, when to start the EBM program at graduation, in addition to discovering which students' knowledge of EBM.
References
al Shahrani, A. S. (2020). Development and evaluation of an evidence-based medicine module in the undergraduate medical curriculum. BMC Medical Education, 20(1). https://doi.org/10.1186/s12909-020-02181-7
Alahdab, F., Firwana, B., Hasan, R., Sonbol, M. B., Fares, M., Alnahhas, I., Sabouni, A., & Ferwana, M. (2012). Undergraduate medical students’ perceptions, attitudes, and competencies in evidence-based medicine (EBM), and their understanding of EBM reality in Syria. BMC Research Notes, 5. https://doi.org/10.1186/1756-0500-5-431
Buljan, I., Jerončić, A., Malički, M., Marušić, M., & Marušić, A. (2018). How to choose an evidence-based medicine knowledge test for medical students? Comparison of three knowledge measures. BMC Medical Education, 18(1). https://doi.org/10.1186/s12909-018-1391-z
Çakmakkaya, Ö. S. (2021). Formal evidence-based medicine instruction in Turkish undergraduate medical education: an initial evaluation. BMC Medical Education, 21(1). https://doi.org/10.1186/s12909-021-02876-5
Dal, K., Mendes, S., Cristina De Campos, R., Silveira, P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, 17(4), 758–764. https://doi.org/10.1590/S0104-07072008000400018
Elçin, M., Turan, S., Odabaşi, O., & Sayek, I. (2014). Development and evaluation of the evidence-based medicine program in surgery: A spiral approach. Medical Education Online, 19(1). https://doi.org/10.3402/meo.v19.24269
Engel, B., Esser, M., & Bleckwenn, M. ([s.d.]). Piloting a blended-learning concept for integrating evidence-based medicine into the general practice clerkship.
Friederichs, H., Marschall, B., & Weissenstein, A. (2014). Practicing evidence based medicine at the bedside: A randomized controlled pilot study in undergraduate medical students assessing the practicality of tablets, smartphones, and computers in clinical life. BMC Medical Informatics and Decision Making, 14(1). https://doi.org/10.1186/s12911-014-0113-7
Gagliardi, J. P., Stinnett, S. S., & Schardt, C. (2012). Innovation in evidence-based medicine education and assessment: An interactive class for third- and fourth-year medical students. Journal of the Medical Library Association, 100(4), 306–309. https://doi.org/10.3163/1536-5050.100.4.014
Heidemann, L. A., Keilin, C. A., Santen, S. A., Fitzgerald, J. T., Zaidi, N. L., Whitman, L., Jones, E. K., Lypson, M. L., & Morgan, H. K. (2019). Does performance on evidence-based medicine and urgent clinical scenarios assessments deteriorate during the fourth year of medical school? Findings from one institution. Academic Medicine, 94(5), 731–737. https://doi.org/10.1097/ACM.0000000000002583
Ilic, D., Nordin, R. bin, Glasziou, P., Tilson, J. K., & Villanueva, E. (2015). A randomised controlled trial of a blended learning education intervention for teaching evidence-based medicine Approaches to teaching and learning. BMC Medical Education, 15(1). https://doi.org/10.1186/s12909-015-0321-6
Kumaravel, B., Jenkins, H., Chepkin, S., Kirisnathas, S., Hearn, J., Stocker, C. J., & Petersen, S. (2020). A prospective study evaluating the integration of a multifaceted evidence-based medicine curriculum into early years in an undergraduate medical school. BMC Medical Education, 20(1). https://doi.org/10.1186/s12909-020-02140-2
Kumaravel, B., Stewart, C., & Ilic, D. (2021). Development and evaluation of a spiral model of assessing EBM competency using OSCEs in undergraduate medical education. BMC Medical Education, 21(1). https://doi.org/10.1186/s12909-021-02650-7
Ma, K. S. K., Chang, H. C., & Krupat, E. (2021). Teaching evidence-based medicine with electronic databases for preclinical education. Advances in Physiology Education, 45(4), 849–855. https://doi.org/10.1152/ADVAN.00057.2021
Maggio, L. A., & Kung, J. Y. (2014). How are medical students trained to locate biomedical information to practice evidence-based medicine? a review of the 2007-2012 literature. Journal of the Medical Library Association, 102(3), 184–191. https://doi.org/10.3163/1536-5050.102.3.008
Mai, D. H., Taylor-Fishwick, J. S., Sherred-Smith, W., Pang, A., Yaworsky, J., Whitty, S., Lafever, A., Mcilvain, C., Schmitt, M., Rogers-Johnson, M., Pace, A., & Dobrian, A. D. (2020). Peer-Developed Modules on Basic Biostatistics and Evidence-Based Medicine Principles for Undergraduate Medical Education. MedEdPORTAL : The Journal of Teaching and Learning Resources, 16, 11026. https://doi.org/10.15766/mep_2374-8265.11026
Mendes, R. M., Rosana, •, Sguerra, G., & Resumo, M. (2017). A análise de conteúdo como uma metodologia. Cadernos de Pesquisa, 47(165), 1044–1066. https://doi.org/10.1590/198053143988
Ming Lai, N., Lecturer, S., Lai, N., Teng, C., & Nalliah, S. (2012). Assessing Undergraduate Competence in Evidence-based Medicine: A Preliminary Study on the Correlation Between Two Objective Instruments. Em Education for Health • (Vol. 25, Issue 1). http://www.educationforhealth.net
Mozeika, A. M., Asri, R., Theis, J. F., & Suzuki, C. K. (2020). Pharmacology, Pharmacotherapy, and Pharmacopolicy Through an Evidence-Based Medicine: A Novel Approach for First-Year Medical Students. MedEdPORTAL : The Journal of Teaching and Learning Resources, 16, 10934. https://doi.org/10.15766/mep_2374-8265.10934
Sabouni, A., Bdaiwi, Y., Janoudi, S. L., Namous, L. O., Turk, T., Alkhatib, M., Abbas, F., & Yafi, R. Z. (2017). Multiple strategy peer-taught evidence-based medicine course in a poor resource setting. BMC Medical Education, 17(1). https://doi.org/10.1186/s12909-017-0924-1
Sánchez-Mendiola, M., Kieffer-Escobar, L. F., Marín-Beltrán, S., Downing, S. M., & Schwartz, A. (2012). Teaching of evidence-based medicine to medical students in Mexico: A randomized controlled trial. BMC Medical Education, 12(1). https://doi.org/10.1186/1472-6920-12-107
van Woezik, T. E. T., Oosterman, J. P., Reuzel, R. P. B., van der Wilt, G. J., & Koksma, J. J. (2020). Practice-based learning: an appropriate means to acquire the attitude and skills for evidence-based medicine. International Journal of Medical Education, 11, 140–145. https://doi.org/10.5116/ijme.5ee0.ab48
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Vitor Moura Pereira; Gledson Lima Alves Junior ; Rodrigo Cardoso de Oliveira; Marina Maria Santos Alves; André Luíz Baião Campos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.