Evidence-based medicine curricula and barriers for physicians in training: a scoping review.
Document Type
Article
Publication Date
5-28-2021
Publication Title
International journal of medical education
Abstract
Objectives: To describe the published literature on EBM curricula for physicians in training and barriers during curriculum implementation.
Methods: We performed a systematic search and review of the medical literature on PubMed, Embase, ERIC, Scopus and Web of Science from the earliest available date until September 4, 2019.
Results: We screened 9,042 references and included 29 full-text studies and 14 meeting abstracts. Eighteen studies had moderate validity, and 6 had high validity. The EBM curricular structure proved highly variable in between studies. The majority of the EBM curricula was longitudinal with different lengths. Only five studies reported using Kern's six-step approach for curriculum development. Twenty-one articles reported on EBM skills and knowledge, and only 5/29 full-text articles used a validated assessment tool. Time was the main barrier to EBM curriculum implementation. All the included studies and abstracts, independent of the EBM curriculum structure or evaluation method used, found an improvement in the residents' attitudes and/or EBM skills and knowledge.
Conclusions: The current body of literature available to guide educators in EBM curriculum development is enough to constitute a strong scaffold for developing any EBM curriculum. Given the amount of time and resources needed to develop and implement an EBM curriculum, it is very important to follow the curriculum development steps and use validated assessment tools.
Volume
12
First Page
101
Last Page
124
Recommended Citation
Halalau A, Holmes B, Rogers-Snyr A, Donisan T, Nielsen E, Cerqueira TL, Guyatt G. Evidence-based medicine curricula and barriers for physicians in training: a scoping review. Int J Med Educ. 2021 May 28;12:101-124. doi: 10.5116/ijme.6097.ccc0. PMID: 34053914; PMCID: PMC8411338.
DOI
10.5116/ijme.6097.ccc0
ISSN
2042-6372
PubMed ID
34053914