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Examining an Evidence-Based Medicine Culture in Residency Education
- Source :
- Family Medicine. 50:751-755
- Publication Year :
- 2018
- Publisher :
- Society of Teachers of Family Medicine, 2018.
-
Abstract
- Background and Objectives: Reports of innovations in evidence-based medicine (EBM) training have focused on curriculum design and knowledge gained. Little is known about the educational culture and environment for EBM training and the extent to which those environments exist in family medicine residencies in the United States. Methods: A literature review on this topic identified a validated EBM environment scale intended for learner use. This scale was adapted for completion by family medicine residency program directors (PDs) and administered through an omnibus survey. Responses to this scale were analyzed descriptively with program and PD demographics. An EBM culture score was calculated for each program and the results were regressed with the correlated demographics. Results: In our adapted survey, family medicine PDs generally rated their residencies high on the EBM culture scale, but admitted to challenges with faculty feedback to residents about EBM skills, ability to protect time for EBM instruction, and clinician skepticism about EBM. In linear regression analysis, the mean summary score on the EBM scale was lower for female PDs and in programs with a higher proportion of international medical school graduates. Conclusions: To improve the culture for EBM teaching, family medicine residency programs should focus on faculty engagement and support and the allocation of sufficient time for EBM education.
- Subjects :
- Time Factors
020205 medical informatics
health care facilities, manpower, and services
education
MEDLINE
Organizational culture
02 engineering and technology
03 medical and health sciences
0302 clinical medicine
health services administration
0202 electrical engineering, electronic engineering, information engineering
Humans
Learning
030212 general & internal medicine
Curriculum
health care economics and organizations
Medical education
Evidence-Based Medicine
Medical school
Internship and Residency
Residency program
Evidence-based medicine
Organizational Culture
United States
humanities
Socioeconomic Factors
Scale (social sciences)
Sufficient time
Family Practice
Psychology
Subjects
Details
- ISSN :
- 07423225
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Family Medicine
- Accession number :
- edsair.doi.dedup.....c34e34e002729ad86f8557775c93d2c1