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How can we teach EBM in clinical practice? : an analysis of barriers to implementation of on-the-job EBM teaching and learning

Oude Rengerink, Katrien and Thangaratinam, Shakila and Barnfield, Gemma and Suter, Katja and Horvath, Andrea R. and Walczak, Jacek and We mi ska, Anna and Weinbrenner, Susanne and Meyerrose, Berit and Arvanitis, Theodoros N. and Onody, Rita and Zanrei, Gianni and Kunz, Regina and Arditi, Chantal and Burnand, Bernard and Gee, Harry and Khan, Khalid S. and Mol, Ben W. J.. (2011) How can we teach EBM in clinical practice? : an analysis of barriers to implementation of on-the-job EBM teaching and learning. Medical teacher, Vol. 33, H. 3 , e125-130.

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Official URL: http://edoc.unibas.ch/dok/A6003598

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Abstract

Introduction: Evidence-based medicine (EBM) improves the quality of health care. Courses on how to teach EBM in practice are available, but knowledge does not automatically imply its application in teaching. We aimed to identify and compare barriers and facilitators for teaching EBM in clinical practice in various European countries. Methods: A questionnaire was constructed listing potential barriers and facilitators for EBM teaching in clinical practice. Answers were reported on a 7-point Likert scale ranging from not at all being a barrier to being an insurmountable barrier. Results: The questionnaire was completed by 120 clinical EBM teachers from 11 countries. Lack of time was the strongest barrier for teaching EBM in practice (median 5). Moderate barriers were the lack of requirements for EBM skills and a pyramid hierarchy in health care management structure (median 4). In Germany, Hungary and Poland, reading and understanding articles in English was a higher barrier than in the other countries. Conclusion: Incorporation of teaching EBM in practice faces several barriers to implementation. Teaching EBM in clinical settings is most successful where EBM principles are culturally embedded and form part and parcel of everyday clinical decisions and medical practice.
Faculties and Departments:03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Versicherungsmedizin > Versicherungsmedizin (Kunz)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Versicherungsmedizin > Versicherungsmedizin (Kunz)
UniBasel Contributors:Kunz, Regina
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Informa Healthcare
ISSN:0142-159X
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:06 Dec 2013 09:36
Deposited On:06 Dec 2013 09:36

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