The practice of evidence-based medicine (EBM) in gastroenterology: discrepancies between EBM familiarity and EBM competency
Open Access
- 6 August 2011
- journal article
- research article
- Published by SAGE Publications in Therapeutic Advances in Gastroenterology
- Vol. 4 (5), 283-294
- https://doi.org/10.1177/1756283x11412240
Abstract
Introduction: Evidence-based medicine (EBM) has become increasingly important in the practice of gastroenterology and endoscopy, and the training of future gastroenterology physicians. The objectives were to assess the attitudes/opinions of gastroenterology specialists towards EBM, and evaluate possible gaps in education for certain EBM-related concepts. Methods: An internet-based survey was emailed to 4073 gastroenterology specialists. The main outcome measurements were physicians’ endorsement of EBM, impact of EBM on clinical practice, utilization of EBM-specific resources, self-assessed understanding of EBM concepts (EBM familiarity score), and actual knowledge of EBM concepts (EBM competency score). Results: A total of 337 gastroenterology specialists participated. On a sale of 1–10, there was widespread agreement that EBM improves patient care (median score = 9, interquartile range (IQR) = 7–10), and physicians should be familiar with techniques for critical appraisal of studies (median = 9, IQR = 8–10). Most (64.0%) utilized the EBM-related resource UpToDate™ regularly, as opposed to PubMed™ (47.1%) or Clinical Evidence™ (5.4%). The mean EBM familiarity score was 3.4 ± 0.6 on a scale of 1–4. Out of a maximum 49 points, the mean EBM competency score was 35 ± 4.9. There was poor concordance among EBM familiarity and competency scores ( r = 0.161; p = 0.005). Academic practice ( p < 0.001), research/teaching ( p < 0.001), advanced degree ( p = 0.012), and recent EBM training ( p = 0.001) were all associated with improved EBM competency. Conclusion: The attitudes and opinions of EBM are extremely favorable among gastroenterology physicians. Although gastroenterology physicians report familiarity with most EBM-related concepts, there is poor correlation with their actual knowledge of EBM. Further educational initiatives should be undertaken to address methods in which EBM skills are reinforced among all gastroenterology practitioners.Keywords
This publication has 12 references indexed in Scilit:
- Evidence‐based medicine training in residency: a survey of urology programme directorsBJU International, 2009
- Perceptions and Competence in Evidence-Based MedicineThe Journal of Bone & Joint Surgery, 2007
- Evidence-Based Medicine: A Survey of American Urological Association MembersJournal of Urology, 2006
- Beyond journal clubsJournal of General Internal Medicine, 2006
- Endoscopic transmural drainage of pancreatic pseudocysts: results of a national and an international survey of ASGE membersGastrointestinal Endoscopy, 2006
- Hospital doctors’ self‐rated skills in and use of evidence‐based medicine – a questionnaire surveyJournal of Evaluation in Clinical Practice, 2004
- General practitioners' self ratings of skills in evidence based medicine: validation studyBMJ, 2002
- Attitudes to evidence‐based practice in urology: Results of a surveyAnz Journal of Surgery, 2001
- General practitioners' perceptions of the route to evidence based medicine: a questionnaire surveyBMJ, 1998
- Evidence based medicine: what it is and what it isn'tBMJ, 1996