TY - JOUR
T1 - An evidence-based medicine curriculum implemented in journal club improves resident performance on the fresno test
AU - Mohr, Nicholas M.
AU - Stoltze, Andrew J.
AU - Harland, Karisa K.
AU - Van Heukelom, Jon N.
AU - Hogrefe, Christopher P.
AU - Ahmed, Azeemuddin
N1 - Funding Information:
The authors would like to thank Christopher Carpenter, MD, MS for his assistance in developing this manuscript. This study was funded by the University of Iowa Department of Emergency Medicine .
Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/2/1
Y1 - 2015/2/1
N2 - Background Journal club is a standard component of residency education. Journal club focuses on review and interpretation of the medical literature with varying degrees of evidence-based medicine (EBM) education. Objectives To evaluate learning of EBM principles with an EBM curriculum implemented as a component of journal club. EBM competency was established using the Fresno test, a validated 12-question instrument of short-answer and essay-style questions to assess competency in EBM. Methods An EBM curriculum was implemented that consisted of a focus on EBM topics (e.g., study validity, bias, confidence intervals, search strategies) using a structured journal club format using a peer instruction model. The Fresno test was used prior to and after the implementation of the first year of this curriculum to measure effectiveness of the intervention. A hierarchical multivariable model using generalized estimating equations was used to account for repeated measures in the primary outcome of change in total Fresno test score. Results The total test scores did not increase significantly (105.4 vs. 120.9, p = 0.058) in the before-after analysis. The only subscore showing improvement was interpretation of study validity (32.1 vs. 40.4 points, p = 0.03). Attendance was significantly associated with Fresno test score, with those attending ≥ 6/11 sessions (55%) scoring 28.2 points higher (p = 0.003), and those attending fewer than six sessions scoring only 1.9 points higher (p = 0.81) than in the preintervention group. Conclusion An EBM curriculum implemented as part of journal club improves performance on the Fresno test among residents who attended at least six journal club sessions.
AB - Background Journal club is a standard component of residency education. Journal club focuses on review and interpretation of the medical literature with varying degrees of evidence-based medicine (EBM) education. Objectives To evaluate learning of EBM principles with an EBM curriculum implemented as a component of journal club. EBM competency was established using the Fresno test, a validated 12-question instrument of short-answer and essay-style questions to assess competency in EBM. Methods An EBM curriculum was implemented that consisted of a focus on EBM topics (e.g., study validity, bias, confidence intervals, search strategies) using a structured journal club format using a peer instruction model. The Fresno test was used prior to and after the implementation of the first year of this curriculum to measure effectiveness of the intervention. A hierarchical multivariable model using generalized estimating equations was used to account for repeated measures in the primary outcome of change in total Fresno test score. Results The total test scores did not increase significantly (105.4 vs. 120.9, p = 0.058) in the before-after analysis. The only subscore showing improvement was interpretation of study validity (32.1 vs. 40.4 points, p = 0.03). Attendance was significantly associated with Fresno test score, with those attending ≥ 6/11 sessions (55%) scoring 28.2 points higher (p = 0.003), and those attending fewer than six sessions scoring only 1.9 points higher (p = 0.81) than in the preintervention group. Conclusion An EBM curriculum implemented as part of journal club improves performance on the Fresno test among residents who attended at least six journal club sessions.
KW - Fresno test
KW - education
KW - educational measurement
KW - evidence-based medicine
KW - internship and residency
KW - medical
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U2 - 10.1016/j.jemermed.2014.09.011
DO - 10.1016/j.jemermed.2014.09.011
M3 - Article
C2 - 25440869
AN - SCOPUS:84921523400
SN - 0736-4679
VL - 48
SP - 222-229.e1
JO - Journal of Emergency Medicine
JF - Journal of Emergency Medicine
IS - 2
ER -