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Harmonising evidence-based medicine teaching : a study of the outcomes of e-learning in five European countries
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Kulier, Regina, Hadley, Julie, Weinbrenner, Susanne, Meyerrose, Berrit, Decsi, Tamas, Horvath, Andrea R., Nagy, Eva, Emparanza, Jose I., Coppus, Sjors, Arvanitis, Theodoros N., Burls, Amanda, Cabello, Juan B., Kaczor, Marcin P., Zanrei, Gianni, Pierer, Karen, Stawiarz, Katarzyna, Kunz, Regina, Mol, Ben W. J. and Khan, Khalid Saeed (2008) Harmonising evidence-based medicine teaching : a study of the outcomes of e-learning in five European countries. BMC Medical Education, Volume 8 (Number 1). Article number 27. doi:10.1186/1472-6920-8-27 ISSN 1472-6920.
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Official URL: http://dx.doi.org/10.1186/1472-6920-8-27
Abstract
Background:
We developed and evaluated the outcomes of an e-learning course for evidence based medicine (EBM) training in postgraduate medical education in different languages and settings across five European countries.
Methods:
We measured changes in knowledge and attitudes with well-developed assessment tools before and after administration of the course. The course consisted of five e-learning modules covering acquisition (formulating a question and search of the literature), appraisal, application and implementation of findings from systematic reviews of therapeutic interventions, each with interactive audio-visual learning materials of 15 to 20 minutes duration. The modules were prepared in English, Spanish, German and Hungarian. The course was delivered to 101 students from different specialties in Germany (psychiatrists), Hungary (mixture of specialties), Spain (general medical practitioners), Switzerland (obstetricians-gynaecologists) and the UK (obstetricians-gynaecologists). We analysed changes in scores across modules and countries.
Results:
On average across all countries, knowledge scores significantly improved from pre- to post-course for all five modules (p < 0.001). The improvements in scores were on average 1.87 points (14% of total score) for module 1, 1.81 points (26% of total score) for module 2, 1.9 points (11% of total score) for module 3, 1.9 points (12% of total score) for module 4 and 1.14 points (14% of total score) for module 5. In the country specific analysis, knowledge gain was not significant for module 4 in Spain, Switzerland and the UK, for module 3 in Spain and Switzerland and for module 2 in Spain. Compared to pre-course assessment, after completing the course participants felt more confident that they can assess research evidence and that the healthcare system in their country should have its own programme of research about clinical effectiveness.
Conclusion:
E-learning in EBM can be harmonised for effective teaching and learning in different languages, educational settings and clinical specialties, paving the way for development of an international e-EBM course.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RA Public aspects of medicine | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group) | ||||||||
Library of Congress Subject Headings (LCSH): | Medical education, Medical personnel -- In-service training, Evidence-based medicine, Medicine -- Web-based instruction -- Evaluation | ||||||||
Journal or Publication Title: | BMC Medical Education | ||||||||
Publisher: | BioMed Central Ltd. | ||||||||
ISSN: | 1472-6920 | ||||||||
Official Date: | 29 April 2008 | ||||||||
Dates: |
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Volume: | Volume 8 | ||||||||
Number: | Number 1 | ||||||||
Article Number: | Article number 27 | ||||||||
DOI: | 10.1186/1472-6920-8-27 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 29 December 2015 | ||||||||
Date of first compliant Open Access: | 29 December 2015 | ||||||||
Funder: | European Union (EU) | ||||||||
Grant number: | UK/05/B/F/PP-162_349 |
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