Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/87744
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Type: Journal article
Title: How can we teach EBM in clinical practice? An analysis of barriers to implementation of on-the-job EBM teaching and learning
Author: Oude Rengerink, K.
Thangaratinam, S.
Barnfield, G.
Suter, K.
Horvath, A.
Walczak, J.
Welminska, A.
Weinbrenner, S.
Meyerrose, B.
Arvanitis, T.
Onody, R.
Zanrei, G.
Kunz, R.
Arditi, C.
Burnand, B.
Gee, H.
Khan, K.
Mol, B.
Citation: Medical Teacher, 2011; 33(3):e125-e130
Publisher: Carfax Publishing
Issue Date: 2011
ISSN: 0142-159X
1466-187X
Statement of
Responsibility: 
Katrien Oude Rengerink, Shakila Thangaratinam, Gemma Barnfield, Katja Suter, Andrea R. Horvath, Jacek Walczak, Anna Wełmińska, Susanne Weinbrenner, Berit Meyerrose, Theodoros N. Arvanitis, Rita Ónody, Gianni Zanrei, Regina Kunz, Chantal Arditi, Bernard Burnand, Harry Gee, Khalid S. Khan, and Ben W. J. Mol
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.
Keywords: Humans; Attitude of Health Personnel; Evidence-Based Medicine; Knowledge; Time Factors; Education, Medical; Adult; Middle Aged; Europe; Female; Male
Rights: © 2011 Informa UK Ltd.
RMID: 0020136793
DOI: 10.3109/0142159X.2011.542520
Appears in Collections:Paediatrics publications

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