Teaching evidence-based medicine: a regional dissemination model

Abstract

Background: Evidence-based medicine (EBM) is a framework for critically appraising medical literature and applying it to the care of individual patients. Lack of faculty skilled in practicing and teaching EBM limits the ability to train residents in this area.

Description: A 31/2-day interactive course, called Teaching Evidence-Based Medicine, was given in 1996, 1998, and 1999. The goal of the course was to create a cadre of faculty within New York State's internal medicine residency programs educated in EBM knowledge and skills who could integrate EBM into their training program. Thirty (58.8%) of 51 metropolitan New York internal medicine residency programs and three of 12 upstate programs sent participants.

Evaluation: The postcourse ratings showed increased self-rated knowledge and a willingness to apply the teaching methods at their home institutions.

Conclusions: There is a high demand for the opportunity to learn EBM skills and in turn to implement EBM at home institutions