Ambulatory Pediatrics
Volume 5, Issue 5 , Pages 302-305 , September 2005

Evidence-Based Medicine in Pediatric Residency Programs: Where Are We Now?

  • Hans B. Kersten, Dr, MD

      Affiliations

    • From the Department of Pediatrics (Dr Kersten), Drexel University College of Medicine, Section of General Pediatrics, St Christopher's Hospital for Children, Philadelphia, PA
    • Corresponding Author InformationAddress correspondence to Hans B. Kersten, MD, Department of Pediatrics, Drexel University College of Medicine, Division of Ambulatory Pediatrics, St. Christopher's Hospital for Children, Front Street at Erie Ave, Philadelphia, PA 19134
  • ,
  • Tara M. Randis, MD

      Affiliations

    • From the Department of Pediatrics (Dr Kersten), Drexel University College of Medicine, Section of General Pediatrics, St Christopher's Hospital for Children, Philadelphia, PA
  • ,
  • Angelo P. Giardino, Dr, MD, PhD

      Affiliations

    • Neonatal and Perinatal Medicine (Dr Randis), Children's Hospital, Columbia University, New York, NY; and Baylor College of Medicine (Dr Giardino), Texas Children's Hospital, Houston, Tex

Received 21 October 2004 ,Accepted 24 June 2005.

REFERENCES 

  1. Sackett DL , Richardson WS , Rosenberg W , Haynes RB . Evidence-Based Medicine: How to Practice and Teach EBM . 2nd ed.. Edinburgh: Churchill Livingstone; 2000;
  2. Elnicki DM , Halperin AK , Shockcor WT , Aronoff SC . Multidisciplinary evidence-based medicine journal clubs: curriculum design and participants' reactions . Am J Med Sci . 1999;317:243–246
  3. Ross R , Verdieck A . Introducing an evidence-based medicine curriculum into a family practice residency—is it effective? . Acad Med . 2003;78:412–417
  4. Accreditation Council for Graduate Medical Education. . Institutional Requirements . Available at: http://www.acgme.org/outcome/comp/compFull.asp Accessed May 2005
  5. Green ML . Graduate Medical Education training in clinical epidemiology, critical appraisal, and evidence-based medicine: a review of curricula . Acad Med . 1999;74:686–694
  6. Vogel EW , Block KR , Wallingford KT . Finding the evidence: teaching medical residents to search MEDLINE . J Med Libr Assoc . 2002;90:327–330
  7. Crowley SD , Owens TA , Schardt CM , et al.   A web-based compendium of clinical questions and medical evidence to educate internal medicine residents . Acad Med . 2003;78:270–274
  8. Edwards KS , Woolf PK , Hetzler T . Pediatric residents as learners and teachers of evidence-based medicine . Acad Med . 2002;77:748
  9. Christakis DA , Davis R , Rivara FP . Pediatric evidence-based medicine: past, present, and future . J Pediatr . 2000;136:383–389
  10. Ozuah PO , Orbe J , Sharif I . Ambulatory rounds: a venue for evidence-based medicine . Acad Med . 2002;77:740–741
  11. Akl EA , Izuchukwu IS , El-Dika S , et al.   Integrating and evidence-based medicine rotation into an internal medicine residency program . Acad Med . 2004;79:897–904
  12. Fritsche L , Greenhalgh T , Falck-Ytter Y , et al.   Do short courses in evidence-based medicine improve knowledge and skills? Validation of Berlin questionnaire and before and after study of courses in evidence based medicine . BMJ . 2002;325:1338–1341
  13. Thom DH , Haugen J , Sommers PS , Lovett P . Description and evaluation of an EBM curriculum using a block rotation . BMC Med Educ . 2004;4:19–24
  14. Coomarasamy A , Khan KS . What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review . BMJ . 2004;329:1017–1021
  15. Parkes J , Hyde C , Deeks J , Milne R . Teaching critical appraisal skills in health care settings (Cochrane Review)In: The Cochrane Library, Issue 2 . Oxford: Update Software; 2002;
  16. Straus SE , Green ML , Bell DS , et al.   Evaluating the teaching of evidence based medicine: conceptual framework . BMJ . 2004;329:1029–1032
  17. Accreditation Council for Graduate Medical Education. . In: Accredited Programs in Pediatrics. The Graduate Medical Education Directory 2002–2003 . Chicago, Ill: American Medical Association; 2002;p. 829–844
  18. Green ML . Evidence-based medicine training in internal medicine residency programs . J Gen Intern Med . 2000;15:129–133
  19. Hatala R , Guyatt G . Evaluating the teaching of evidence-based medicine . JAMA . 2002;288:1110–1112
  20. Haines S , Nicholas JS . Teaching evidence-based medicine to surgical subspecialty residents . J Am Coll Surg . 2003;197:285–289
  21. Schwenk TL , Whitman NA . Residents as Teachers: A Guide to Educational Practice . Salt Lake City, Utah: University of Utah School of Medicine; 1984;
  22. McGinn T , Smith LG . Challenges to implementing an evidence-based medicine curriculum . Sem Med Pract . 1999;2:25–27
  23. Green ML , Ruff TR . Why do residents fail to answer their clinical questions? A qualitative study of barriers to practicing evidence-based medicine . Acad Med . 2005;80:176–182
  24. Ramos K , Linscheld R , Schafer S . Real-time information-seeking behavior of residency physicians . Fam Med . 2003;35:257–260

PII: S1530-1567(05)60367-X

doi: 10.1367/A04-182R1.1

Ambulatory Pediatrics
Volume 5, Issue 5 , Pages 302-305 , September 2005