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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Interdisciplinary Journal of Virtual Learning in Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Education,Knowledge,Evidence-based Medicine,Residents,Practical Capabilities
- چکیده:
- چکیده انگلیسی: Background : Commitment to evidence-based medicine (EBM) means the informed and fair use of the best evidence for accurate diagnosis and treatment decisions for patients. This approach attempts to improve the quality of clinical decision-making. The current study aimed to investigate the effects of EBM training courses on the theoretical knowledge and practical skills of clinical residents. Methods : A quantitative method based on a quasi-experimental single group design was used in this study. Two researcher-made questionnaires and one test were used as the major instruments for evaluating the satisfaction, knowledge and practical capabilities of participants. The content validity of the questionnaires was confirmed by five educational experts in medical education and clinical practices, and the reliability was calculated through Chronbach’s alpha (r = 0.92 and 0.93). The questionnaires were distributed among all 110 junior clinical residents who participated in the EBM workshop; 62 residents completed the questionnaire. The gathered data was analyzed through SPSS version 14 using paired t-test and Pearson’s correlation. Results : Participants took a high level of satisfaction (means of all items were higher than the cut-off points) from the evidence-based medical course. Participants’ knowledge and practical abilities were significantly broadened as a result of attending the EBM course (P < 0.01). In addition, a positive significant correlation was found between the knowledge scores and practical ability scores of residents who participated in the EBM course (r = 84%). Conclusions : More emphasis needs to be placed on developing the practical skills of residents in the EBM course. It is also essential that clinical ward residents be required to make clinical decisions based on evidence-based medicine.
- انتشار مقاله: 17-07-1394
- نویسندگان: Zahra Karimian,Javad Kojouri,Asiyeh Salehi,Behdad Amiri
- مشاهده
- جایگاه : پژوهشی
- مجله: Interdisciplinary Journal of Virtual Learning in Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Students,feedback,university,Clinical education,Residents
- چکیده:
- چکیده انگلیسی: Evidence-based Medicine is a new approach for physicians to integrate their clinical experiences. It can provide the best evidence to apply such experiences to the right and precise diagnostic and treatment decisions. There have been a lot of studies concerning teaching methods in and efficiency of evidence-based medicine in recent years. As such, the present study, with an analytic view, aims to deal with diverse teaching methods and the levels of efficiency in evidence-based medicine. This research, with an analytical-theoretical view, is a library-based study, seeking data from articles in scientific data-bases. Primarily, 42 articles were reviewed. Out of them, 21 articles with more data on teaching methods and level of efficiency were included in the study. The review revealed that evidence-based medical education would usually start in the early years of medical education. Although lecturing was the dominant teaching method, other methods as integrated approaches, interaction, and group discussion were also common. In addition the studies on the level of efficacy were more concerned with assessing the students’ satisfaction and knowledge but not the application of evidence-based medicine. Therefore, in medical education more attention should be paid to interactive and integrated methods with an interdisciplinary approach. Evidence-based medical education should be presented step by step, based on the students’ educational needs in basic sciences and clinical levels. It is necessary to have more studies on the efficiency of evidence-based medicine in practice and students’ behavioral change.
- انتشار مقاله: 11-10-1398
- نویسندگان: Zahra Karimian,Javad Kojouri,Mohammad Mahdi Sagheb
- مشاهده
- جایگاه : پژوهشی
- مجله: Interdisciplinary Journal of Virtual Learning in Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Evaluation,Cognitive Apprenticeship Model,Clinical Professors
- چکیده:
- چکیده انگلیسی: Background: One of the main responsibilities of universities is to train students who will be the experts and managers of the future. Therefore, improving the educational level of medical science universities will lead to the creation of an effective work force needed for the society, and eventually lead to the improvement of public health throughout the society. This improvement and development will not be reached unless effective feedback is received and the shortcomings are resolved. Therefore, we aimed to evaluate all faculty members teaching at the educational wards of Shahid Faghihi Hospital, Shiraz, in January 2011 based on the Cognitive Apprenticeship Model and present applicable feedback to clinical professors in order to enhance the educational system of Shiraz University of Medical Sciences.Material & Methods: In this study, the faculty members teaching at the internal, surgical, gynecological wards, as well as the wards of dermatology, urology, cardiology, and neurology. We used a valid questionnaire and evaluated six variables: modeling, coaching, reflection, scaffolding, articulation, exploration, and the general characteristics of the educational environment. Data were analyzed using SPSS software, version 16. Results: In the students' viewpoint, the most important characteristics of a professor who obtained the highest educational score were exploration, scaffolding, and coaching. Also, most students expressed that most of the evaluated wards needed to improve in motivating the students.Conclusion: Evaluation and feedback is one of the most effective methods for improving educational systems. By using suitable evaluation systems we can improve the educational system in medical science universities.
- انتشار مقاله: 11-10-1398
- نویسندگان: Mitra Amini,Mehran Rezaee,Rozhin Badiee,Javad Kojouri,Farhad Lotfi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Advances in Medical Education and Professionalism
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Introduction: It has been found that the decision-making process in medicine is affected, to a large extent, by one’s experience, individual mentality, previous models, and common habitual approaches, in addition to scientific principles. Evidence-based medicine is an approach attempting to reinforce scientific, systematic and critical thinking in physicians and provide the ground for optimal decision making. In this connection, the purpose of the present study is to find out to what extent the education of evidence based medicine affects clinical decision making.Methods: The present quasi-experimental study was carried out on 110clinical residents, who started their education in September, 2012 and finally 62 residents filled out the questionnaires. The instrument used was a researchermade questionnaire containing items on four decision-making approaches. The questionnaire was used both as a pre-test and a post-test to assess the residents’ viewpoints on decision making approaches. The validity of the questionnaire was determined using medical education and clinical professionals’ viewpoints, and the reliability was calculated through Chronbach alpha; it was found to be 0.93. The results were analyzed by paired t-test using SPSS, version 14.Results: The results demonstrated that evidence-based medicine workshopsignificantly affected the residents’ decision-making approaches (p<0.001).The pre-test showed that principles-based, reference-based and routinemodel-based approaches were more preferred before the program (p<0.001). However, after the implementation of the program, the dominant approaches used by the residents in their decision making were evidence-based ones.Conclusion: To develop the evidence-based approach, it is necessary foreducational programs to continue steadily and goal-orientedly. In addition, the equipment infrastructure such as the Internet, access to data bases, scientific data, and clinical guides should develop more in the medical departments.Keywords: Clinical, Evidence-based medicine, Decision making, Resident
- انتشار مقاله: 07-07-1393
- نویسندگان: ZAHRA KARIMIAN,JAVAD KOJOURI,MOHAMMAD MAHDI SAGHEB,ALI MAHBOUDI,MAHBOOBEH SABER,MITRA AMINI,MOHAMMAD REZA DEHGHANI
- مشاهده
- جایگاه : پژوهشی
- مجله: Interdisciplinary Journal of Virtual Learning in Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Education,Knowledge,Evidence-based Medicine,Residents,Practical Capabilities
- چکیده:
- چکیده انگلیسی: Background : Commitment to evidence-based medicine (EBM) means the informed and fair use of the best evidence for accurate diagnosis and treatment decisions for patients. This approach attempts to improve the quality of clinical decision-making. The current study aimed to investigate the effects of EBM training courses on the theoretical knowledge and practical skills of clinical residents. Methods : A quantitative method based on a quasi-experimental single group design was used in this study. Two researcher-made questionnaires and one test were used as the major instruments for evaluating the satisfaction, knowledge and practical capabilities of participants. The content validity of the questionnaires was confirmed by five educational experts in medical education and clinical practices, and the reliability was calculated through Chronbach’s alpha (r = 0.92 and 0.93). The questionnaires were distributed among all 110 junior clinical residents who participated in the EBM workshop; 62 residents completed the questionnaire. The gathered data was analyzed through SPSS version 14 using paired t-test and Pearson’s correlation. Results : Participants took a high level of satisfaction (means of all items were higher than the cut-off points) from the evidence-based medical course. Participants’ knowledge and practical abilities were significantly broadened as a result of attending the EBM course (P < 0.01). In addition, a positive significant correlation was found between the knowledge scores and practical ability scores of residents who participated in the EBM course (r = 84%). Conclusions : More emphasis needs to be placed on developing the practical skills of residents in the EBM course. It is also essential that clinical ward residents be required to make clinical decisions based on evidence-based medicine.
- انتشار مقاله: 17-07-1394
- نویسندگان: Zahra Karimian,Javad Kojouri,Asiyeh Salehi,Behdad Amiri
- مشاهده