ASSESSMENT OF KNOWLEDGE ABOUT EVIDENCE BASED MEDICINE IN MEDICAL STUDENTS AND DOCTORS IN A PAKISTANI HEALTH CARE SETTING

Abeer Irshad, Musarat Ramzan, Mobeen Iqbal

Abstract


Background: Evidence based practice promotes self assessment and ensures delivery of up to date
care to patients. The concept of Evidence Based Medicine (EBM) in developing countries is still in
its infancy where strong opinions drive patient care. Methods: We conducted a cross sectional
survey to explore the knowledge, perceptions and attitudes regarding EBM in final year medical
students and physicians of our institution. The survey was distributed to all students and residents of
the college and the affiliated hospital. Results: The response rate was 57% (74/130). Seventy-one
percent (53/74) of respondents were not aware of EBM. Out of these, 38 were medical students and
15 were house officers. Only 16 (9 students and 7 doctors) admitted that they had heard about EBM.
Those who heard about EBM recognised its importance in patient care. Teaching at both under- and
postgraduate level was strongly suggested. Participants recognised the need for EBM skills and
expertise. Financial constraint was considered as the main hindrance in practicing EBM.
Conclusion: The concept of EBM is still alien to most of the students and residents at our institution.
There is need for incorporating formal teaching of EBM at all levels of medical education.
Keywords: Medical education, Evidence based medicine, Undergraduates

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References


Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson

WS. Evidence-based medicine: what it is and what it isn’t. BMJ

;312(7023):71–2.

Mears R, Sweeney K. A preliminary study of the decisionmaking process within general practice. Fam Pract

;17(5):428–9.

Evidence-Based Medicine Working Group. Evidence-based

medicine. A new approach to teaching the practice of medicine.

JAMA 1992;268 (17):2420–5.

General Practice Strategy Review Group. General practice.

Changing the future through partnerships. Canberra, Australia:

Commonwealth Department of Health and Family Services;

Aslam F, Qayyum MA, Mahmud H, Qasim R, Haque IU.

Attitudes and practices of post graduate medical trainees towards

research –a snapshot from Faisalabad. J Pak Med Assoc

;54:534–6.

Khan H, Khawaja MR, Waheed A, Rauf MA, Fatmi Z.

Knowledge and attitudes about health research amongst a group

of Pakistani medical students. BMC Med Educ 2006,6:54.

Aslam F, Shakir M, Qayyum MA. Why medical students are

crucial to the future of research in South Asia. PLoS Med

;2(11):e322.

Al-Ansary LA, Khoja TA. The place of evidence-based medicine

among primary health care physicians in Riyadh region, Saudi

Arabia. Fam Pract 2002;19(5):537–42.

Al-Omari FK, Al-Asmary SM. Attitude, awareness and practice

of evidence based medicine among consultant physicians in

Western region of Saudi Arabia. Saudi Med J 2006;27:1887–93.

Young JM, Ward JE. Evidence-based medicine in general

practice: beliefs and barriers among Australian GPs. J Eval Clin

Pract 2001;7(2):201–10.

Iqbal M, Zaidi Z. The ‘ripple effect’ of introducing Evidencebased medicine into a curriculum. Med Educ 2009;43:475.

Zaidi Z, Iqbal M, Hashim J, Quadri M. Making EBM Doable in

Developing Countries: Experience with a locally tailored

workshop for Evidence Based Medicine in a Pakistani Institution.

Educ Health 2009;22(1):176.

Zaidi Z, Hashim J, Iqbal M, Quadri KM. Paving the way for

Evidence-based medicine in Pakistan. J Pak Med Assoc

;57:556–60.

Iqbal M, Quadri KHM. Initial experience with learner-centered

evidence based format morning report. J Pak Med Assoc

;57:120–2.

Amin FA, Fedorowicz Z, Montgomery AJ. A study of

knowledge and attitudes toward the use of evidence-based

medicine among primary health care physicians in Bahrain.

Saudi Med J 2006;27(9):1394–6.

Chan GC, Teng CL. Primary care doctors’ perceptions towards

evidence-based medicine in MELAKA State: a questionnaire

study. Med J Malaysia 2005;60(2):130–3.

Barghouti F, Halaseh L, Said T, Mousa AH, Dabdoub A.

Evidence-based medicine among Jordanian family physicians:

Can Fam Physician 2009;55(7):e6–e13.

Sackett DL, Stauss SE. Finding and applying evidence during

clinical rounds:the “evidence cart”. JAMA 1998;280:1336–8.

McColl A, Smith H, White P, Field J. General practitioners’

perceptions of the route to evidence based medicine: a

questionnaire survey. BMJ 1998;316:361–5.

Scott I, Heyworth R, Fairweather P. The use of evidence-based

medicine in the practice of consultant physicians. Results of a

questionnaire survey. Aust N Z J Med 2000;30(3):319–26.

Cochrane. Update Software. In. Issue 2 ed: Oxford: 1999.


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