ASSESSMENT OF KNOWLEDGE ABOUT EVIDENCE BASED MEDICINE IN MEDICAL STUDENTS AND DOCTORS IN A PAKISTANI HEALTH CARE SETTING
Abstract
Background: Evidence based practice promotes self assessment and ensures delivery of up to datecare to patients. The concept of Evidence Based Medicine (EBM) in developing countries is still inits infancy where strong opinions drive patient care. Methods: We conducted a cross sectionalsurvey to explore the knowledge, perceptions and attitudes regarding EBM in final year medicalstudents and physicians of our institution. The survey was distributed to all students and residents ofthe college and the affiliated hospital. Results: The response rate was 57% (74/130). Seventy-onepercent (53/74) of respondents were not aware of EBM. Out of these, 38 were medical students and15 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- andpostgraduate level was strongly suggested. Participants recognised the need for EBM skills andexpertise. 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, UndergraduatesReferences
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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