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Harmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countries

Kulier, Regina and HADLEY, Julie and Weinbrenner, Susanne and Meyerrose, Berrit and Decsi, Tamas and Horvath, Andrea R and Nagy, Eva and Emparanza, Jose I and Coppus, Sjors FPJ and Arvanitis, Theodoros N and Burls, Amanda and Cabello, Juan B and Kaczor, Marcin and Zanrei, Gianni and Pierer, Karen and Stawiarz, Katarzyna and Kunz, Regina and Mol, Ben WJ and Khan, Khalid S (2008) Harmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countries. BMC Medical Education, 8 (1). p. 27. ISSN 1472-6920

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Abstract or description

Background
We developed and evaluated the outcomes of an e-learning course for evidence based medicine (EBM) training in postgraduate medical education in different languages and settings across five European countries.

Methods
We measured changes in knowledge and attitudes with well-developed assessment tools before and after administration of the course. The course consisted of five e-learning modules covering acquisition (formulating a question and search of the literature), appraisal, application and implementation of findings from systematic reviews of therapeutic interventions, each with interactive audio-visual learning materials of 15 to 20 minutes duration. The modules were prepared in English, Spanish, German and Hungarian. The course was delivered to 101 students from different specialties in Germany (psychiatrists), Hungary (mixture of specialties), Spain (general medical practitioners), Switzerland (obstetricians-gynaecologists) and the UK (obstetricians-gynaecologists). We analysed changes in scores across modules and countries.

Results
On average across all countries, knowledge scores significantly improved from pre- to post-course for all five modules (p < 0.001). The improvements in scores were on average 1.87 points (14% of total score) for module 1, 1.81 points (26% of total score) for module 2, 1.9 points (11% of total score) for module 3, 1.9 points (12% of total score) for module 4 and 1.14 points (14% of total score) for module 5. In the country specific analysis, knowledge gain was not significant for module 4 in Spain, Switzerland and the UK, for module 3 in Spain and Switzerland and for module 2 in Spain. Compared to pre-course assessment, after completing the course participants felt more confident that they can assess research evidence and that the healthcare system in their country should have its own programme of research about clinical effectiveness.

Conclusion
E-learning in EBM can be harmonised for effective teaching and learning in different languages, educational settings and clinical specialties, paving the way for development of an international e-EBM course.

Item Type: Article
Subjects: A300 Clinical Medicine
X200 Research and Study Skills in Education
X300 Academic studies in Education
Faculty: Faculty of Health Sciences > Nursing and Midwifery
Depositing User: Julie HADLEY
Date Deposited: 15 Jan 2013 17:47
Last Modified: 01 Oct 2013 15:38
URI: http://eprints.staffs.ac.uk/id/eprint/141

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