The impact of critical appraisal workshops on residents' evidence based medicine skills and knowledge.

Abstract

ObjectiveTo assess the impact of four evidence based medicine (EBM) critical appraisal education workshops in improving residents’ EBM knowledge and skills.MethodsThe eligible participants in the workshops were 88 residents-in-training, postgraduate years one through four, rotating through the outpatient internal medicine clinic. Four EBM workshops, consisting of 3 days each (30 minutes daily), were taught by our faculty. Topics covered included critical appraisal of randomized controlled trials, case-control and cohort studies, diagnosis studies, and systematic reviews.ResultsAs a program evaluation, anonymous pre-workshop and post-workshop tests were administered. Each of the four sets of tests showed improvement in scores: therapy from 58% to 77% (42% response rate), harm from 65% to 73% (38% response rate), diagnosis from 49% to 68% (49% response rate), and systematic review from 57% to 72% (30% response rate).ConclusionWe found that teaching EBM in four short workshops improved EBM knowledge and critical appraisal skills related to the four topics.