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Related Experiment Videos

Evaluating evidence-based medicine skills during a performance-based examination.

Richard A Davidson1, Margaret Duerson, Lynn Romrell

  • 1Department of Medicine, University of Florida College of Medicine, Gainesville 32610, USA. davidra@medicine.ufl.edu

Academic Medicine : Journal of the Association of American Medical Colleges
|February 27, 2004
PubMed
Summary

This study shows that performance-based exams effectively measure evidence-based medicine (EBM) skills in students, including clinical decision-making and patient communication. Results indicate strong student performance and support using these exams for curriculum development.

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Area of Science:

  • Medical Education
  • Evidence-Based Medicine

Background:

  • Assessing student competency in evidence-based medicine (EBM) is crucial for effective clinical practice.
  • Performance-based examinations (PBEs) offer a practical method for evaluating clinical skills.

Purpose of the Study:

  • To measure medical students' proficiency in evidence-based medicine (EBM) skills, encompassing clinical decision-making and patient communication.
  • To evaluate the utility of a performance-based examination (PBE) in assessing these EBM competencies.

Main Methods:

  • Developed 16 EBM queries for third-year medical student PBEs.
  • Students formulated clinical questions, conducted Medline searches, critically appraised articles, and communicated findings to standardized patients.
  • Faculty and librarians evaluated clinical question formulation and literature appraisal using a Likert scale; standardized patients assessed communication skills.

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Main Results:

  • Students demonstrated strong performance, with mean scores between 3.7 and 4.0.
  • Seventy-five percent of students successfully performed adequate Medline searches.
  • Students achieved over 93% proficiency in communication skills.

Conclusions:

  • Performance-based examinations are a viable method for evaluating evidence-based medicine (EBM) skills.
  • The assessment results can inform curriculum development and enhance student EBM training.