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Training surgeons to do evidence-based surgery: a collaborative approach.

Lori J Toedter1, Lora L Thompson, Chand Rohatgi

  • 1Department of Research/Medical Library, Easton Hospital, Easton, PA 18042, USA.

Journal of the American College of Surgeons
|July 28, 2004
PubMed
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This study introduces an assignment-based training program to improve surgical residents' evidence-based practice skills. The program enhances their ability to locate, appraise, and integrate research findings into patient care.

Area of Science:

  • Medical Education
  • Evidence-Based Practice
  • Surgical Training

Background:

  • Accreditation Council for Graduate Medical Education mandates trainees learn to use literature for patient care.
  • Translating evidence-based concepts into daily surgical practice remains a challenge.
  • A novel training program addresses this gap by focusing on practical application.

Purpose of the Study:

  • To describe and evaluate an assignment-based training program for surgical residents.
  • To enhance residents' skills in locating, appraising, and integrating evidence into practice.
  • To ensure trainees can effectively implement evidence-based operations.

Main Methods:

  • A collaborative program involving surgeons, librarians, and research coordinators.

Related Experiment Videos

  • Residents address clinical questions by finding and appraising relevant literature.
  • Performance is assessed via structured forms, with targeted training for improvement.

    • Main Results:

    • Initial assignments revealed weaknesses in literature search techniques (textwords, limiters).
    • Improved performance in finding evidence correlated with better search skills (p = 0.011).
    • Residents showed significant improvement after receiving additional, targeted training.

    Conclusions:

    • The hands-on, performance-based program effectively documents trainee progress.
    • Trainees develop skills for efficiently locating evidence to inform patient care.
    • The program facilitates the practice of evidence-based surgery.