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Evaluating a formal evidence-based clinical practice curriculum in a neurology residency program
J G Burneo1, M E Jenkins, M Bussière
1Department of Clinical Neurological Sciences, University of Western Ontario, Canada. jburneo2@uwo.ca
Journal of the Neurological Sciences
|July 25, 2006
Summary
Neurology residents and graduates find Evidence-Based Clinical Practice (EBCP) valuable but rarely use it due to time constraints. Despite high confidence, EBCP is not consistently taught to junior trainees, highlighting a gap in practical application.
Area of Science:
- Medical Education
- Neurology
- Evidence-Based Practice
Background:
- The University of Western Ontario's Evidence-Based Neurology Programme, established in 1998, aims to enhance neurological patient care.
- The program focuses on fostering lifelong self-teaching, self-evaluation, and the application of Evidence-Based Clinical Practice (EBCP) among neurology residents.
Purpose of the Study:
- To evaluate resident and graduate participation in EBCP sessions.
- To assess the perceived applicability of EBCP to current and future clinical practice.
- To investigate the influence of EBCP knowledge on clinical practice and teaching activities.
Main Methods:
- A questionnaire survey was distributed to neurology residents and graduates.
- Participation, applicability, and influence of EBCP were assessed using the survey and a rating scale.
- Inquiries were made regarding the teaching of EBCP concepts to junior trainees.
Main Results:
- 100% of residents attended EBCP sessions and found concepts useful, but utilization was infrequent due to time constraints.
- Residents rated EBCP's influence on daily practice highly (average 6.8/10).
- Graduates also found EBCP useful, rated its influence higher (8.5/10), but faced similar time limitations for utilization and teaching.
Conclusions:
- EBCP integration in neurology residency boosts confidence and reinforces principles.
- Time constraints significantly limit the practical application and teaching of EBCP in daily clinical practice.
- There is a consistent expressed need for the continuation of formal EBCP curriculum during residency.
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