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Presentation of evidence in continuing medical education programs: a mixed methods study
Michael Allen1, Tanya MacLeod, Richard Handfield-Jones
1Evidence-based Programs, Continuing Medical Education, Dalhousie University, Halifax, Nova Scotia, Canada. Michael.Allen@Dal.ca
Continuing medical education (CME) presentations often use relative risk reduction, hindering physician understanding of treatment effectiveness. Both speakers and learners need improved training on presenting and interpreting absolute risk reduction and number needed to treat.
Area of Science:
- Medical Education
- Clinical Trial Data Interpretation
- Evidence-Based Medicine
Background:
- Clinical trial data presentation can exaggerate treatment effectiveness.
- Physicians may alter practices based on relative, not absolute, risk data.
Purpose of the Study:
- Assess frequency of relative vs. absolute risk data in CME.
- Evaluate CME speaker and learner knowledge of risk terms.
- Determine learner preferences for data presentation in CME.
Main Methods:
- Analysis of 26 CME presentations (videos, slides).
- Surveys of CME speakers and learners.
- Focus groups with CME learners.
Main Results:
- Data presented more often in general terms (84%), then relative (19%), then absolute (7%).
- Speakers understood terms better than learners; many could not calculate risk reduction or number needed to treat.
- Learners desired consistent, understandable presentation and a brief review of terms.
Conclusions:
- CME data presentation is often inadequate for informed therapeutic decisions.
- Professional development is needed for speakers and learners on research data interpretation.
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