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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
[Evidence-based Medicine online for young doctors - a randomised controlled trial]
Martin Bergold1, Reinhard Strametz, Susanne Weinbrenner
1AG EbM Frankfurt, Institut für Allgemeinmedizin, Fachbereich Medizin, Johann Wolfgang Goethe-Universität Frankfurt; Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum der Goethe-Universität Frankfurt.
This study shows an online Evidence-based Medicine (EbM) course significantly improved first-year residents' knowledge. The course was well-received and its clinical relevance was sustained over twelve months.
Area of Science:
- Medical Education
- Evidence-based Medicine (EbM)
Background:
- Surveys indicate significant deficits in Evidence-based Medicine (EbM) knowledge among German residents.
- A need exists for tailored continuing medical education in EbM.
Purpose of the Study:
- To investigate the knowledge gain and acceptance of an online EbM course for first-year residents.
- To evaluate the long-term retention and clinical relevance of the EbM course.
Main Methods:
- A randomized controlled trial with a wait-control design was used.
- First-year residents received a tutored, five-module online EbM course with practical tasks.
- Knowledge was assessed using multiple-choice questions before and after the course, with follow-ups at 6 and 12 months.
Main Results:
- The immediate intervention group showed a significant increase in correct answers compared to the waiting group (median 10 vs. 4).
- Knowledge gain was sustained over twelve months.
- 96.4% rated the course as clinically useful, with a median grade of B.
Conclusions:
- The online EbM course effectively improved and sustained residents' knowledge.
- The course content was perceived as clinically relevant and well-received.
- This tutored, practical online EbM course is suitable for residency programs.
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