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An evidence-based medicine approach for case presentations by trainees.
Thomas W Lycan1, Tamjeed Ahmed1, Mary Beth Seegars1
1Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
This study developed a case database and review sessions to enhance evidence-based medicine (EBM) in tumour boards (TBs) for medical trainees. While trainee satisfaction improved, the strength of evidence cited did not significantly change.
Area of Science:
- Medical Education
- Oncology
- Evidence-Based Medicine
Background:
- Evidence-based medicine (EBM) presents challenges for medical trainees.
- Tumour boards (TBs) are valuable for medical education but often lack structure and EBM emphasis.
Purpose of the Study:
- To systematically enhance trainee satisfaction and EBM integration in academic tumour boards.
- To develop and evaluate a structured approach for medical oncology trainees.
Main Methods:
- Utilized Plan-Do-Study-Act (PDSA) methodology from 2017-2018.
- Developed a shared voluntary case database and EBM-focused review sessions.
- Assessed trainee satisfaction via pre- and post-intervention surveys and statistical analysis of case difficulty.
Main Results:
- High participation rates (>90%) in the voluntary case database and review sessions.
- Trainees reported significant educational value from both the database and review sessions.
- The intervention improved trainee satisfaction but did not significantly increase the strength of evidence cited.
Conclusions:
- A two-step approach of a case database and targeted review sessions can enhance trainee satisfaction in tumour boards.
- This systematic method shows potential for improving the educational utility of TBs.
- Further strategies may be needed to significantly elevate the level of evidence used in TB case presentations.
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