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Focused Evidence-Based Medicine Curriculum for Trainees in Neonatal-Perinatal Medicine
Mohan Pammi1, Krithika Lingappan2, Melissa M Carbajal2
1Associate Professor, Department of Pediatrics, Section of Neonatology, Baylor College of Medicine.
Mededportal : the Journal of Teaching and Learning Resources
|February 26, 2019
Summary
This study developed an evidence-based medicine (EBM) curriculum for neonatal trainees. The program significantly improved EBM knowledge and skills, demonstrating its effectiveness in enhancing clinical decision-making.
Area of Science:
- Medical Education
- Neonatology
- Evidence-Based Medicine
Background:
- Evidence-Based Medicine (EBM) is a core competency, yet its teaching in pediatric subspecialties is underreported.
- A focused EBM curriculum was designed for neonatal-perinatal medicine trainees.
Purpose of the Study:
- To design, implement, and evaluate a focused EBM curriculum for neonatal-perinatal medicine trainees.
- To enhance trainees' knowledge and skills in evidence-based practice.
Main Methods:
- A seven-session, 1-hour weekly curriculum covering clinical question formulation, literature searching, critical appraisal, and evidence integration.
- Evaluation using a neonatology-adapted Fresno test (NAFT) and case vignettes administered pre- and post-curriculum.
Main Results:
- The NAFT demonstrated good internal reliability (Cronbach's alpha = .74) and excellent inter-rater reliability (ICC = .98).
- Mean NAFT scores significantly increased by 54 points (p < .001) among 14 learners post-curriculum.
Conclusions:
- The focused EBM curriculum effectively enhances trainees' EBM knowledge and skills.
- The curriculum is adaptable for pediatrics and family medicine learners to improve evidence-based practice.
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