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Evidence-Based Medicine Culture, Curriculum, and Program Outcomes: A CERA Study
Kate Rowland1, John W Epling2, Rick Guthmann3
1Department of Family and Preventive Medicine, Chicago, IL.
Family Medicine
|August 29, 2024
Summary
Family medicine residency programs have evidence-based medicine (EBM) curricula and resident acceptance, but lack dedicated faculty leaders. This results in insufficient resident EBM skills development.
Area of Science:
- Medical Education
- Family Medicine
- Evidence-Based Medicine
Background:
- Limited faculty development hinders Evidence-Based Medicine (EBM) education advancement.
- Assessing EBM culture in family medicine residency programs is crucial.
- Understanding the link between faculty roles, curricula, and resident EBM outcomes is needed.
Purpose of the Study:
- To describe program director perceptions of EBM culture in family medicine residency.
- To assess the association between structured faculty roles, EBM curricula, and resident outcomes.
- To evaluate resident proficiency in core EBM skills, including publication.
Main Methods:
- Survey questions drafted by the Society of Teachers of Family Medicine EBM collaborative.
- Electronic survey distributed to US family medicine residency program directors in May 2023.
- Descriptive and comparative statistical analyses of survey results.
Main Results:
- High program director agreement (90%) on resident acceptance of EBM.
- Most programs (92%) reported an EBM curriculum, but 25.6% lacked a dedicated faculty lead.
- Few residents graduate with strong EBM skills: <50% can detect research errors, <20% can identify omissions in clinical resources, <10% can author reviews.
Conclusions:
- Family medicine residency programs show strong EBM acceptance and curriculum presence.
- Gaps exist in faculty leadership and resident EBM skill development.
- Concerns identified regarding pathways for developing future EBM faculty.
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