Integrating Cochrane methodology into medical education: Experience and outcomes

BackgroundModern medical education faces the challenges of digitalization, the implementation of evidence-based medicine, the development of research skills, and interdisciplinarity. In response, Sechenov University has developed a curriculum based on Cochrane methodology aimed at training professionals capable of making clinical decisions under uncertainty and data deficit, while taking into account both scientific validity and ethical standards.MethodsA cross-sectional online survey was conducted among 3rd- to 6th-year medical students to assess their knowledge in evidence-based medicine methodology, research skills, and satisfaction with the program.ResultsA total of 359 students were surveyed. Study year significantly affected knowledge level, with systematic knowledge accumulation occurring over time (p < 0.001). Senior students demonstrated higher proficiency with evidence-based medicine tools and research skills, although even in years 5-6, a considerable proportion of students were initially unsure of specific topics. Overall, 87.5% of all respondents reported increased knowledge, and 95.8% were fully satisfied with the course.ConclusionsTo develop clinical and critical thinking in medical students-enabling them to act reasonably in complex and changing clinical situations with incomplete or conflicting data and strict adherence to bioethical norms-it is necessary to expand practical training based on Cochrane methodology.