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  • Ubiquity Press, Ltd.  (2)
Type of Medium
Publisher
  • Ubiquity Press, Ltd.  (2)
Language
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  • 1
    Online Resource
    Online Resource
    Ubiquity Press, Ltd. ; 2013
    In:  Perspectives on Medical Education Vol. 2, No. 4 ( 2013-09-04), p. 196-208
    In: Perspectives on Medical Education, Ubiquity Press, Ltd., Vol. 2, No. 4 ( 2013-09-04), p. 196-208
    Abstract: No objective measures are available for assessing the practice of evidence-based medicine (EBM) in general practitioner (GP) trainees, as there is no description of the EBM behaviour that is expected from trainees. As a first step to do so, we aimed to identify which expressions of EBM (defined as the integration of evidence, clinical experience and patient situation) can be observed in daily GP practice. Secondly, we aimed to identify which considerations GPs had regarding EBM but did not share with the patient during consultations. We performed a qualitative study, in which GPs were observed during and interviewed after clinical consultations, with a focus on expressions and considerations related to EBM during clinical decision-making. We observed 147 consultations by 34 GPs (17 trainers and 17 trainees). EBM behaviour was rarely visible in GPs’ decision-making. When interviewing the GPs, we found that aspects of EBM that played a role in decision-making were not discussed with the patient. Explicit consideration of all aspects of EBM would make EBM measurable and GPs more aware of the foundations of their decisions. EBM behaviour is difficult to observe during GP consultations and therefore cannot be assessed through observations alone.
    Type of Medium: Online Resource
    ISSN: 2212-277X
    Language: Unknown
    Publisher: Ubiquity Press, Ltd.
    Publication Date: 2013
    detail.hit.zdb_id: 2670231-9
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Online Resource
    Online Resource
    Ubiquity Press, Ltd. ; 2013
    In:  Perspectives on Medical Education Vol. 2, No. 1 ( 2013-02-05), p. 4-13
    In: Perspectives on Medical Education, Ubiquity Press, Ltd., Vol. 2, No. 1 ( 2013-02-05), p. 4-13
    Abstract: Although efforts are made to integrate evidence-based medicine (EBM) into clinical practice, physicians experience significant barriers to its implementation. The aim of this study is to quantify the barriers that general practice (GP) trainees experience when using EBM in practice. In September 2008, a questionnaire was administered to 140 GP trainees from three Dutch GP Speciality Training Institutes. The questionnaire focused on barriers that GP trainees meet when using EBM in practice. Factor analysis identified components in which barriers exist, and the validity and reliability of the questionnaire were established. After removing four items that did not fit the questionnaire structure, factor analysis identified three relevant components. All three components had similar mean scores, indicating a similar negative influence of these components on the practice of EBM: knowledge/skills (α = 0.72, mean score 2.9 ± 0.8), attitude (α = 0.70, mean score 2.9 ± 0.6), and external factors (α = 0.66, mean score 3.0 ± 0.5). The barrier that trainees experienced most was lack of time to practise EBM. Barriers to the use of EBM were present in three components: knowledge/skills, attitude, and external factors.
    Type of Medium: Online Resource
    ISSN: 2212-277X
    Language: Unknown
    Publisher: Ubiquity Press, Ltd.
    Publication Date: 2013
    detail.hit.zdb_id: 2670231-9
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
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