Appraising and applying evidence about a diagnostic test during a performance-based assessment
<p>Abstract</p> <p>Background</p> <p>The practice of Evidence-based Medicine requires that clinicians assess the validity of published research and then apply the results to patient care. We wanted to assess whether our soon-to-graduate medical students could appraise a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2004-10-01
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| Series: | BMC Medical Education |
| Online Access: | http://www.biomedcentral.com/1472-6920/4/20 |
| _version_ | 1818690151217364992 |
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| author | Franklin Ellen Tansey Janeta Vogelgesang Scott Bergus George Feld Ronald |
| author_facet | Franklin Ellen Tansey Janeta Vogelgesang Scott Bergus George Feld Ronald |
| author_sort | Franklin Ellen |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>The practice of Evidence-based Medicine requires that clinicians assess the validity of published research and then apply the results to patient care. We wanted to assess whether our soon-to-graduate medical students could appraise and apply research about a diagnostic test within a clinical context and to compare our students with peers trained at other institutions.</p> <p>Methods</p> <p>4<sup>th </sup>year medical students who previously had demonstrated competency at probability revision and just starting first-year Internal Medicine residents were used for this research. Following an encounter with a simulated patient, subjects critically appraised a paper about an applicable diagnostic test and revised the patient's pretest probability given the test result.</p> <p>Results</p> <p>The medical students and residents demonstrated similar skills at critical appraisal, correctly answering 4.7 and 4.9, respectively, of 6 questions (p = 0.67). Only one out of 28 (3%) medical students and none of the 15 residents were able to correctly complete the probability revision task (p = 1.00).</p> <p>Conclusions</p> <p>This study found that most students completing medical school are able to appraise an article about a diagnostic test but few are able to apply the information from the article to a patient. These findings raise questions about the clinical usefulness of the EBM skills possessed by graduating medical students within the area of diagnostic testing.</p> |
| first_indexed | 2024-12-17T12:21:26Z |
| format | Article |
| id | doaj.art-0d85bbc86a664569a9f67e2a85c7b531 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-12-17T12:21:26Z |
| publishDate | 2004-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-0d85bbc86a664569a9f67e2a85c7b5312022-12-21T21:48:56ZengBMCBMC Medical Education1472-69202004-10-01412010.1186/1472-6920-4-20Appraising and applying evidence about a diagnostic test during a performance-based assessmentFranklin EllenTansey JanetaVogelgesang ScottBergus GeorgeFeld Ronald<p>Abstract</p> <p>Background</p> <p>The practice of Evidence-based Medicine requires that clinicians assess the validity of published research and then apply the results to patient care. We wanted to assess whether our soon-to-graduate medical students could appraise and apply research about a diagnostic test within a clinical context and to compare our students with peers trained at other institutions.</p> <p>Methods</p> <p>4<sup>th </sup>year medical students who previously had demonstrated competency at probability revision and just starting first-year Internal Medicine residents were used for this research. Following an encounter with a simulated patient, subjects critically appraised a paper about an applicable diagnostic test and revised the patient's pretest probability given the test result.</p> <p>Results</p> <p>The medical students and residents demonstrated similar skills at critical appraisal, correctly answering 4.7 and 4.9, respectively, of 6 questions (p = 0.67). Only one out of 28 (3%) medical students and none of the 15 residents were able to correctly complete the probability revision task (p = 1.00).</p> <p>Conclusions</p> <p>This study found that most students completing medical school are able to appraise an article about a diagnostic test but few are able to apply the information from the article to a patient. These findings raise questions about the clinical usefulness of the EBM skills possessed by graduating medical students within the area of diagnostic testing.</p>http://www.biomedcentral.com/1472-6920/4/20 |
| spellingShingle | Franklin Ellen Tansey Janeta Vogelgesang Scott Bergus George Feld Ronald Appraising and applying evidence about a diagnostic test during a performance-based assessment BMC Medical Education |
| title | Appraising and applying evidence about a diagnostic test during a performance-based assessment |
| title_full | Appraising and applying evidence about a diagnostic test during a performance-based assessment |
| title_fullStr | Appraising and applying evidence about a diagnostic test during a performance-based assessment |
| title_full_unstemmed | Appraising and applying evidence about a diagnostic test during a performance-based assessment |
| title_short | Appraising and applying evidence about a diagnostic test during a performance-based assessment |
| title_sort | appraising and applying evidence about a diagnostic test during a performance based assessment |
| url | http://www.biomedcentral.com/1472-6920/4/20 |
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