Harmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countries

<p style="text-align:justify;"> <b> Background:</b> We developed and evaluated the outcomes of an e-learning course for evidence based medicine (EBM) training in postgraduate medical education in different languages and settings across five European countries.<br/>...

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Main Authors: Kulier, R, Hadley, J, Weinbrenner, S, Meyerrose, B, Decsi, T, Horvath, A, Nagy, E, Emparanza, J, Coppus, S, Arvanitis, T, Burls, A, Cabello, J, Kaczor, M, Zanrei, G, Pierer, K, Stawiarz, K, Kunz, R, Mol, B, Khan, K
Format: Journal article
Language:English
Published: BioMed Central 2008
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author Kulier, R
Hadley, J
Weinbrenner, S
Meyerrose, B
Decsi, T
Horvath, A
Nagy, E
Emparanza, J
Coppus, S
Arvanitis, T
Burls, A
Cabello, J
Kaczor, M
Zanrei, G
Pierer, K
Stawiarz, K
Kunz, R
Mol, B
Khan, K
author_facet Kulier, R
Hadley, J
Weinbrenner, S
Meyerrose, B
Decsi, T
Horvath, A
Nagy, E
Emparanza, J
Coppus, S
Arvanitis, T
Burls, A
Cabello, J
Kaczor, M
Zanrei, G
Pierer, K
Stawiarz, K
Kunz, R
Mol, B
Khan, K
author_sort Kulier, R
collection OXFORD
description <p style="text-align:justify;"> <b> Background:</b> We developed and evaluated the outcomes of an e-learning course for evidence based medicine (EBM) training in postgraduate medical education in different languages and settings across five European countries.<br/><br/> <b>Methods:</b> We measured changes in knowledge and attitudes with well-developed assessment tools before and after administration of the course. The course consisted of five e-learning modules covering acquisition (formulating a question and search of the literature), appraisal, application and implementation of findings from systematic reviews of therapeutic interventions, each with interactive audio-visual learning materials of 15 to 20 minutes duration. The modules were prepared in English, Spanish, German and Hungarian. The course was delivered to 101 students from different specialties in Germany (psychiatrists), Hungary (mixture of specialties), Spain (general medical practitioners), Switzerland (obstetricians-gynaecologists) and the UK (obstetricians-gynaecologists). We analysed changes in scores across modules and countries.<br/><br/> <b>Results:</b> On average across all countries, knowledge scores significantly improved from pre- to post-course for all five modules (p &lt; 0.001). The improvements in scores were on average 1.87 points (14% of total score) for module 1, 1.81 points (26% of total score) for module 2, 1.9 points (11% of total score) for module 3, 1.9 points (12% of total score) for module 4 and 1.14 points (14% of total score) for module 5. In the country specific analysis, knowledge gain was not significant for module 4 in Spain, Switzerland and the UK, for module 3 in Spain and Switzerland and for module 2 in Spain. Compared to pre-course assessment, after completing the course participants felt more confident that they can assess research evidence and that the healthcare system in their country should have its own programme of research about clinical effectiveness.<br/><br/> <b>Conclusion:</b> E-learning in EBM can be harmonised for effective teaching and learning in different languages, educational settings and clinical specialties, paving the way for development of an international e-EBM course. </p>
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spelling oxford-uuid:91b5719d-e0a2-44bb-9dc9-56466b5fc5682022-03-26T23:20:34ZHarmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countriesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:91b5719d-e0a2-44bb-9dc9-56466b5fc568EnglishSymplectic Elements at OxfordBioMed Central2008Kulier, RHadley, JWeinbrenner, SMeyerrose, BDecsi, THorvath, ANagy, EEmparanza, JCoppus, SArvanitis, TBurls, ACabello, JKaczor, MZanrei, GPierer, KStawiarz, KKunz, RMol, BKhan, K <p style="text-align:justify;"> <b> Background:</b> We developed and evaluated the outcomes of an e-learning course for evidence based medicine (EBM) training in postgraduate medical education in different languages and settings across five European countries.<br/><br/> <b>Methods:</b> We measured changes in knowledge and attitudes with well-developed assessment tools before and after administration of the course. The course consisted of five e-learning modules covering acquisition (formulating a question and search of the literature), appraisal, application and implementation of findings from systematic reviews of therapeutic interventions, each with interactive audio-visual learning materials of 15 to 20 minutes duration. The modules were prepared in English, Spanish, German and Hungarian. The course was delivered to 101 students from different specialties in Germany (psychiatrists), Hungary (mixture of specialties), Spain (general medical practitioners), Switzerland (obstetricians-gynaecologists) and the UK (obstetricians-gynaecologists). We analysed changes in scores across modules and countries.<br/><br/> <b>Results:</b> On average across all countries, knowledge scores significantly improved from pre- to post-course for all five modules (p &lt; 0.001). The improvements in scores were on average 1.87 points (14% of total score) for module 1, 1.81 points (26% of total score) for module 2, 1.9 points (11% of total score) for module 3, 1.9 points (12% of total score) for module 4 and 1.14 points (14% of total score) for module 5. In the country specific analysis, knowledge gain was not significant for module 4 in Spain, Switzerland and the UK, for module 3 in Spain and Switzerland and for module 2 in Spain. Compared to pre-course assessment, after completing the course participants felt more confident that they can assess research evidence and that the healthcare system in their country should have its own programme of research about clinical effectiveness.<br/><br/> <b>Conclusion:</b> E-learning in EBM can be harmonised for effective teaching and learning in different languages, educational settings and clinical specialties, paving the way for development of an international e-EBM course. </p>
spellingShingle Kulier, R
Hadley, J
Weinbrenner, S
Meyerrose, B
Decsi, T
Horvath, A
Nagy, E
Emparanza, J
Coppus, S
Arvanitis, T
Burls, A
Cabello, J
Kaczor, M
Zanrei, G
Pierer, K
Stawiarz, K
Kunz, R
Mol, B
Khan, K
Harmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countries
title Harmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countries
title_full Harmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countries
title_fullStr Harmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countries
title_full_unstemmed Harmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countries
title_short Harmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countries
title_sort harmonising evidence based medicine teaching a study of the outcomes of e learning in five european countries
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