How far did we get? How far to go? A European survey on postgraduate courses in evidence-based medicine

Regina Kunz, Eva Nagy, Sjors F P J Coppus, Jose I. Emparanza, Julie Hadley, Regina Kulier, Susanne Weinbrenner, Theodoros N. Arvanitis, Amanda Burls, Juan B. Cabello, Tamas Decsi, Andrea R. Horvath, Jacek Walzak, Marcin P. Kaczor, Gianni Zanrei, Karin Pierer, Roland Schaffler, Katja Suter, Ben W J Mol, Khalid S. Khan

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background Over the past decade, evidence-based medicine (EBM) has gained recognition as a means to improve the quality of health care provision. However, little is known about learning opportunities to acquire EBM-associated skills. The EUebm-Unity partnership explored current educational activities for EBM practice for doctors across Europe. Methods We surveyed organizations offering postgraduate EBM courses across Europe inquiring about their course programme, teaching content and strategies, and interest in a Europe-wide curriculum in EBM. Results One hundred and fifty-six organizers in eight European countries reported 403 courses that had started first-time from 1996 to 2006. Despite a steady increase, in absolute terms, the frequency of courses was low and varied from 1 first-time offering of a course per 640 doctors (Spain) to 1 first-time offering per 5600 doctors (Austria) over 10 years. Most adopted the McMaster EBM teaching concept of small group, problem-based learning focussing on interventions, diagnostic tests and guidelines, and included efforts to link EBM to patient care. Teaching staff consisted of doctors from academic and non-academic settings, supported by methodologists. Efforts to formally integrate EBM in postgraduate activities were only partially successful. Most organizations welcomed a standardized European qualification in EBM. A limitation of the survey is the lack of follow-up information about the continuation of courses following the first-time offering. Conclusions All countries offer some EBM courses with varying teaching intensity. Learning opportunities are insufficient to ensure widespread dissemination of knowledge and skills. Most countries welcome more efforts to develop inexpensive and feasible educational activities at a postgraduate level.

LanguageEnglish
Pages1196-1204
Number of pages9
JournalJournal of Evaluation in Clinical Practice
Volume15
Issue number6
DOIs
Publication statusPublished - 1 Dec 2009

Keywords

  • Continuing medical education
  • Curriculum
  • Evidence-based medicine
  • Graduate medical education
  • Problem-based learning
  • Quality assurance

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Kunz, R., Nagy, E., Coppus, S. F. P. J., Emparanza, J. I., Hadley, J., Kulier, R., ... Khan, K. S. (2009). How far did we get? How far to go? A European survey on postgraduate courses in evidence-based medicine. Journal of Evaluation in Clinical Practice, 15(6), 1196-1204. https://doi.org/10.1111/j.1365-2753.2009.01268.x
Kunz, Regina ; Nagy, Eva ; Coppus, Sjors F P J ; Emparanza, Jose I. ; Hadley, Julie ; Kulier, Regina ; Weinbrenner, Susanne ; Arvanitis, Theodoros N. ; Burls, Amanda ; Cabello, Juan B. ; Decsi, Tamas ; Horvath, Andrea R. ; Walzak, Jacek ; Kaczor, Marcin P. ; Zanrei, Gianni ; Pierer, Karin ; Schaffler, Roland ; Suter, Katja ; Mol, Ben W J ; Khan, Khalid S. / How far did we get? How far to go? A European survey on postgraduate courses in evidence-based medicine. In: Journal of Evaluation in Clinical Practice. 2009 ; Vol. 15, No. 6. pp. 1196-1204.
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abstract = "Background Over the past decade, evidence-based medicine (EBM) has gained recognition as a means to improve the quality of health care provision. However, little is known about learning opportunities to acquire EBM-associated skills. The EUebm-Unity partnership explored current educational activities for EBM practice for doctors across Europe. Methods We surveyed organizations offering postgraduate EBM courses across Europe inquiring about their course programme, teaching content and strategies, and interest in a Europe-wide curriculum in EBM. Results One hundred and fifty-six organizers in eight European countries reported 403 courses that had started first-time from 1996 to 2006. Despite a steady increase, in absolute terms, the frequency of courses was low and varied from 1 first-time offering of a course per 640 doctors (Spain) to 1 first-time offering per 5600 doctors (Austria) over 10 years. Most adopted the McMaster EBM teaching concept of small group, problem-based learning focussing on interventions, diagnostic tests and guidelines, and included efforts to link EBM to patient care. Teaching staff consisted of doctors from academic and non-academic settings, supported by methodologists. Efforts to formally integrate EBM in postgraduate activities were only partially successful. Most organizations welcomed a standardized European qualification in EBM. A limitation of the survey is the lack of follow-up information about the continuation of courses following the first-time offering. Conclusions All countries offer some EBM courses with varying teaching intensity. Learning opportunities are insufficient to ensure widespread dissemination of knowledge and skills. Most countries welcome more efforts to develop inexpensive and feasible educational activities at a postgraduate level.",
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Kunz, R, Nagy, E, Coppus, SFPJ, Emparanza, JI, Hadley, J, Kulier, R, Weinbrenner, S, Arvanitis, TN, Burls, A, Cabello, JB, Decsi, T, Horvath, AR, Walzak, J, Kaczor, MP, Zanrei, G, Pierer, K, Schaffler, R, Suter, K, Mol, BWJ & Khan, KS 2009, 'How far did we get? How far to go? A European survey on postgraduate courses in evidence-based medicine', Journal of Evaluation in Clinical Practice, vol. 15, no. 6, pp. 1196-1204. https://doi.org/10.1111/j.1365-2753.2009.01268.x

How far did we get? How far to go? A European survey on postgraduate courses in evidence-based medicine. / Kunz, Regina; Nagy, Eva; Coppus, Sjors F P J; Emparanza, Jose I.; Hadley, Julie; Kulier, Regina; Weinbrenner, Susanne; Arvanitis, Theodoros N.; Burls, Amanda; Cabello, Juan B.; Decsi, Tamas; Horvath, Andrea R.; Walzak, Jacek; Kaczor, Marcin P.; Zanrei, Gianni; Pierer, Karin; Schaffler, Roland; Suter, Katja; Mol, Ben W J; Khan, Khalid S.

In: Journal of Evaluation in Clinical Practice, Vol. 15, No. 6, 01.12.2009, p. 1196-1204.

Research output: Contribution to journalArticle

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T1 - How far did we get? How far to go? A European survey on postgraduate courses in evidence-based medicine

AU - Kunz, Regina

AU - Nagy, Eva

AU - Coppus, Sjors F P J

AU - Emparanza, Jose I.

AU - Hadley, Julie

AU - Kulier, Regina

AU - Weinbrenner, Susanne

AU - Arvanitis, Theodoros N.

AU - Burls, Amanda

AU - Cabello, Juan B.

AU - Decsi, Tamas

AU - Horvath, Andrea R.

AU - Walzak, Jacek

AU - Kaczor, Marcin P.

AU - Zanrei, Gianni

AU - Pierer, Karin

AU - Schaffler, Roland

AU - Suter, Katja

AU - Mol, Ben W J

AU - Khan, Khalid S.

PY - 2009/12/1

Y1 - 2009/12/1

N2 - Background Over the past decade, evidence-based medicine (EBM) has gained recognition as a means to improve the quality of health care provision. However, little is known about learning opportunities to acquire EBM-associated skills. The EUebm-Unity partnership explored current educational activities for EBM practice for doctors across Europe. Methods We surveyed organizations offering postgraduate EBM courses across Europe inquiring about their course programme, teaching content and strategies, and interest in a Europe-wide curriculum in EBM. Results One hundred and fifty-six organizers in eight European countries reported 403 courses that had started first-time from 1996 to 2006. Despite a steady increase, in absolute terms, the frequency of courses was low and varied from 1 first-time offering of a course per 640 doctors (Spain) to 1 first-time offering per 5600 doctors (Austria) over 10 years. Most adopted the McMaster EBM teaching concept of small group, problem-based learning focussing on interventions, diagnostic tests and guidelines, and included efforts to link EBM to patient care. Teaching staff consisted of doctors from academic and non-academic settings, supported by methodologists. Efforts to formally integrate EBM in postgraduate activities were only partially successful. Most organizations welcomed a standardized European qualification in EBM. A limitation of the survey is the lack of follow-up information about the continuation of courses following the first-time offering. Conclusions All countries offer some EBM courses with varying teaching intensity. Learning opportunities are insufficient to ensure widespread dissemination of knowledge and skills. Most countries welcome more efforts to develop inexpensive and feasible educational activities at a postgraduate level.

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KW - Continuing medical education

KW - Curriculum

KW - Evidence-based medicine

KW - Graduate medical education

KW - Problem-based learning

KW - Quality assurance

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