Evidence Based Medicine in General Practice

NCT01801683 | Completed

• 1 other identifier: Mef01326
• Study Type: interventional
• Target: 98
• Locations: 0 countries
• Sites: N/A

Brief Summary

Evidence-based medicine (EBM) is the basis of work for physicians- practitioners in all specialties, including family medicine. Various issues in diagnosis, treatment and prognosis appear in daily work with patients and a physician should provide answers based on the best evidence stemming from research. In spite of having access to EBM databases in every GP's office in Croatia, searching and finding answers in consultation with a patient"on the spot" in real time is missing from practice. OBJECTIVES: To determine GP's knowledge and attitudes about EBM before and after applying modified academic detailing "EBM intervention." provided by sixth- year medical students We assume that GP's knowledge and attitudes about EBM will change as a result of "EBM intervention" applied by students.

Conditions

Health Knowledge Attitudes and Practice

Keywords

EBM; general practice

Outcome Measures

Primary Outcomes (1)

• : Self-evaluation of knowledge and attitudes after the intervention, which would be a surrogate outcome measure for GP's change in behaviour and work style (adoption of EBM practice).

  February 2013-October 2013 (up to 8 months)

Study Arms (2)

Intervention: PEARLS (evidence based reports)

OTHER

Intervention was modified academic detailing method, performed by sixth-year medical students/academic detailers.Each mentor chose two patients from real life who represented diagnostic, therapeutic or prognostic challenge. The students formed an answerable question, using PICO, and wrote report according to PEARLS.

Other: Intervention-using PEARLS

Control group of GPs

NO INTERVENTION

GPs not mentors who do not receive academic detailing intervention using PICO/PEARLS.

Interventions

Intervention-using PEARLS OTHER

The intervention applied in this study was the modified academic detailing method, performed by sixth-year medical students as academic detailers. The students qualified for that role because they were taught about EBM in several courses during their undergraduate curriculum. During the family medicine rotation, each GP mentored six students in total. In Split each student visited two mentors for two weeks. In the course of rotation each mentor chose two patients (cases) from real life who represented diagnostic, therapeutic or prognostic challenge. The students' task was to form an answerable question, using the Patient, Intervention, Comparison, Outcome (PICO) scheme, find the best evidence-based answer to that question and to write a brief report according to Practical Evidence about Real Life Situations (PEARLS) pattern. The mentor then reviewed the report and discussed it with the student.

Also known as: a brief report in accordance with Practical Evidence about Real Life Situations PEARLS

Intervention: PEARLS (evidence based reports)

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• All mentors (GPs) mentors of the sixth year medical students

You may not qualify if:

• Refusal to participate

Sponsors & Collaborators

• University of Split: lead

Study Officials

• Davorka Vrdoljak, MD Gp PhD

  University of Split

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD, Gp

Study Record Dates

• First Submitted: February 19, 2013
• First Posted: March 1, 2013
• Study Start: January 1, 2012
• Primary Completion: April 1, 2013
• Study Completion: May 1, 2013
• Last Updated: May 28, 2015

Record last verified: 2015-05