A cluster randomized controlled trial to evaluate the effectiveness of the clinically integrated Reproductive Health Library (RHL) evidence -based medicine course
Clinically integrated teaching versus dissemination of worksop-based materials to improve knowledge, skills and competencies for evidence-based medicine in junior obstetrics and gynaecology trainees.
World Health Organization; Department of Reproductive Health and Research
40 participants
Mar 1, 2009
Interventional
Conditions
Summary
The primary purpose of the study is to assess the effectiveness of a clinically integrated, on-the-job learning-model for evidence based medicine for junior medical trainees in obstetrics and gynaecology.
Eligibility
Inclusion Criteria1
- Participants are training institutions in obstetrics and gynaecology in the participating countries. Hospitals belonging to the same training institution will form the cluster. Trainees are junior doctors in obstetrics and gynaecology training with no previous formal evidence-based medicine training.
Exclusion Criteria5
- units with:
- <4 junior residents in training
- no suitable facilitator/trainees agreeing to participate
- computer/internet facilities inadequate
- declining to participate
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Interventions
The intervention consists of a curriculum with 5 modules, tought and learned over a period of 8 weeks. Assessments are pre and one month post intervention. The modules are: 1) asking clinical questions, 2) searching the evidence, 3) critical appraisal of systematic reviews, 4)applicability of the evidence to the patient, 5) implementation of the evidence into practice. Each module consists of an e-learning component (these are one to three 15-25 minutes online sessions for the trainee to complete in her/his own time), applying the theoretical knowledge during clinical wardrounds and formative and summative assessments. A clinical facilitator guides trainees to identifying learning opportunities in a clinical setting, directs appropriate use of learning resources (e-learning) and providies feedback on learning exercises/assignments. Trainees will pursue independent study using the study guide and e-learning modules.
Locations(7)
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ACTRN12609000198224