Harmonising Evidence-based medicine teaching

A study of the outcomes of e-learning in five European countries

Regina Kulier, Julie Hadley, Susanne Weinbrenner, Berrit Meyerrose, T. Decsi, Andrea R. Horvath, Eva Nagy, Jose I. Emparanza, Sjors F P J Coppus, Theodoros N. Arvanitis, Amanda Burls, Juan B. Cabello, Marcin Kaczor, Gianni Zanrei, Karen Pierer, Katarzyna Stawiarz, Regina Kunz, Ben W J Mol, Khalid S. Khan

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Background. 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. Methods. 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. Results. On average across all countries, knowledge scores significantly improved from pre- to post-course for all five modules (p <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. Conclusion. 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.

Original languageEnglish
Article number27
JournalBMC Medical Education
Volume8
DOIs
Publication statusPublished - 2008

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Evidence-Based Medicine
electronic learning
Teaching
Spain
Outcome Assessment (Health Care)
Learning
medicine
Switzerland
evidence
Language
Hungary
Medical Education
Research
General Practitioners
Germany
Psychiatry
learning
Students
educational setting
Delivery of Health Care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Harmonising Evidence-based medicine teaching : A study of the outcomes of e-learning in five European countries. / Kulier, Regina; Hadley, Julie; Weinbrenner, Susanne; Meyerrose, Berrit; Decsi, T.; Horvath, Andrea R.; Nagy, Eva; Emparanza, Jose I.; Coppus, Sjors F P J; Arvanitis, Theodoros N.; Burls, Amanda; Cabello, Juan B.; Kaczor, Marcin; Zanrei, Gianni; Pierer, Karen; Stawiarz, Katarzyna; Kunz, Regina; Mol, Ben W J; Khan, Khalid S.

In: BMC Medical Education, Vol. 8, 27, 2008.

Research output: Contribution to journalArticle

Kulier, R, Hadley, J, Weinbrenner, S, Meyerrose, B, Decsi, T, Horvath, AR, Nagy, E, Emparanza, JI, Coppus, SFPJ, Arvanitis, TN, Burls, A, Cabello, JB, Kaczor, M, Zanrei, G, Pierer, K, Stawiarz, K, Kunz, R, Mol, BWJ & Khan, KS 2008, 'Harmonising Evidence-based medicine teaching: A study of the outcomes of e-learning in five European countries', BMC Medical Education, vol. 8, 27. https://doi.org/10.1186/1472-6920-8-27
Kulier, Regina ; Hadley, Julie ; Weinbrenner, Susanne ; Meyerrose, Berrit ; Decsi, T. ; Horvath, Andrea R. ; Nagy, Eva ; Emparanza, Jose I. ; Coppus, Sjors F P J ; Arvanitis, Theodoros N. ; Burls, Amanda ; Cabello, Juan B. ; Kaczor, Marcin ; Zanrei, Gianni ; Pierer, Karen ; Stawiarz, Katarzyna ; Kunz, Regina ; Mol, Ben W J ; Khan, Khalid S. / Harmonising Evidence-based medicine teaching : A study of the outcomes of e-learning in five European countries. In: BMC Medical Education. 2008 ; Vol. 8.
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abstract = "Background. 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. Methods. 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. Results. On average across all countries, knowledge scores significantly improved from pre- to post-course for all five modules (p <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. Conclusion. 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.",
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AU - Weinbrenner, Susanne

AU - Meyerrose, Berrit

AU - Decsi, T.

AU - Horvath, Andrea R.

AU - Nagy, Eva

AU - Emparanza, Jose I.

AU - Coppus, Sjors F P J

AU - Arvanitis, Theodoros N.

AU - Burls, Amanda

AU - Cabello, Juan B.

AU - Kaczor, Marcin

AU - Zanrei, Gianni

AU - Pierer, Karen

AU - Stawiarz, Katarzyna

AU - Kunz, Regina

AU - Mol, Ben W J

AU - Khan, Khalid S.

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N2 - Background. 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. Methods. 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. Results. On average across all countries, knowledge scores significantly improved from pre- to post-course for all five modules (p <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. Conclusion. 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.

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