Evidence-based Health Care (EBHC) Teaching and Teachers' Perspectives towards Teaching EBHC for Undergraduate Medical Students: a Nationwide Survey in Taiwan

Purpose: This study aims to provide an investigation of evidence-based practice (EBP) teaching for developing future evidence-based health care (EBHC) curricula. Methods: We conducted a validated mail survey to investigate the EBHC curricula and present practices of 13 medical schools and 68 teaching hospitals/medical centers across Taiwan. Moreover, teachers' cognitions, attitudes, and teaching experiences regarding EBHC education for undergraduate year (UGY) students were studied. Results: The response rate was 51.6%; 231 respondents (94.7%) provided information about their cognition, attitude, and satisfaction regarding EBHC teaching; EBHC education was conducted by 81.3% of medical schools for UGY 1-5 students and 86.2% of hospitals for UGY 6-7 students. However, approximately 50% of the surveyed institutes did not have assessment tools for EBHC learning. We demonstrated the most common teaching formats, assessments, and challenges in EBHC education at early (UGY 1-5) and advanced (UGY 6-7) undergraduate stages. Significantly fewer teachers in hospitals compared to those in medical schools were satisfied with EBHC teaching and agreed with the necessity of EBHC. The Berlin Questionnaire and Fresno test were the most commonly applied tools to evaluate students' epidemiological skills and competence in EBHC practice, respectively. Conclusion: Future assessment tools should be developed with the assistance of the Classification Rubric for EBP Assessment Tools in Education framework.

關鍵字

evidence-based health care ； evidence-based medicine ； evidence-based practice ； undergraduate year ； the classification rubric for ebp assessment tools in education ； objective structured clinical examination

參考文獻

1. Roberts M: Producing tomorrow's doctor: the new challenge for today's undergraduate medical curriculum. J Vocat Educ Train. 2004;56(4):46784.

3. General Medical Council (UK). Tomorrow's doctors [Internet]. London; 2009. [cited 2018 May 13]. Available from: http://www.ub.edu/medicina_unitateducaciomedica/documentos/TomorrowsDoctors_2009.pdf

6. Dawes M, Summerskill W, Glasziou P, et al.: Second International Conference of Evidence-Based Health Care Teachers and Developers. Sicily statement on evidence-based practice. BMC Med Educ. 2005;5:1.

7. Tilson JK, Kaplan SL, Harris JL, et al.: Sicily statement on classification and development of evidence-based practice learning assessment tools. BMC Med Educ. 2011;11:78.

8. Meats E, Heneghan C, Crilly M, et al.: Evidence-based medicine teaching in UK medical schools. Med Teach. 2009;31:3327.

被引用紀錄

Chang, C. W., Tsai, S. H., Cheng, Y. M., Chen, Y. C., Wu, P. Y., Yang, T. Y., Tsai, J. J., & Huang, Y. F. (2020). Evidence-based Practice Knowledge and Skills in Undergraduate Medical Students: A Pilot Study. Journal of Medical Education, 24(2), 93-106. https://doi.org/10.6145/jme.202006_24(2).0005

延伸閱讀

張富勝、吳南緯、洪禎澤、陳國寶、張倩淇、孫嘉成（2016）。The Clinical Effectiveness of Combined Educational and Self-Care Interventions in Diabetes Health Care: Experiences of a Regional Teaching Hospital in Central Taiwan。台灣家庭醫學雜誌，26(3)，135-146。https://doi.org/10.3966/168232812016092603002
Hsu, L., & Hsu, Y. H. (2018). The Use of Evaluation Indicators to Examine College English Teacher Teaching Behaviors: A Case Study of One Technological University in Central Taiwan. 中科大學報, 5(1), 113-129. https://doi.org/10.6902/JNTUST.201812_5(1).0006
Luh, S. P., Chen, C. R., Lin, Y. R., & Yu, M. N. (2008). A Study of the Personal Traits and Knowledge Base of Taiwanese Medical Students on the Instruction Effects of Problem-Based Learning. 測驗學刊, 55(2), 435-462. https://doi.org/10.7108/PT.200808.0435
Chen, C. M., Chou, H. H., Chen, S. L., Cheng, H. F., Lai, S. T., Hu, W. C., Hung, W. T., Wang, S. H., Huang, C. F., Wang, S. J., & Andrew (2003). Assessing the Understanding of and Attitude toward Hospice Palliative Care in Taiwan: A Study of Students and Physicians Located on the Same University Hospital Campus in Central Taiwan. 中山醫學雜誌, 14(2), 231-237. https://www.airitilibrary.com/Article/Detail?DocID=16803108-200305-14-2-231-237-a
林郁汶、陳玉枝、高毓秀（2012）。Effect of Self-Evaluation on Teaching Efficacy in Clinical Nursing Preceptors: An Example of a Medical Center in Northern Taiwan。護理暨健康照護研究，8(1)，70-79。https://doi.org/10.6225/JNHR.8.1.72

國際替代計量

Evidence-based Health Care (EBHC) Teaching and Teachers' Perspectives towards Teaching EBHC for Undergraduate Medical Students: a Nationwide Survey in Taiwan

全文下載

主題瀏覽