UDC 378:004

DOI: http://doi.org/10.15350/2409-7616.2023.2.44

Poskrebysheva D.A.¹ (Astrakhan, Russian Federation) – aleksandrovna_daa@mail.ru, Ivanchuk О.V.¹ (Astrakhan, Russian Federation) – olgaiva@astgmu.ru

¹Astrakhan State Medical University

Abstract. Evidence-based medicine is an essential tool for making medical decisions, choosing diagnostic strategies, treatment and prevention strategies, and prescribing medications. It accumulates the results of randomized controlled trials and expert opinions of clinicians. he growing popularity of evidence-based medicine among researchers creates a certain contradiction with the practice of physicians (use of unreliable information sources to solve professional problems, insufficient skills of information retrieval and deterioration of current knowledge after training). The solution of this contradiction is realized through the training of medical students in the basics of evidence-based medicine, practicing physicians in the framework of advanced training courses. However, as shown by the results of studies by Russian and foreign authors, as well as the results of our conducting the fact-finding experiment, the level of knowledge and practical skills in the field of evidence-based medicine are insufficient. Therefore, the aim of our study was to develop methods for teaching the basics of evidence-based medicine and assess its effectiveness. To assess effectiveness, we used a questionnaire developed by a group of authors, Taylor R., Reeves B., Mears R., Kest J., Binns S., Ewings. and Khan K., as an instrument with moderate to high level of internal consistency, discriminative validity and control diagnostic materials developed specifically for this study. The control, experimental and quasi-experimental static groups participated in the experiment, which allowed us to talk about the reliability of the results obtained. Generalization of the results allowed us to speak about the improvement of knowledge and practical skills of future medical students after studying the basics of evidence-based medicine.

Keywords: evidence-based medicine, teaching medical students.

References: 

1. Burlov N.N., Khrykov G.N., Alekseev S.M. Evidence-based medicine today – advantages and disadvantages. Issues of oncology, 2020, no. 68 (5), pp..571-575. (In Russian). DOI: https://doi.org/10.37469/0507-3758-2022-68-5-571-575
2. Han E.R. Medical education trends for future physicians in the era of advanced technology and artificial intelligence: an integrative review. BMC medical education, 2019, vol. 19, no. 1. pp. 1-15. DOI: 10.1186/s12909-019-1891-5
3. Yaqoob M., Al Jabri F. A systematic review of healthcare professionals’ core competency instruments. Nursing & health sciences, 2021, vol. 23, no.1, pp. 87-102. DOI: http://dx.doi.org/10.1111/nhs.12804
4. Green M.L. Evidence-based medicine training in internal medicine residency programs a national survey. J Gen Intern Med, 2000, vol. (2), pp. 129-33. DOI: 10.1046/j.1525-1497.2000.03119.x
5. Ni X., Rui X.W., Wu J. Effect of Problem-Oriented Evidence-Based Nursing on Clinical Recovery and Prognosis in Patients with Arrhythmia after Acute Myocardial Infarction. Iran J Public Health, 2022, vol. 51(4), pp. 814-820. DOI: http://dx.doi.org/10.18502/ijph.v51i4.9242  
6. Howe A., Keogh-Brown M., Miles S. Expert consensus on contamination in educational trials elicited by a Delphi exercise. Medical education, 2021, vol. 41, pp.196-204. DOI: http://dx.doi.org/10.1111/j.1365-2929.2006.02674.x
7. Blumenthal Y., Hartke B., Voß S. The Role of Evidence-Based Practice in German Special Education—State of Research and Discussion. Education Sciences, 2019, vol. 9, pp.106. DOI: http://dx.doi.org/10.3390/educsci9020106
8. Sánchez-Mendiola M., Kieffer-Escobar L.F., Marín-Beltrán S. Teaching of evidence-based medicine to medical students in Mexico: a randomized controlled trial. BMC Med Educ, 2019, no. 12, pp. 107. DOI: http://dx.doi.org/10.1186/1472-6920-12-107
9. Taylor R., Reeves B., Mears R. Design and Validation of an Evidence-Based Teaching Effectiveness Assessment Questionnaire. Medical education, 2017, vol. 3, pp. 544-547. DOI: http://dx.doi.org/10.1046/j.1365-2923.2001.00916.x
10. Howard B., Diug B., Ilic D. Methods of teaching evidence-based practice: a systematic review. BMC Med Educ, 2022, vol. 26, no. 22(1), pp..742. DOI: http://dx.doi.org/10.1186/s12909-022-03812-x
11. Young T. What are the effects of teaching evidence-based health care (EBHC)? Overview of systematic reviews. PloS one, 2018, vol. 9. no. 1, iD. e86706. DOI: http://dx.doi.org/10.1056/NEJM199304293281704
12. Orange S.T. Comparison of the effects of velocity-based vs. traditional resistance training methods on adaptations in strength, power, and sprint speed: A systematic review, meta-analysis, and quality of evidence appraisal. Journal of Sports Sciences, 2022, vol. 40, no. 11, pp. 1220-1234. DOI: http://dx.doi.org/10.1080/02640414.2022.2059320 
13. Kabieva S.M., Toleuova A.S., Sabekova O.Zh. The results of the implementation of scientifically oriented education among students of a medical university. Society, 2020, no. 2(17), pp. 71-76. (In Russian). URL: https://elibrary.ru/item.asp?id=44033019
14. Castro-Rodríguez Y. Challenges and opportunities for dental students as researchers. Odontoestomatología, 2022, vol. 24, no. 39.
15. Mathur M. et al. Early Exposure of Undergraduate Students to Research Methodology. Journal of Research in Medical Education & Ethics, 2019, vol. 9, no. 2, pp. 113-118. DOI: http://dx.doi.org/10.5958/2231-6728.2019.00021.0
16. Howard B., Diug B., Ilic D. Methods of teaching evidence-based practice: a systematic review. BMC Med Educ, 2022, vol. 26, no. 22(1), pp.742. DOI: http://dx.doi.org/10.1186/s12909-022-03812-x  
17. Kotelnikov G.P., Shpigel A.S. The system of introduction and implementation of the principles of evidence-based medicine is a necessary and obligatory component of improving the quality of education in the context of healthcare modernization. Medical education and professional development, 2012, no. (7), pp. 43-50 (In Russian). URL: https://www.elibrary.ru/item.asp?id=17916149
18. Albarqouni L., Hoffmann T., Straus S. Core competencies in evidence-based practice for health professionals: consensus statement based on a systematic review and Delphi survey. JAMA Netw Open, 2018, vol. 1(2), pp. e180281–e180281. DOI: http://dx.doi.org/10.1001/jamanetworkopen.2018.0281

For citation: Poskrebysheva D.A.,Ivanchuk О.V. Evidence-based medicine in the system of training future doctors. CITISE, 2023, no. 2, pp. 506-514. DOI: http://doi.org/10.15350/2409-7616.2023.2.44