Lorentz JÄNTSCHI (lori) works ?id=101
- [id] => 101
- [recorddate] => 2007:01:14:16:51:55
- [lastupdate] => 2007:01:14:16:51:55
- [type] => conference
- [place] => Toronto, Canada
- [subject] => informatics - web programming; medicine - evidence based; medicine - informatics
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- [file] => ?f=101
- [mime] => application/pdf
- [size] => 1176113
- [pubname] => 11th World Congress on Internet in Medicine
- [pubinfo] => Society for the Internet in Medicine
- [pubkey] => ISBN 1-897041-50-0
- [workinfo] => p. 63, October 14-19
- [year] => 2006
- [title] => Interactive web application for evidence-based medicine training
- [authors] => Lorentz JÄNTSCHI, Sorana D. BOLBOACĂ
- [abstract] =>
Introduction: The practice of evidence-based medicine (EBM) imposes the utilization of the best available evidence resulted from clinical research on individual decisional process . All over the world, the education on evidence-based medicine concepts represent the first step in EBM implementation [2,3]. In response to the necessity of education on evidence-based medicine in Romania, we developed and assessed a web curriculum on deepen concepts of EBM.
Methods: Ninety-six four-year medical students decided voluntary to enroll into the study. There was not use any randomization method because enrollment to the study supposes to assign time and attention to a subject that is not included into educational curriculum. Fifty-six stundets enroll to a mini-course on EBM and an eighteen-item questionnaire was used to measure the acquired knowledge. Forty students enroll to follow the interactive curriculum on EBM and theirs acquired knowledge were evaluated thought on tutor-assisted multiple-choice questionnaire at the completion of the self-training period. Data were analyzed by applying the Mann-Whitney test; the 95% confidence intervals were computed with original software .
Results: The assessment of the students’ which participated on mini-course on EBM show that the median of the correct answers was 11, with a minimum percent of correct answer equal to 38.89 [17.0, 66.4] and a maximum equal with 88.89 [67.0, 99.7]. The assessment of the students’ that followed the interactive web curriculum on EBM show that the median of correct answers was equal with 38, with a minimum percent of correct answer equal to 71.11 [55.6, 84.4] and a maximum equal with 93.33 [82.3, 97.7]. The number of correct answers gave by the students which followed the interactive web curriculum was significantly grater comparing with the number of correct answers gave by the students which participated to the mini-course curriculum, at an imposed significance level equal with 5% (p < 0.001).
Discussions: The study demonstrates that an interactive web approach on evidence-based medicine education is efficient and effective, obtaining significantly better results comparing with a traditional (mini-course) approach. The most important advantages offered by the interactive web approach on EBM are: allows of chousing the proper time, environment and speed of education and provide an environment of training, evaluation and access of medical evidence useful in solving the problem-based clinical questions. From the developer point of view, the web approach on EBM give the possibility of updating educational materials in real time and as many times at is considered opportune.
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 Alper BS, Vinson DC. Experiential curriculum improves medical students' ability to answer clinical questions using the Internet. Fam Med 2005;37(8):565-9. [Medline]
 O'Neall MA, Brownson RC. Teaching evidence-based public health to public health practitioners. Ann Epidemiol 2005;15(7):540-4. [Medline]
 ***, Binomial_distribution. ©2005, Virtual Library of Free Software. Available from: URL: http://vl.academicdirect.org/applied_statistics/binomial_distribution/ [accessed 2006 March 21]
- [keywords] => Evidence-based medicine; Medical informatics; Open access software
- [acknowledgment] => Thanks to Gunter EYSENBACH, MD MPH for payed (just 90$) helpful disscusions via email about the publication of this material in a alcove journal.