1. Do we practice what we preach? A qualitative assessment of resident-preceptor interactions for adherence to evidence-based practice.
- Author
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Tilburt JC, Mangrulkar RS, Goold SD, Siddiqui NY, and Carrese JA
- Subjects
- Adult, Ambulatory Care, Attitude of Health Personnel, Clinical Competence, Curriculum, Faculty, Medical organization & administration, Female, Guideline Adherence, Health Knowledge, Attitudes, Practice, Humans, Male, Medical Staff, Hospital education, Medical Staff, Hospital psychology, Mentors education, Mentors psychology, Middle Aged, Midwestern United States, Practice Guidelines as Topic, Qualitative Research, Tape Recording, Communication, Evidence-Based Medicine education, Internal Medicine education, Internship and Residency organization & administration, Interprofessional Relations, Preceptorship organization & administration
- Abstract
Background: Evidence-based medicine (EBM) is important in training doctors for high-quality care. Yet little is known about whether ambulatory precepting incorporates the concepts and principles of EBM., Methods: The authors observed and audiotaped 95 internal medicine residency precepting interactions and rated interactions using a qualitative analytic template consisting of three criteria: (1) presence of clinical questions; (2) presence of an evidence-based process; and (3) resident ability to articulate a clinical question., Results: Sixty-seven of 95 audio tapes (71%) were of acceptable quality to allow template analysis. Thirty (45%) contained explicit clinical questions; 11 (16%) included an evidence-based process. Resident ability to articulate a clinical question when prompted was rated as at least 'fair' in 59 of 67 interactions (88%)., Conclusions: EBM was not optimally implemented in these clinics. Future research could explore more systematically what factors facilitate or impair the use of EBM in the real-time ambulatory training context.
- Published
- 2008
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