Do we practice what we preach? A qualitative assessment of resident-preceptor interactions for adherence to evidence-based practice

Jon C. Tilburt, Rajesh S. Mangrulkar, Susan Dorr Goold, Nazema Y. Siddiqui, Joseph A. Carrese

Research output: Contribution to journalArticle

6 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)780-784
Number of pages5
JournalJournal of Evaluation in Clinical Practice
Volume14
Issue number5
DOIs
StatePublished - Oct 2008

Keywords

  • Evidence-based medicine
  • Graduate medical education
  • Precepting
  • Qualitative research

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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