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Article: Randomised controlled trial of clinical decision support tools to improve learning of evidence based medicine in medical students

TitleRandomised controlled trial of clinical decision support tools to improve learning of evidence based medicine in medical students
Authors
Issue Date2003
PublisherB M J Publishing Group. The Journal's web site is located at http://www.bmj.com/
Citation
British Medical Journal, 2003, v. 327 n. 7423, p. 1090-1093 How to Cite?
AbstractObjective: To assess the educational effectiveness on learning evidence based medicine of a handheld computer clinical decision support tool compared with a pocket card containing guidelines and a control. Design: Randomised controlled trial. Setting University of Hong Kong, 2001. Participants: 169 fourth year medical students. Main outcome measures: Factor and individual item scores from a validated questionnaire on five key self reported measures: personal application and current use of evidence based medicine; future use of evidence based medicine; use of evidence during and after clerking patients; frequency of discussing the role of evidence during teaching rounds; and self perceived confidence in clinical decision making. Results: The handheld computer improved participants' educational experience with evidence based medicine the most, with significant improvements in all outcome scores. More modest improvements were found with the pocket card, whereas the control group showed no appreciable changes in any of the key outcomes. No significant deterioration was observed in the improvements even after withdrawal of the handheld computer during an eight week washout period, suggesting at least short term sustainability of effects. Conclusions: Rapid and convenient access to valid and relevant evidence on a portable computing device can improve learning in evidence based medicine, increase current and future use of evidence, and boost students' confidence in clinical decision making.
Persistent Identifierhttp://hdl.handle.net/10722/43584
ISSN
2008 Impact Factor: 12.827
2015 SCImago Journal Rankings: 2.567
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, GMen_HK
dc.contributor.authorJohnston, JMen_HK
dc.contributor.authorTin, KYKen_HK
dc.contributor.authorWong, IOLen_HK
dc.contributor.authorHo, LMen_HK
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorLam, THen_HK
dc.date.accessioned2007-03-23T04:49:35Z-
dc.date.available2007-03-23T04:49:35Z-
dc.date.issued2003en_HK
dc.identifier.citationBritish Medical Journal, 2003, v. 327 n. 7423, p. 1090-1093en_HK
dc.identifier.issn0959-8146en_HK
dc.identifier.urihttp://hdl.handle.net/10722/43584-
dc.description.abstractObjective: To assess the educational effectiveness on learning evidence based medicine of a handheld computer clinical decision support tool compared with a pocket card containing guidelines and a control. Design: Randomised controlled trial. Setting University of Hong Kong, 2001. Participants: 169 fourth year medical students. Main outcome measures: Factor and individual item scores from a validated questionnaire on five key self reported measures: personal application and current use of evidence based medicine; future use of evidence based medicine; use of evidence during and after clerking patients; frequency of discussing the role of evidence during teaching rounds; and self perceived confidence in clinical decision making. Results: The handheld computer improved participants' educational experience with evidence based medicine the most, with significant improvements in all outcome scores. More modest improvements were found with the pocket card, whereas the control group showed no appreciable changes in any of the key outcomes. No significant deterioration was observed in the improvements even after withdrawal of the handheld computer during an eight week washout period, suggesting at least short term sustainability of effects. Conclusions: Rapid and convenient access to valid and relevant evidence on a portable computing device can improve learning in evidence based medicine, increase current and future use of evidence, and boost students' confidence in clinical decision making.en_HK
dc.format.extent274843 bytes-
dc.format.extent25600 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/msword-
dc.languageengen_HK
dc.publisherB M J Publishing Group. The Journal's web site is located at http://www.bmj.com/en_HK
dc.relation.ispartofBritish Medical Journalen_HK
dc.rightsB M J. Copyright © B M J Publishing Group.en_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshDecision support systems, clinical - instrumentationen_HK
dc.subject.meshEvidence-based medicine - educationen_HK
dc.subject.meshDecision making, computer-assisteden_HK
dc.subject.meshClinical clerkshipen_HK
dc.subject.meshTeaching - methodsen_HK
dc.titleRandomised controlled trial of clinical decision support tools to improve learning of evidence based medicine in medical studentsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0959-535X&volume=327&issue=7423&spage=1090:1&epage=6&date=2003&atitle=Randomised+controlled+trial+of+clinical+decision+support+tools+to+improve+learning+of+evidence+based+medicine+in+medical+studentsen_HK
dc.identifier.emailLeung, GM: gmleung@hkucc.hku.hken_HK
dc.identifier.emailJohnston, JM: jjohnsto@hku.hken_HK
dc.identifier.emailTin, KYK: tinyiukei@hkucc.hku.hken_HK
dc.identifier.emailWong, IOL: iolwong@hku.hken_HK
dc.identifier.emailHo, LM: lmho@hkucc.hku.hken_HK
dc.identifier.emailLam, WWT: wwtlam@hkucc.hku.hken_HK
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.identifier.authorityJohnston, JM=rp00375en_HK
dc.identifier.authorityTin, KYK=rp00494en_HK
dc.identifier.authorityWong, IOL=rp01806en_HK
dc.identifier.authorityHo, LM=rp00360en_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.doi10.1136/bmj.327.7423.1090en_HK
dc.identifier.pmid14604933-
dc.identifier.pmcidPMC261748-
dc.identifier.scopuseid_2-s2.0-0242574301en_HK
dc.identifier.hkuros85180-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0242574301&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume327en_HK
dc.identifier.issue7423en_HK
dc.identifier.spage1090en_HK
dc.identifier.epage1093en_HK
dc.identifier.isiWOS:000186530400022-
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK
dc.identifier.scopusauthoridJohnston, JM=7403397964en_HK
dc.identifier.scopusauthoridTin, KYK=7003796897en_HK
dc.identifier.scopusauthoridWong, IOL=7102513940en_HK
dc.identifier.scopusauthoridHo, LM=7402955625en_HK
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.citeulike732886-

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