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Article: Identifying barriers to the adoption of evidence-based medicine practice in clinical clerks: A longitudinal focus group study

TitleIdentifying barriers to the adoption of evidence-based medicine practice in clinical clerks: A longitudinal focus group study
Authors
Issue Date2004
PublisherWiley-Blackwell Publishing Ltd.. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0308-0110
Citation
Medical Education, 2004, v. 38 n. 9, p. 987-997 How to Cite?
AbstractOBJECTIVE: To identify and explore common barriers to the adoption of evidence-based medicine (EBM) practice in the undergraduate setting. DESIGN: Nested longitudinal, focus group-based, qualitative study. SETTING: The University of Hong Kong Medical School, Hong Kong, China. PARTICIPANTS: A group of 39 Year 4 medical undergraduates who participated in an EBM intervention cluster randomised crossover trial. MAIN OUTCOME MEASURES: Students' attitudes, opinions and perceptions of barriers to EBM use. RESULTS: General attitudes towards EBM and the teaching intervention were positive. Four sets of barriers to greater EBM use were identified as follows. (1) Learning environment including prevailing norms for student learning involving examination-oriented, textbook learning, prior availability of clinical practice guidelines, lack of encouragement from teachers and economy of time by utilising teacher expertise. (2) Limitations of evidence consisting of poor point-of-care access to medical literature, difficulty in locating evidence and the perceived low relevance of overseas evidence to Chinese patients. (3) Lack of opportunity to practise EBM due to lack of continuity of care and anxieties about negative teacher attitudes towards EBM use at the point-of-care. (4) Time constraints such as competing study demands and long evidence search time. CONCLUSIONS: Significant barriers to the successful implementation of EBM learning in the clinical clerkship setting were identified. These can be specifically targeted to ameliorate any inhibition of clinical learning they may impose.
Persistent Identifierhttp://hdl.handle.net/10722/86584
ISSN
2015 Impact Factor: 3.369
2015 SCImago Journal Rankings: 1.913
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorFielding, Ren_HK
dc.contributor.authorJohnston, JMen_HK
dc.contributor.authorTin, KYKen_HK
dc.contributor.authorLeung, GMen_HK
dc.date.accessioned2010-09-06T09:18:50Z-
dc.date.available2010-09-06T09:18:50Z-
dc.date.issued2004en_HK
dc.identifier.citationMedical Education, 2004, v. 38 n. 9, p. 987-997en_HK
dc.identifier.issn0308-0110en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86584-
dc.description.abstractOBJECTIVE: To identify and explore common barriers to the adoption of evidence-based medicine (EBM) practice in the undergraduate setting. DESIGN: Nested longitudinal, focus group-based, qualitative study. SETTING: The University of Hong Kong Medical School, Hong Kong, China. PARTICIPANTS: A group of 39 Year 4 medical undergraduates who participated in an EBM intervention cluster randomised crossover trial. MAIN OUTCOME MEASURES: Students' attitudes, opinions and perceptions of barriers to EBM use. RESULTS: General attitudes towards EBM and the teaching intervention were positive. Four sets of barriers to greater EBM use were identified as follows. (1) Learning environment including prevailing norms for student learning involving examination-oriented, textbook learning, prior availability of clinical practice guidelines, lack of encouragement from teachers and economy of time by utilising teacher expertise. (2) Limitations of evidence consisting of poor point-of-care access to medical literature, difficulty in locating evidence and the perceived low relevance of overseas evidence to Chinese patients. (3) Lack of opportunity to practise EBM due to lack of continuity of care and anxieties about negative teacher attitudes towards EBM use at the point-of-care. (4) Time constraints such as competing study demands and long evidence search time. CONCLUSIONS: Significant barriers to the successful implementation of EBM learning in the clinical clerkship setting were identified. These can be specifically targeted to ameliorate any inhibition of clinical learning they may impose.en_HK
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing Ltd.. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0308-0110en_HK
dc.relation.ispartofMedical Educationen_HK
dc.rightsMedical Education. Copyright © Blackwell Publishing Ltd.en_HK
dc.subject.meshAttitudeen_HK
dc.subject.meshClinical Clerkshipen_HK
dc.subject.meshDecision Makingen_HK
dc.subject.meshEducation, Medical, Undergraduate - standardsen_HK
dc.subject.meshEvidence-Based Medicine - educationen_HK
dc.subject.meshFocus Groupsen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLongitudinal Studiesen_HK
dc.titleIdentifying barriers to the adoption of evidence-based medicine practice in clinical clerks: A longitudinal focus group studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0308-0110&volume=38&spage=987&epage=997&date=2004&atitle=Identifying+barriers+to+the+adoption+of+evidence-based+medicine+practice+in+clinical+clerks:+a+longitudinal+focus+group+studyen_HK
dc.identifier.emailLam, WWT:wwtlam@hku.hken_HK
dc.identifier.emailFielding, R:fielding@hku.hken_HK
dc.identifier.emailJohnston, JM:jjohnsto@hku.hken_HK
dc.identifier.emailTin, KYK:tinyiuke@hku.hken_HK
dc.identifier.emailLeung, GM:gmleung@hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.identifier.authorityJohnston, JM=rp00375en_HK
dc.identifier.authorityTin, KYK=rp00494en_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1365-2929.2004.01909.xen_HK
dc.identifier.pmid15327681en_HK
dc.identifier.scopuseid_2-s2.0-4544358224en_HK
dc.identifier.hkuros89915en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-4544358224&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume38en_HK
dc.identifier.issue9en_HK
dc.identifier.spage987en_HK
dc.identifier.epage997en_HK
dc.identifier.isiWOS:000223534200014-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK
dc.identifier.scopusauthoridJohnston, JM=7403397964en_HK
dc.identifier.scopusauthoridTin, KYK=7003796897en_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK

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