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

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Tilburt, JC; Mangrulkar, RS; Goold, SD; Siddiqui, NY; Carrese, JA

Published Date

  • October 2008

Published In

Volume / Issue

  • 14 / 5

Start / End Page

  • 780 - 784

PubMed ID

  • 19018911

Pubmed Central ID

  • 19018911

Electronic International Standard Serial Number (EISSN)

  • 1365-2753

International Standard Serial Number (ISSN)

  • 1356-1294

Digital Object Identifier (DOI)

  • 10.1111/j.1365-2753.2008.00966.x

Language

  • eng