+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A real-world approach to Evidence-Based Medicine in general practice: a competency framework derived from a systematic review and Delphi process



A real-world approach to Evidence-Based Medicine in general practice: a competency framework derived from a systematic review and Delphi process



Bmc Medical Education 17(1): 78



Evidence-Based Medicine (EBM) skills have been included in general practice curricula and competency frameworks. However, GPs experience numerous barriers to developing and maintaining EBM skills, and some GPs feel the EBM movement misunderstands, and threatens their traditional role. We therefore need a new approach that acknowledges the constraints encountered in real-world general practice. The aim of this study was to synthesise from empirical research a real-world EBM competency framework for general practice, which could be applied in training, in the individual pursuit of continuing professional development, and in routine care. We sought to integrate evidence from the literature with evidence derived from the opinions of experts in the fields of general practice and EBM. We synthesised two sets of themes describing the meaning of EBM in general practice. One set of themes was derived from a mixed-methods systematic review of the literature; the other set was derived from the further development of those themes using a Delphi process among a panel of EBM and general practice experts. From these two sets of themes we constructed a real-world EBM competency framework for general practice. A simple competency framework was constructed, that acknowledges the constraints of real-world general practice: (1) mindfulness - in one's approach towards EBM itself, and to the influences on decision-making; (2) pragmatism - in one's approach to finding and evaluating evidence; and (3) knowledge of the patient - as the most useful resource in effective communication of evidence. We present a clinical scenario to illustrate how a GP might demonstrate these competencies in their routine daily work. We have proposed a real-world EBM competency framework for general practice, derived from empirical research, which acknowledges the constraints encountered in modern general practice. Further validation of these competencies is required, both as an educational resource and as a strategy for actual practice.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059396530

Download citation: RISBibTeXText

PMID: 28468646

DOI: 10.1186/s12909-017-0916-1


Related references

A Delphi approach to developing a core competency framework for family practice registered nurses in Ontario. Nursing Leadership 23(4): 45-60, 2011

Core Competencies in Evidence-Based Practice for Health Professionals: Consensus Statement Based on a Systematic Review and Delphi Survey. JAMA Network Open 1(2): E180281-E180281, 2019

Systematic review of efficacy for manual lymphatic drainage techniques in sports medicine and rehabilitation: an evidence-based practice approach. Journal of Manual and Manipulative Therapy 17(3): E80-E89, 2010

CAM in the real world: you may practice evidence-based medicine, but your patients don't. Headache 54(6): 1097-1102, 2015

Real-world challenges to the practice of evidence-based medicine. Canadian Journal of Hospital Pharmacy 65(6): 465-466, 2013

Is real world evidence influencing practice? A systematic review of CPRD research in NICE guidances. Bmc Health Services Research 16: 299, 2017

The Use of Real World Evidence to Influence Practice: A Systematic Review of Cprd Studies In English Guidances And Guidelines. Value in Health 18(7): A565, 2015

Rapid Evidence Assessment of the Literature (REAL(©)): streamlining the systematic review process and creating utility for evidence-based health care. Bmc Research Notes 8: 631, 2016

A systematic literature review of evidence-based clinical practice for rare diseases: what are the perceived and real barriers for improving the evidence and how can they be overcome?. Trials 18(1): 556, 2018

Framework of policy recommendations for implementation of evidence-based practice: a systematic scoping review. Bmj Open 3(1), 2013

Does evidence-based medicine training improve doctors' knowledge, practice and patient outcomes? A systematic review of the evidence. Medical Teacher 2018: 1-7, 2018

Development of a competency framework for evidence-based practice in nursing. Nurse Education Today 39: 189-196, 2017

Evidence-based practice for nurse practitioner students: a competency-based teaching framework. Journal of Professional Nursing 26(5): 272-277, 2011

Web based provider education for competency of scope of practice (Best Practice): Medicine Department Safe training is a computer based review program (de' medri). Journal of Medical Systems 29(6): 605-610, 2005

Knowledge, attitudes and practice of physicians toward evidence-based medicine: A systematic review. Journal of Evidence-Based Medicine 11(4): 246-251, 2018