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ORIGINAL ARTICLE
Year : 2013  |  Volume : 1  |  Issue : 1  |  Page : 38-42

A study of resident's attitude, knowledge and barriers towards the use of evidence based medicine


1 Department of Health Information Technology (HIT), Faculty of Para-Medicine, Tabriz, Iran
2 Department of Medical Library and Information Science (DMLIS), Faculty of Para-Medicine, Tabriz; Iranian center for Evidence Based Medicine(ICEBM), Isfahan, Iran
3 Department of Physiotherapy, School of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran
4 Health Management and Ecinimics Research Center, Isfahan; Department of Health Information Technology (HIT), School of Health management and information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
5 , Iran
6 Department of Health Information Technology (HIT), School of Health management and information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
7 Chancellor for Treatment Affaires, Mazandaran University of Medical Sciences, Sari, Iran

Correspondence Address:
Esmaeil Rezazadeh
Medical Records Education, Chancellor for Treatment Affaires, Mazandaran University of Medical Sciences, Sari
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2347-9019.122456

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Objectives: To survey the attitudes, awareness, and practice of evidence based medicine (EBM), and to determine the barriers that influence application of EBM in therapeutic process among clinical residents in Iran. Materials and Methods: A cross sectional survey was conducted during September to December 2012 at the teaching hospitals of Tehran University of Medical Sciences among 79 clinical residents from different medical specialties. A valid and reliable questionnaire consisted of five sections and 27 statements were used in this research. Most respondents (90%) completed the questionnaires voluntarily and anonymously. We inserted the data into Microsoft Excel 2007. Data were analyzed using Statistical Package for Social Sciences (SPSS) 16.0 software. We applied Spearman and Mann-Whitney test for correlation between variables. Results: Knowledge of residents about EBM is low and their attitude towards EBM was positive, but their knowledge and skills in regard with the evidence based medical information resources were mostly limited to Google Scholar. Lack of enough time to practice EBM and unperfect access to data bases were the main barriers. There was no significant correlation between residency grade and familiarity and use of electronic EBM resources (Spearman, P = 0.138). Conclusions: It is essential to improve their knowledge, skills, and capabilities to practice EBM. They can conduct EBM that should reduce medical errors and faulty diagnoses. Integration of training approaches like journal clubs or workshops with clinical practice is suggested.


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