Effect of a workplace-based learning program on clerkship students’ behaviors and attitudes toward evidence-based medicine practice
In clinical clerkship (CC), medical students can practice evidence-based medicine (EBM) with their assigned patients. Although CC can be a valuable opportunity for EBM education, the impact of EBM training, including long-term behavioral changes, remains unclear. One hundred and nine fourth- and fif...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Medical Education Online |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/10872981.2024.2357411 |
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| author | Hajime Kasai Go Saito Kenichiro Takeda Hiroshi Tajima Chiaki Kawame Nami Hayama Kiyoshi Shikino Ikuo Shimizu Kazuyo Yamauchi Mayumi Asahina Takuji Suzuki Shoichi Ito |
| author_facet | Hajime Kasai Go Saito Kenichiro Takeda Hiroshi Tajima Chiaki Kawame Nami Hayama Kiyoshi Shikino Ikuo Shimizu Kazuyo Yamauchi Mayumi Asahina Takuji Suzuki Shoichi Ito |
| author_sort | Hajime Kasai |
| collection | DOAJ |
| description | In clinical clerkship (CC), medical students can practice evidence-based medicine (EBM) with their assigned patients. Although CC can be a valuable opportunity for EBM education, the impact of EBM training, including long-term behavioral changes, remains unclear. One hundred and nine fourth- and fifth-year medical students undergoing CC at a medical school in Japan attended a workplace-based learning program for EBM during CC (WB-EBM), which included the practice of the five steps of EBM. The program’s effect on the students’ attitudes toward EBM in CC was assessed through questionnaires. A total of 88 medical students participated in the program. Responses to the questionnaire indicated high satisfaction with the WB-EBM program. The most common theme in students’ clinical problems with their assigned patients was the choice of treatment, followed by its effect. Based on the responses in the post-survey for the long-term effects of the program, the frequency of problem formulation and article reading tended to increase in the ‘within six months’ group comprising 18 students who participated in the WB-EBM program, compared with the control group comprising 34 students who did not. Additionally, the ability to self-assess problem formulation was significantly higher, compared with the control group. However, among 52 students who participated in the WB-EBM program more than six months later, EBM-related behavioral habits in CC and self-assessments of the five steps of EBM were not significantly different from those in the control group. The WB-EBM program was acceptable for medical students in CC. It motivated them to formulate clinical questions and enhanced their critical thinking. Moreover, the WB-EBM program can improve habits and self-evaluations about EBM. However, as its effects may not last more than six months, it may need to be repeated across departments throughout CC to change behavior in EBM practice. |
| format | Article |
| id | doaj-art-a96cfc9fb23643b29aa44cc81dec2924 |
| institution | OA Journals |
| issn | 1087-2981 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Medical Education Online |
| spelling | doaj-art-a96cfc9fb23643b29aa44cc81dec29242025-08-20T02:07:10ZengTaylor & Francis GroupMedical Education Online1087-29812024-12-0129110.1080/10872981.2024.2357411Effect of a workplace-based learning program on clerkship students’ behaviors and attitudes toward evidence-based medicine practiceHajime Kasai0Go Saito1Kenichiro Takeda2Hiroshi Tajima3Chiaki Kawame4Nami Hayama5Kiyoshi Shikino6Ikuo Shimizu7Kazuyo Yamauchi8Mayumi Asahina9Takuji Suzuki10Shoichi Ito11Department of Medical Education, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Respirology, Graduate School of Medicine, Chiba University, Chiba, JapanHealth Professional Development Center, Chiba University Hospital, Chiba, JapanDepartment of Medical Education, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Respirology, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Respirology, Graduate School of Medicine, Chiba University, Chiba, JapanHealth Professional Development Center, Chiba University Hospital, Chiba, JapanDepartment of Medical Education, Graduate School of Medicine, Chiba University, Chiba, JapanHealth Professional Development Center, Chiba University Hospital, Chiba, JapanHealth Professional Development Center, Chiba University Hospital, Chiba, JapanDepartment of Respirology, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Medical Education, Graduate School of Medicine, Chiba University, Chiba, JapanIn clinical clerkship (CC), medical students can practice evidence-based medicine (EBM) with their assigned patients. Although CC can be a valuable opportunity for EBM education, the impact of EBM training, including long-term behavioral changes, remains unclear. One hundred and nine fourth- and fifth-year medical students undergoing CC at a medical school in Japan attended a workplace-based learning program for EBM during CC (WB-EBM), which included the practice of the five steps of EBM. The program’s effect on the students’ attitudes toward EBM in CC was assessed through questionnaires. A total of 88 medical students participated in the program. Responses to the questionnaire indicated high satisfaction with the WB-EBM program. The most common theme in students’ clinical problems with their assigned patients was the choice of treatment, followed by its effect. Based on the responses in the post-survey for the long-term effects of the program, the frequency of problem formulation and article reading tended to increase in the ‘within six months’ group comprising 18 students who participated in the WB-EBM program, compared with the control group comprising 34 students who did not. Additionally, the ability to self-assess problem formulation was significantly higher, compared with the control group. However, among 52 students who participated in the WB-EBM program more than six months later, EBM-related behavioral habits in CC and self-assessments of the five steps of EBM were not significantly different from those in the control group. The WB-EBM program was acceptable for medical students in CC. It motivated them to formulate clinical questions and enhanced their critical thinking. Moreover, the WB-EBM program can improve habits and self-evaluations about EBM. However, as its effects may not last more than six months, it may need to be repeated across departments throughout CC to change behavior in EBM practice.https://www.tandfonline.com/doi/10.1080/10872981.2024.2357411Evidence-based medicineworkplace-basedclinical clerkshippeer-reviewmedical students |
| spellingShingle | Hajime Kasai Go Saito Kenichiro Takeda Hiroshi Tajima Chiaki Kawame Nami Hayama Kiyoshi Shikino Ikuo Shimizu Kazuyo Yamauchi Mayumi Asahina Takuji Suzuki Shoichi Ito Effect of a workplace-based learning program on clerkship students’ behaviors and attitudes toward evidence-based medicine practice Medical Education Online Evidence-based medicine workplace-based clinical clerkship peer-review medical students |
| title | Effect of a workplace-based learning program on clerkship students’ behaviors and attitudes toward evidence-based medicine practice |
| title_full | Effect of a workplace-based learning program on clerkship students’ behaviors and attitudes toward evidence-based medicine practice |
| title_fullStr | Effect of a workplace-based learning program on clerkship students’ behaviors and attitudes toward evidence-based medicine practice |
| title_full_unstemmed | Effect of a workplace-based learning program on clerkship students’ behaviors and attitudes toward evidence-based medicine practice |
| title_short | Effect of a workplace-based learning program on clerkship students’ behaviors and attitudes toward evidence-based medicine practice |
| title_sort | effect of a workplace based learning program on clerkship students behaviors and attitudes toward evidence based medicine practice |
| topic | Evidence-based medicine workplace-based clinical clerkship peer-review medical students |
| url | https://www.tandfonline.com/doi/10.1080/10872981.2024.2357411 |
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