A clinically integrated curriculum in evidence-based medicine for just-in-time learning through on-the-job training: the EU-EBM project.
BACKGROUND
Over the last years key stake holders in the healthcare sector have increasingly recognised evidence based medicine (EBM) as a means to improving the quality of healthcare. However, there is considerable uncertainty about the best way to disseminate basic knowledge of EBM. As a result, huge variation in EBM educational provision, setting, duration, intensity, content, and teaching methodology exists across Europe and worldwide. Most courses for health care professionals are delivered outside the work context ('stand alone') and lack adaptation to the specific needs for EBM at the learners' workplace. Courses with modern 'adaptive' EBM teaching that employ principles of effective continuing education might fill that gap. We aimed to develop a course for post-graduate education which is clinically integrated and allows maximum flexibility for teachers and learners.


METHODS
A group of experienced EBM teachers, clinical epidemiologists, clinicians and educationalists from institutions from eight European countries participated. We used an established methodology of curriculum development to design a clinically integrated EBM course with substantial components of e-learning. An independent European steering committee provided input into the process.


RESULTS
We defined explicit learning objectives about knowledge, skills, attitudes and behaviour for the five steps of EBM. A handbook guides facilitator and learner through five modules with clinical and e-learning components. Focussed activities and targeted assignments round off the learning process, after which each module is formally assessed.


CONCLUSIONS
The course is learner-centred, problem-based, integrated with activities in the workplace and flexible. When successfully implemented, the course is designed to provide just-in-time learning through on-the-job-training, with the potential for teaching and learning to directly impact on practice.
Academic Medical Center, University of Amsterdam, Department of Obstetrics and Gynaecology, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. s.f.coppus@amc.uva.nl
Sjors F P J
SF
Coppus
Jose I
JI
Emparanza
Julie
J
Hadley
Regina
R
Kulier
Susanne
S
Weinbrenner
Theodoros N
TN
Arvanitis
Amanda
A
Burls
Juan B
JB
Cabello
Tamas
T
Decsi
Andrea R
AR
Horvath
Marcin
M
Kaczor
Gianni
G
Zanrei
Karin
K
Pierer
Katarzyna
K
Stawiarz
Regina
R
Kunz
Ben W J
BW
Mol
Khalid S
KS
Khan
D000328:Adult; D002983:Clinical Competence; D003479:Curriculum; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D004502:Education, Medical, Continuing; D005060:Europe; D019317:Evidence-Based Medicine / Q000193:education*; D005260:Female; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D007391:International Cooperation; D008297:Male; D018794:Problem-Based Learning / Q000379:methods*; D016730:Program Development; D015397:Program Evaluation