title: How far did we get? How far to go? A European survey on postgraduate courses in evidence-based medicine.
abstract: BACKGROUND
  Over the past decade, evidence-based medicine (EBM) has gained recognition as a means to improve the quality of health care provision. However, little is known about learning opportunities to acquire EBM-associated skills. The EUebm-Unity partnership explored current educational activities for EBM practice for doctors across Europe.
  
  
  METHODS
  We surveyed organizations offering postgraduate EBM courses across Europe inquiring about their course programme, teaching content and strategies, and interest in a Europe-wide curriculum in EBM.
  
  
  RESULTS
  One hundred and fifty-six organizers in eight European countries reported 403 courses that had started first-time from 1996 to 2006. Despite a steady increase, in absolute terms, the frequency of courses was low and varied from 1 first-time offering of a course per 640 doctors (Spain) to 1 first-time offering per 5600 doctors (Austria) over 10 years. Most adopted the McMaster EBM teaching concept of small group, problem-based learning focussing on interventions, diagnostic tests and guidelines, and included efforts to link EBM to patient care. Teaching staff consisted of doctors from academic and non-academic settings, supported by methodologists. Efforts to formally integrate EBM in postgraduate activities were only partially successful. Most organizations welcomed a standardized European qualification in EBM. A limitation of the survey is the lack of follow-up information about the continuation of courses following the first-time offering.
  
  
  CONCLUSIONS
  All countries offer some EBM courses with varying teaching intensity. Learning opportunities are insufficient to ensure widespread dissemination of knowledge and skills. Most countries welcome more efforts to develop inexpensive and feasible educational activities at a postgraduate level.
authors.affiliation: Basel Institute for Clinical Epidemiology (BICE), University Hospital Basel, Basel, Switzerland. rkunz@uhbs.ch
authors.forename: Regina
authors.initials: R
authors.lastname: Kunz
authors.forename: Eva
authors.initials: E
authors.lastname: Nagy
authors.forename: Sjors F P J
authors.initials: SF
authors.lastname: Coppus
authors.forename: Jose I
authors.initials: JI
authors.lastname: Emparanza
authors.forename: Julie
authors.initials: J
authors.lastname: Hadley
authors.forename: Regina
authors.initials: R
authors.lastname: Kulier
authors.forename: Susanne
authors.initials: S
authors.lastname: Weinbrenner
authors.forename: Theodoros N
authors.initials: TN
authors.lastname: Arvanitis
authors.forename: Amanda
authors.initials: A
authors.lastname: Burls
authors.forename: Juan B
authors.initials: JB
authors.lastname: Cabello
authors.forename: Tamas
authors.initials: T
authors.lastname: Decsi
authors.forename: Andrea R
authors.initials: AR
authors.lastname: Horvath
authors.forename: Jacek
authors.initials: J
authors.lastname: Walzak
authors.forename: Marcin P
authors.initials: MP
authors.lastname: Kaczor
authors.forename: Gianni
authors.initials: G
authors.lastname: Zanrei
authors.forename: Karin
authors.initials: K
authors.lastname: Pierer
authors.forename: Roland
authors.initials: R
authors.lastname: Schaffler
authors.forename: Katja
authors.initials: K
authors.lastname: Suter
authors.forename: Ben W J
authors.initials: BW
authors.lastname: Mol
authors.forename: Khalid S
authors.initials: KS
authors.lastname: Khan
mesh_terms: D003479:Curriculum; D004502:Education, Medical, Continuing; D004503:Education, Medical, Graduate; D005060:Europe; D019317:Evidence-Based Medicine / Q000193:education*; D006801:Humans; D011795:Surveys and Questionnaires