title: Using a learning coach to teach residents evidence-based medicine.
abstract: OBJECTIVE
  Medical educators have used multiple interventions to teach evidence-based medicine (EBM) and information mastery. Most of these interventions are applied uniformly to a group of residents. We developed a curriculum to increase residents' EBM and information mastery skills that would meet individual learning needs.
  
  
  METHODS
  Two cohorts of second year residents (n=26) in the Family Medicine Residency Program at Brown University participated in the intervention. We delivered the curriculum through monthly individual meetings with a learning coach over 1 year. Before and after participating, residents completed a survey assessing their attitudes toward EBM and a quiz assessing their knowledge of EBM. Semi-structured interviews with each resident were done after the intervention and analyzed using qualitative methods.
  
  
  RESULTS
  At the conclusion of our intervention, residents' attitudes toward EBM and information mastery were overwhelmingly positive, EBM knowledge quiz scores increased by 31.8%, and reported use of EBM in real time during patient encounters increased.
  
  
  CONCLUSIONS
  An intervention using a learning coach to provide one-on-one EBM and information mastery instruction to residents improved residents' attitudes, knowledge, and use of both in the clinical setting.
authors.affiliation: Department of Family Medicine, Memorial Hospital of Rhode Island and Alpert Medical School, Brown University, RI, USA. Paul_george@brown.edu
authors.forename: Paul
authors.initials: P
authors.lastname: George
authors.forename: Shmuel
authors.initials: S
authors.lastname: Reis
authors.forename: Melissa
authors.initials: M
authors.lastname: Nothnagle
mesh_terms: D003479:Curriculum; D019317:Evidence-Based Medicine / Q000193:education*; D005194:Family Practice / Q000193:education*; D007396:Internship and Residency / Q000379:methods*; D010865:Pilot Projects; D036301:Qualitative Research; D012237:Rhode Island