title: Effectiveness of national evidence-based medicine competition in Taiwan.
abstract: BACKGROUND
  Competition and education are intimately related and can be combined in many ways. The role of competition in medical education of evidence-based medicine (EBM) has not been investigated. In order to enhance the dissemination and implementation of EBM in Taiwan, EBM competitions have been established among healthcare professionals. This study was to evaluate the impact of competition in EBM learning.
  
  
  METHODS
  The EBM competition used PICO (patient, intervention, comparison, and outcome) queries to examine participants' skills in framing an answerable question, literature search, critical appraisal and clinical application among interdisciplinary teams. A structured questionnaire survey was conducted to investigate EBM among participants in the years of 2009 and 2011. Participants completed a baseline questionnaire survey at three months prior to the competition and finished the same questionnaire right after the competition.
  
  
  RESULTS
  Valid questionnaires were collected from 358 participants, included 162 physicians, 71 nurses, 101 pharmacists, and 24 other allied healthcare professionals. There were significant increases in participants' knowledge of and skills in EBM (p<0.001). Their barriers to literature searching and forming answerable questions significantly decreased (p<0.01). Furthermore, there were significant increases in their access to the evidence-based retrieval databases, including the Cochrane Library (p<0.001), MD Consult (p<0.001), ProQuest (p<0.001), UpToDate (p=0.001), CINAHL (p=0.001), and MicroMedex (p=0.024).
  
  
  CONCLUSIONS
  The current study demonstrates a method that successfully enhanced the knowledge of, skills in, and behavior of EBM. The data suggest competition using PICO queries may serve as an effective way to facilitate the learning of EBM.
authors: Department of Pediatrics, Chang Gung Memorial Hospital, Chang GungUniversity College of Medicine, Taipei, Taiwan.
authors: Yi-Hao
authors: YH
authors: Weng
authors: Ken N
authors: KN
authors: Kuo
authors: Chun-Yuh
authors: CY
authors: Yang
authors: Hsun-Hsiang
authors: HH
authors: Liao
authors: Chiehfeng
authors: C
authors: Chen
authors: Heng-Lien
authors: HL
authors: Lo
authors: Wui-Chiang
authors: WC
authors: Lee
authors: Ya-Wen
authors: YW
authors: Chiu
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards; D004501:Education, Medical / Q000379:methods* / Q000592:standards; D004521:Educational Measurement / Q000379:methods / Q000592:standards; D019317:Evidence-Based Medicine / Q000193:education* / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D009726:Nurses / Q000592:standards; D010595:Pharmacists / Q000592:standards; D010820:Physicians / Q000592:standards; D011795:Surveys and Questionnaires; D013624:Taiwan
references: J Eval Clin Pract. 2001 May;7(2):201-10
references: 11489044
references: BMC Med Educ. 2003 Mar 13;3:2
references: 12694632
references: BMC Med Inform Decis Mak. 2001;1:4
references: 11716797
references: BMC Med Inform Decis Mak. 2007 Jun 15;7:16
references: 17573961
references: AMIA Annu Symp Proc. 2006;:359-63
references: 17238363
references: Adv Health Sci Educ Theory Pract. 2011 May;16(2):253-76
references: 20922477
references: Med Educ. 2000 Jan;34(1):18-22
references: 10607274
references: Int J Qual Health Care. 2010 Oct;22(5):430-6
references: 20716552
references: J Gen Intern Med. 1999 Apr;14(4):236-42
references: 10203636
references: Singapore Med J. 2012 Feb;53(2):121-3
references: 22337187
references: BMC Med Educ. 2011 Oct 30;11:91
references: 22035246
references: World J Surg Oncol. 2007 Nov 28;5:136
references: 18045477
references: Crit Care Clin. 2008 Jan;24(1):201-29, x
references: 18241786
references: Med Educ. 2005 Jul;39(7):665-71
references: 15960786
references: Fam Pract. 2001 Aug;18(4):364-6
references: 11477042
references: Postgrad Med J. 2012 Sep;88(1043):511-4
references: 22582179
references: J Contin Educ Health Prof. 2010 Spring;30(2):132-8
references: 20564703
references: BMC Med Educ. 2007 May 10;7:11
references: 17493274
references: Teach Learn Med. 2003 Spring;15(2):131-9
references: 12708072
references: Med Educ. 2009 May;43(5):479-80
references: 19344346
references: J Nurs Educ. 2010 Dec;49(12):691-5
references: 20795608
references: J Am Coll Health. 1993 May;41(6):283-6
references: 8514965
references: J Gen Intern Med. 2007 Mar;22(3):327-31
references: 17356963
references: Med Educ. 2005 Oct;39(10):1027-35
references: 16178830
references: J Nurs Educ. 2011 Dec;50(12):665-9
references: 22007709
references: BMJ. 1998 Jan 31;316(7128):361-5
references: 9487174
references: Int J Nurs Pract. 2007 Dec;13(6):363-9
references: 18021165
references: Ann Acad Med Singap. 2008 Dec;37(12):1019-23
references: 19159035
references: J Eval Clin Pract. 2007 Aug;13(4):581-98
references: 17683300
references: Phys Ther. 2003 Sep;83(9):786-805
references: 12940766
references: J Med Libr Assoc. 2012 Apr;100(2):121-6
references: 22514508
references: J Gen Intern Med. 2005 Apr;20(4):340-3
references: 15857491
references: BMC Med Educ. 2005 Dec 19;5:40
references: 16364181
references: J Healthc Qual. 2006 Nov-Dec;28(6):13-7
references: 17514860
references: J Contin Educ Health Prof. 2007 Winter;27(1):28-33
references: 17385730
references: J Healthc Qual. 2005 Mar-Apr;27(2):48-52
references: 16190312
references: BMC Med Educ. 2004 Dec 07;4(1):30
references: 15585061
references: Psychol Bull. 1992 Jul;112(1):155-9
references: 19565683