title: Evidence-based medicine: going beyond improving care provider viewpoints, using and challenges upcoming.
abstract: OBJECTIVE
  Evidence Based Medicine (EBM) is proper and an efficient incorporation of the researches and experiences. This is study surveyed the attitudes, awareness, and practice of EBM with specific focus on the barriers to EBM, among clinical residents.
  
  
  METHODS
  We conducted a cross sectional survey during September 2012 to February 2013 at the teaching hospitals of Mazandaran University of Medical Sciences among 81 clinical providers from different medical specialties. A valid and reliable questionnaire consisted of five sections and 22 statements were used in this research. Most respondents (83%) completed the questionnaires voluntarily and anonymously. We input the data into Micro- soft Excel 2007. Data were analysed using SPSS 16.0 software.
  
  
  RESULTS
  Findings of the study showed that the knowledge of respondents about EBM is low. Their attitude towards EBM was positive but their knowledge and skills in regard to the evidence based medical information resources were mostly limited to PubMed and Google scholar. The main barrier was the lack of enough time to practicing EBM. There was no significant correlation between residency grade and familiarity and use of electronic EBM resources (Spearman, P = 0.116).
  
  
  CONCLUSIONS
  The attitude of the respondents towards EBM is fairly positive. But there is a deficit in knowledge and skills of EBM among respondents. Integration and implementation of training approaches like journal clubs or workshops in clinical practices is suggested.
authors.affiliation: Chancellor for treatment affaires, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Esmaeil
authors.initials: E
authors.lastname: Rezazadeh
authors.forename: Peyman Rezaei
authors.initials: PR
authors.lastname: Hachesu
authors.forename: Aziz
authors.initials: A
authors.lastname: Rezapoor
authors.forename: Khaksarian
authors.initials: K
authors.lastname: Alireza
mesh_terms: D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D019317:Evidence-Based Medicine; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008297:Male; D010820:Physicians; D011795:Surveys and Questionnaires
keywords: Attitude; Care provider; decision making; evidence‐based medicine; questionnaire