title: Information-seeking behavior during residency is associated with quality of theoretical learning, academic career achievements, and evidence-based medical practice: a strobe-compliant article.
abstract: Data regarding knowledge acquisition during residency training are sparse. Predictors of theoretical learning quality, academic career achievements and evidence-based medical practice during residency are unknown. We performed a cross-sectional study on residents and attending physicians across several residency programs in 2 French faculties of medicine. We comprehensively evaluated the information-seeking behavior (I-SB) during residency using a standardized questionnaire and looked for independent predictors of theoretical learning quality, academic career achievements, and evidence-based medical practice among I-SB components using multivariate logistic regression analysis. Between February 2013 and May 2013, 338 fellows and attending physicians were included in the study. Textbooks and international medical journals were reported to be used on a regular basis by 24% and 57% of the respondents, respectively. Among the respondents, 47% refer systematically (4.4%) or frequently (42.6%) to published guidelines from scientific societies upon their publication. The median self-reported theoretical learning quality score was 5/10 (interquartile range, 3-6; range, 1-10). A high theoretical learning quality score (upper quartile) was independently and strongly associated with the following I-SB components: systematic reading of clinical guidelines upon their publication (odds ratio [OR], 5.55; 95% confidence interval [CI], 1.77-17.44); having access to a library that offers the leading textbooks of the specialty in the medical department (OR, 2.45, 95% CI, 1.33-4.52); knowledge of the specialty leading textbooks (OR, 2.12; 95% CI, 1.09-4.10); and PubMed search skill score ≥5/10 (OR, 1.94; 95% CI, 1.01-3.73). Research Master (M2) and/or PhD thesis enrolment were independently and strongly associated with the following predictors: PubMed search skill score ≥5/10 (OR, 4.10; 95% CI, 1.46-11.53); knowledge of the leading medical journals of the specialty (OR, 3.33; 95% CI, 1.32-8.38); attending national and international academic conferences and meetings (OR, 2.43; 95% CI, 1.09-5.43); and using academic theoretical learning supports several times a week (OR, 2.23; 95% CI, 1.11- 4.49). This study showed weaknesses in the theoretical learning framework during residency. I-SB was independently associated with quality of academic theoretical learning, academic career achievements, and the use of evidence-based medicine in everyday clinical practice.
  
  
  BACKGROUND
  CNIL No.1797639.
authors: From the Faculty of Medicine of Nancy, University of Lorraine, Department of Biochemistry, Molecular Biology, Nutrition, and Metabolism, University Hospital of Nancy; and Inserm U954, NGERE-Nutrition, Genetics, and Environmental Risk Exposure, Vandoeuvre-lès-Nancy (AO, JLG); Medical Simulation Centre, Faculty of Medicine of Nice, University of Nice-Sophia-Antipolis, Nice (JPF); Faculty of Medicine of Nancy, University of Lorraine; University Centre for Education by Medical Simulation (CUESIM)-The Virtual Hospital of Lorraine of the Faculty of Medicine of Nancy; Inserm U947, IADI-Diagnostic and Interventional Adaptive Imaging; and Department of Neuroradiology, University Hospital of Nancy, Nancy (MB), France.
authors: Abderrahim
authors: A
authors: Oussalah
authors: Jean-Paul
authors: JP
authors: Fournier
authors: Jean-Louis
authors: JL
authors: Guéant
authors: Marc
authors: M
authors: Braun
mesh_terms: D003226:Congresses as Topic; D003430:Cross-Sectional Studies; D004503:Education, Medical, Graduate; D019317:Evidence-Based Medicine; D005257:Fellowships and Scholarships; D057226:Information Seeking Behavior; D016247:Information Storage and Retrieval; D007396:Internship and Residency; D016015:Logistic Models; D010506:Periodicals as Topic