title: Attitudes, Practice and Educational Preferences Towards Evidence-Based Medicine among Physicians in a Large Teaching Hospital.
abstract: Evidence-based medicine (EBM) is an emerging must-know topic for today's physicians. The present literature is inadequate in identifying the attitudes, practice, and educational needs and preferred interventions of EBM. The objectives of this survey were to identify a) the attitude toward and practice of EBM among physicians, b) perceived benefits of EBM in daily practice, c) barriers to EBM practice, and d) preferred educational interventions.
  
  
  METHODS
  This was a questionnaire-based cross-sectional survey of physicians in a single large teaching hospital.
  
  
  RESULTS
  Overall, 56% of the physician respondents described the attitude towards EBM in their institution as positive. A similar number of physicians also reported the attitude of their colleagues towards EBM as favourable. 67% of the physicians believed EBM was useful in daily management of patients. In contrast, only 45% of the physicians actually practiced EBM in their daily patient management. The factors that discouraged them from actual practice include a lack of time, lack of exposure to EBM during their undergraduate curriculum, lack of endorsement, and fear of criticism by seniors. Physicians preferred less time consuming and less rigorous educational interventions such as clinical practice guidelines, journal club, and case review and discussion for teaching and learning EBM.
  
  
  CONCLUSIONS
  There are disconnects between belief and actual practice and between preferred and ideal educational interventions of EBM among physicians surveyed.
authors.affiliation: a Evidence-Based Medicine Committee National University Hospital Singapore.
authors.forename: Zubair
authors.initials: Z
authors.lastname: Amin
authors.affiliation: b Yong Loo Lin School of Medicine National University of Singapore.
authors.forename: Marion
authors.initials: M
authors.lastname: Aw
authors.affiliation: a Evidence-Based Medicine Committee National University Hospital Singapore.
authors.forename: Ross
authors.initials: R
authors.lastname: Soo
authors.affiliation: a Evidence-Based Medicine Committee National University Hospital Singapore.
authors.forename: Shirley
authors.initials: S
authors.lastname: Ooi
authors.affiliation: a Evidence-Based Medicine Committee National University Hospital Singapore.
authors.forename: Pary
authors.initials: P
authors.lastname: Sivaraman
authors.affiliation: a Evidence-Based Medicine Committee National University Hospital Singapore.
authors.forename: Yeo
authors.initials: Y
authors.lastname: Jin Fei
authors.affiliation: a Evidence-Based Medicine Committee National University Hospital Singapore.
authors.forename: Edwin
authors.initials: E
authors.lastname: Chan
authors.affiliation: a Evidence-Based Medicine Committee National University Hospital Singapore.
authors.forename: Lim
authors.initials: L
authors.lastname: Seng Gee
keywords: Evidence-Based Medicine; Faculty's Perception Singapore.; Faculty’s Perception; Singapore