Integrating evidence - based medicine in bedside teaching: a pilot study

Background: EBM has undergone a revolution over the last 10 years. Teaching at the bedside is of thought to be applicable to any situation where the teaching occurs in the presence of the patients. This study aims to explore the undergraduate students’ attitudes towards EBM (evidence-based medicine) before and after the EBM integrated bedside teaching.

Methods: This is a before-after comparison study. Twenty four 5^th year medical students rotated in paediatric department, Khon Kaen Hospital during November-December 2006 were recruited. EBM integrated bedside teaching was conducted in 4 sessions. Principles of EBM practice were taught and students were asked to immediately apply them to patients’ problems. Their attitudes towards EBM were assessed using a semi-structured questionnaire and a focus group discussion.

Results: The medical students tended to search for information via generic search engines and were more specific after teaching. Critical appraisal was their weakest skill. The concept of EBM was clearer to them after teaching. They also reported that the EBM practice is needed and important for doctors, and that they required more training.

Discussion: The knowledge and skills needed for critical appraisal and EBM have not been covered in undergraduate until recently. These education needs are often met through postgraduate journal clubs and workshops which might not be appropriate to undergraduate learning. EBM integrated bedside teaching might be an alternative.