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BMC Medical Education

, 4:20

First Online: 13 October 2004Received: 09 August 2004Accepted: 13 October 2004


BackgroundThe practice of Evidence-based Medicine requires that clinicians assess the validity of published research and then apply the results to patient care. We wanted to assess whether our soon-to-graduate medical students could appraise and apply research about a diagnostic test within a clinical context and to compare our students with peers trained at other institutions.

Methods4 year medical students who previously had demonstrated competency at probability revision and just starting first-year Internal Medicine residents were used for this research. Following an encounter with a simulated patient, subjects critically appraised a paper about an applicable diagnostic test and revised the patient-s pretest probability given the test result.

ResultsThe medical students and residents demonstrated similar skills at critical appraisal, correctly answering 4.7 and 4.9, respectively, of 6 questions p = 0.67. Only one out of 28 3% medical students and none of the 15 residents were able to correctly complete the probability revision task p = 1.00.

ConclusionsThis study found that most students completing medical school are able to appraise an article about a diagnostic test but few are able to apply the information from the article to a patient. These findings raise questions about the clinical usefulness of the EBM skills possessed by graduating medical students within the area of diagnostic testing.

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Autor: George Bergus - Scott Vogelgesang - Janeta Tansey - Ellen Franklin - Ronald Feld


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