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      • Record: found
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      Knowledge, attitude, and practice of evidence-based medicine among resident physicians in hospitals of Syria: a cross-sectional study

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          Abstract

          Background

          Evidence-based medicine (EBM) is to integrate the best research evidence with our clinical expertise, circumstances, and unique values of our patient. However, there are no studies about using EBM in clinical practice among resident doctors in Syria. In this study, we aimed to evaluate the self-reported knowledge, attitude and practice (KAP) of EBM by resident doctors throughout different teaching hospitals in Syria.

          Methods

          The study is a cross-sectional. A self-reported online questionnaire was used to collect data about KAP of EBM from 214 resident physicians working in secondary and tertiary teaching hospitals. The study was conducted between September 2021 and February 2022. All data were analyzed using SPSS, and non-parametric statistical tests were used to identify the correlation between different variables and make the necessary comparisons.

          Results

          Two hundred and fourteen physicians responded to the questionnaire with a response rate of 85.6%. The overall mean scores of KAP of EBM were 59.2, 74.3 and 53.9%, respectively. The participants displayed a low level of awareness of resources and statistical terms used in EBM. The most well-known resources for residents were Up To Date and PubMed. Among the participants, pediatric residents achieved the highest score in practicing EBM, while family medicine residents scored the lowest score.

          Conclusion

          The overall impression about the KAP of EBM among Syrian residents was as following: weak awareness, neutral attitude and poor practice of EBM. Training workshops should be set up to teach residents the skills needed to move from opinion-based practice to evidence-based practice.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12909-022-03840-7.

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          Most cited references30

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          Evidence based medicine: what it is and what it isn't

          D L Sackett, W. Rosenberg, J A M. Gray … (1996)
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            Evidence-based medicine. A new approach to teaching the practice of medicine.

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              Evidence-based medicine and the practicing clinician.

              Kathleen Graham, A Laupacis, Finlay McAlister … (1999)
              To assess the attitudes of practicing general internists toward evidence-based medicine (EBM-defined as the process of systematically finding, appraising, and using contemporaneous research findings as the basis for clinical decisions) and their perceived barriers to its use. Cross-sectional, self-administered mail questionnaire conducted between June and October 1997. Canada. Questionnaires were sent to all 521 physician members of the Canadian Society of Internal Medicine with Canadian mailing addresses; 296 (60%) of 495 eligible physicians responded. Exclusion of two incomplete surveys resulted in a final sample size of 294. Mean age of respondents was 46 years, 80% were male, and 52% worked in large urban medical centers. Participants reported using EBM in their clinical practice always (33, 11%), often (173, 59%), sometimes (80, 27%), or rarely/never (8, 3%). There were no significant differences in demographics, training, or practice types or locales on univariate or multivariate analyses between those who reported using EBM often or always and those who did not. Both groups reported high usage of traditional (non-EBM) information sources: clinical experience (93%), review articles (73%), the opinion of colleagues (61%), and textbooks (45%). Only a minority used EBM-related information sources such as primary research studies (45%), clinical practice guidelines (27%), or Cochrane Collaboration Reviews (5%) on a regular basis. Barriers to the use of EBM cited by respondents included lack of relevant evidence (26%), newness of the concept (25%), impracticality for use in day-to-day practice (14%), and negative impact on traditional medical skills and "the art of medicine" (11%). Less than half of respondents were confident in basic skills of EBM such as conducting a literature search (46%) or evaluating the methodology of published studies (34%). However, respondents demonstrated a high level of interest in further education about these tasks. The likelihood that physicians will incorporate EBM into their practice cannot be predicted by any demographic or practice-related factors. Even those physicians who are most enthusiastic about EBM rely more on traditional information sources than EBM-related sources. The most important barriers to increased use of EBM by practicing clinicians appear to be lack of knowledge and familiarity with the basic skills, rather than skepticism about the concept.
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                Author and article information

                Contributors
                Muhammad Nour Alabdullah: dr.alabdullah.ent@gmail.com
                Hadi Alabdullah: hadialabdullah5@gmail.com
                Sondos Kamel: eng.sondoskamel@gmail.com
                Journal
                Journal ID (nlm-ta): BMC Med Educ
                Journal ID (iso-abbrev): BMC Med Educ
                Title: BMC Medical Education
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1472-6920
                Publication date (Electronic): 14 November 2022
                Publication date PMC-release: 14 November 2022
                Publication date Collection: 2022
                Volume: 22
                Electronic Location Identifier: 785
                Affiliations
                [1 ]GRID grid.8192.2, ISNI 0000 0001 2353 3326, Otorhinolaryngology Department, , Al-Mowassat University Hospital, Damascus University, ; Damascus, Syrian Arab Republic
                [2 ]Faculty of Medicine, Hama University, Hama, Syrian Arab Republic
                [3 ]Faculty of Civil Engineering, Hama University, Hama, Syrian Arab Republic
                Article
                Publisher ID: 3840
                DOI: 10.1186/s12909-022-03840-7
                PMC ID: 9661745
                PubMed ID: 36376824
                SO-VID: 246fa510-b81d-40fb-a0bc-9fe02fb84f78
                Copyright © © The Author(s) 2022
                License:

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 15 May 2022
                Date accepted : 27 October 2022
                Categories
                Subject: Research
                Custom metadata
                issue-copyright-statement © The Author(s) 2022

                ScienceOpen disciplines: Education
                Keywords: knowledge,attitude,practice,evidence-based medicine,residents,syria
                Data availability:
                ScienceOpen disciplines: Education
                Keywords: knowledge, attitude, practice, evidence-based medicine, residents, syria

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