Case-based EBM instruction for Osteopathic Medical Students: A Case Report
DOI:
https://doi.org/10.18060/27674Palabras clave:
case-based learning, evidence-based medicine, medical librarianship, medical studentsResumen
Background: Evidence-based medicine (EBM) is an important part of graduate medical education and a learning outcome necessary for preparing students to become effective residents. However, many medical educators and librarians struggle to offer EBM instruction that is contextualized, relevant, and engaging. Case-based learning (CBL) can establish the relevance of EBM instruction sessions by using clinical scenarios that link theory to practice. Experience: This case report describes how a college of osteopathic medicine (COM) liaison librarian redesigned a large cohort, lecture-based learning approach to EBM instruction into interactive, relevant, and contextualized CBL labs. CBL labs with smaller student groups were designed to provide an active learning environment and encourage peer-to-peer learning. The CBL format has been previously applied to EBM instruction but not quantifiably evaluated. A modified rubric was created to provide a quantifiable measurement of student performance in future evaluations. Discussion: First-year osteopathic medical students participated in CBL sessions, integrating EBM into their curriculum. The small groups facilitated personalized guidance, peer-to-peer learning, and critical thinking. Clinical scenarios that were mapped to the students’ curriculum provided relevance to the learning experience. The CBL format allowed the librarian to support students individually and increased engagement compared to lecture-based learning. Challenges included assessing the students’ prior EBM knowledge and the time commitment for a solo librarian. However, group assignments and a grading rubric helped to minimize the challenge. Conclusion: The initial pilot testing of this instructional design format and rubric has shown promise in reaching the objectives of providing a relevant and active learning platform with quantifiable results. A future randomized controlled trial is planned to provide quantifiable evidence supporting CBL labs for EBM instruction when compared to lecture-based learningCitas
Basehore PM, Mortensen LH, Katsaros E, Linsenmeyer M, McClain EK, Sexton PS, et al. Entrustable professional activities for entering residency: establishing common osteopathic performance standards in the transition from medical school to residency. J Am Osteopath
Assoc. 2017 Nov 1;117(11):712–8.doi:10.7556/jaoa.2017.137
Accreditation Council for Graduate Medical Education (ACGME). The program director guide to the common program requirements (Residency) [Internet]. 2021. Available from: https://www.acgme.org/globalassets/pdfs/program-director-guide—residency.pdf
Guralnick S, Yedowitz-Freeman J. Core entrustable professional activities for entry into residency: curricular gap or unrealistic expectations? J Grad Med Educ. 2017 Oct;9(5):593–4.doi:10.4300/JGME-D-17-00559.1
Linsenmeyer M, Wimsatt L, Speicher M, Basehore P, Sexton PS. Status of entrustable professional activities (EPA) implementation at colleges of osteopathic medicine in the United States and future considerations. J Am Osteopath Assoc. 2020 Nov 1;120(11):749–60.
doi:10.7556/jaoa.2020.129
McClurg C, Powelson S, Lang E, Aghajafari F, Edworthy S. Evaluating effectiveness of small group information literacy instruction for undergraduate medical education students using a pre- and post-survey study design. Health Inf Libr J. 2015 Jun;32(2):120-30.
doi:10.1111/hir.12098
Nicholson J, Kalet A, van der Vleuten C, de Bruin A. Understanding medical student evidence-based medicine information seeking in an authentic clinical simulation. J Med Libr Assoc. 2020 Apr;108(2):219–28. doi:10.5195/jmla.2020.875
Pearlman RE, Pawelczak M, Yacht AC, Akbar S, Farina GA. Program director perceptions of proficiency in the core entrustable professional activities. J Grad Med Educ. 2017 Oct;9(5):588–92. doi:10.4300/JGME-D-16-00864.1
Smith G, Stark A, Sanchez J. Research and teaching: what does course design mean to college science and mathematics teachers? J Coll Sci Teach [Internet]. 2019 [cited 2021 Nov 10];048(04). Available from: https://www.jstor.org/stable/26901303
Laird S, George J, Sanford SM, Coon S. Development, implementation, and outcomes of an initiative to integrate evidence-based medicine into an osteopathic curriculum. J Am Osteopath Assoc. 2010 Oct;110(10):593–601.
Vaughan B, Grace S, Gray B, Kleinbaum A. Engaging with evidence-based practice in the osteopathy clinical learning environment: a mixed methods pilot study. Int J Osteopath Med. 2019 Sep 1;33–34:52–8. doi:10.1016/j.ijosm.2019.09.001
Brennan EA, Ogawa RS, Thormodson K, von Isenburg M. Introducing a health information literacy competencies map: connecting the Association of American Medical Colleges Core Entrustable Professional Activities and Accreditation Council for Graduate Medical Education Common Program Requirements to the Association of College Research Libraries Framework. J Med Libr Assoc. 2020 Jul 1;108(3):420–7. doi:10.5195/jmla.2020.645
Eldredge J, Schiff MA, Langsjoen JO, Jerabek RN. Question formulation skills training using a novel rubric with first-year medical students. J Med Libr Assoc. 2021 Jan 7;109(1):68–74. doi:10.5195/jmla.2021.935
Ma J, Stahl L, Knotts E. Emerging roles of health information professionals for library and information science curriculum development: a scoping review. J Med Libr Assoc. 2018 Oct;106(4):432–44. doi:10.5195/jmla.2018.354
Anderson H, Studer AC, Holm KN, Suzuki A. A Case-based active learning session for medical genetics resources. MedEdPORTAL J Teach Learn Resour. 2021 Apr 1;17:11135. doi:10.15766/mep2374 − 8265.11135
Kash MJ. Teaching evidence-based medicine in the era of point-of-care databases: the case of the giant bladder stone. Med Ref Serv Q. 2016;35(2):230–6. doi:10.1080/02763869.2016.1152148
Tayce JD, Saunders AB, Keefe L, Korich J. The creation of a collaborative, case-based learning experience in a large-enrollment classroom. J Vet Med Educ. 2021 Feb;48(1):14–20. doi:10.3138/jvme.2019-0001
Thistlethwaite JE, Davies D, Ekeocha S, Kidd JM, MacDougall C, Matthews P, et al. The effectiveness of case-based learning in health professional education. A BEME systematic review: BEME Guide No. 23. Med Teach. 2012;34(6):e421-444. doi:10.3109/0142159X.2012.680939
Swanberg SM, Mi M, Engwall K. An integrated, case-based approach to teaching medical students how to locate the best available evidence for clinical care. MedEdPORTAL J Teach Learn Resour. 2017 Jan 19;13:10531. doi:10.15766/mep2374 − 8265.10531
Menard L, Blevins AE, Trujillo DJ, Lazarus KH. Integrating evidence-based medicine skills into a medical school curriculum: a quantitative outcomes assessment. BMJ Evid-Based Med. 2021 Oct;26(5):249–50. doi:10.1136/bmjebm-2020-111391
Lapinski J, Sexton P. Still in the closet: the invisible minority in medical education. BMC Med Educ. 2014 Dec;14(1):171. doi:10.1186/1472-6920-14-171
Lipke L. Research question development with PICO advanced search [Internet].
LibWizard Tutorial presented at; 2022; A.T. Still University. Available from: https://atsu.libwizard.com/f/PICO_advancedsearch
Ramos KD, Schafer S, Tracz SM. Validation of the Fresno test of competence in evidence-based medicine. BMJ. 2003 Feb 8;326(7384):319. doi:10.1136/bmj.326.7384.319
Descargas
Archivos adicionales
Publicado
Cómo citar
Licencia
Derechos de autor 2024 Laura Lipke
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
All works in Hypothesis are licensed under a Creative Commons Attribution 4.0 International license. Authors own copyright of their articles appearing in Hypothesis. Readers may copy articles without permission of the copyright owner(s), as long as the author(s) and the Medical Library Association are acknowledged in the copy, and the copy is used for educational, not-for-profit purposes. For any other use of articles, please contact the copyright owner(s).