A survey study of evidence-based medicine training in US and Canadian medical schools

Purpose:

The authors conducted a survey examining (1) the current state of evidence-based medicine (EBM) curricula in US and Canadian medical schools and corresponding learning objectives, (2) medical educators'' and librarians'' participation in EBM training, and (3) barriers to EBM training.

Methods:

A survey instrument with thirty-four closed and open-ended questions was sent to curricular deans at US and Canadian medical schools. The survey sought information on enrollment and class size; EBM learning objectives, curricular activities, and assessment approaches by year of training; EBM faculty; EBM tools; barriers to implementing EBM curricula and possible ways to overcome them; and innovative approaches to EBM education. Both qualitative and quantitative methods were used for data analysis. Measurable learning objectives were categorized using Bloom''s taxonomy.

Results:

One hundred fifteen medical schools (77.2%) responded. Over half (53%) of the 900 reported learning objectives were measurable. Knowledge application was the predominant category from Bloom''s categories. Most schools integrated EBM into other curricular activities; activities and formal assessment decreased significantly with advanced training. EBM faculty consisted primarily of clinicians, followed by basic scientists and librarians. Various EBM tools were used, with PubMed and the Cochrane database most frequently cited. Lack of time in curricula was rated the most significant barrier. National agreement on required EBM competencies was an extremely helpful factor. Few schools shared innovative approaches.

Conclusions:

Schools need help in overcoming barriers related to EBM curriculum development, implementation, and assessment.

Implications:

Findings can provide a starting point for discussion to develop a standardized competency framework.     

Academic Writing and Publishing: A NASIG Preconference Workshop

ABSTRACT

The goal of this preconference was to guide aspiring academic librarians in understanding how to navigate scholarly publication requirements and be successful academic writers. The presenters provided tips for beginners as well as for those already engaged in a research agenda. One of the presenters is a published book and journal author and the other is the editor-in-chief of a major peer-reviewed library journal.     

Writing academic papers: lost in translation?

The process of writing for publication is a challenging one. It moves us from the spoken and written word into a realm that requires us to provide supporting evidence to develop an argument in a logical and progressive way. In English language journals, as elsewhere, the quality of the written word is a determining factor in the likelihood of a paper being accepted for publication. By reading past issues of a targeted journal, drawing on the expertise of colleagues and responding positively to feedback, it is possible to significantly enhance your prospects of publication.     

Attitudes towards sexuality information for adolescents: what parents should and should not say

The goal of this study was to investigate the attitudes of Colombians with respect to what can and what must not be said to young people of different ages and genders regarding sexuality. A convenience sample of 329 adults, aged 18–64 years, living in Bogotá participated in the study. They were presented with a set of 36 vignettes describing situations in which either a young girl or a young boy seemed to be concerned about sexuality and sexual relationships. Each scenario contained three items of information: the child’s gender, age and the parent’s decision (e.g. not to say anything regarding sexuality). Through cluster analysis, seven qualitatively different sets of attitudes were found. The five most common ones were: (i) it is never appropriate to talk about sexual matters (6%); (ii) delegate this responsibility to the school nurse (4%); (iii) provide incomplete information restricted to the biology of sexuality (11%); (iv) provide comprehensive information but with a recommendation of abstinence (28%); and (v) provide comprehensive information and a recommendation of pre-marital sexual experience (36%). Although it was expected that attitudes would vary as a function of the young person’s gender and age, such variations proved to be limited in their extent.     

The Influence of Message and Audience Characteristics on TV News Grazing Behavior

This study examined television news channel changing (AKA grazing, zapping) behavior by focusing on the viewing duration and attention paid to stories that varied in sensational content and packaging. These two message-related factors had independent and interactive effects on how long grazers stayed tuned to a channel. Moreover, high sensation seekers, who were more avid news consumers in everyday life, exhibited different viewing and attentional patterns compared to low sensation seekers. While arousing television news was the most watched by all, high sensation seekers unexpectedly showed less preference for sensational tabloid packaging of arousing content than low sensation seekers.     

Fitting Multidimensional Amotivation into the Self-Determination Theory Nomological Network: Application in School Physical Education

The present study investigated the nomological validity of the Amotivation Inventory–Physical Education (Shen, Wingert, Li, Sun, & Rukavina, 2010b Shen, B., Wingert, R. K., Li, W., Sun, H. and Rukavina, P. B. 2010b. An amotivation model in physical education. Journal of Teaching in Physical Education, 29: 72–84. [Web of Science ®] , [Google Scholar]) scores by examining the associations of ability, effort, value, and task characteristics amotivation beliefs with self-determination theory variables. Data were collected from 401 fifth- and sixth-grade students, 416 middle-school students, and 401 high-school students. After providing support for the correlated four-factor structure, the hierarchical structure, internal consistency, and composite reliability of the Amotivation Inventory–Physical Education scores, large negative correlations emerged with perceived autonomy support by the PE teacher; needs for autonomy, competence, and relatedness; identified regulation; intrinsic motivation; and students' subjective vitality. Strong positive correlations were obtained with unidimensional amotivation and external regulation, and weak correlations were obtained with introjected regulation. Also, multidimensional amotivation beliefs partially mediated the relationship between the need for autonomy and subjective vitality. The results provided support for the nomological aspect of construct validity of the Amotivation Inventory–Physical Education scores.     

Las ideas de los alumnos sobre la ciencia como teorías implícitas

Resumen

Durante los últimos años, los trabajos sobre el aprendizaje de las ciencias han estado dominados por dos enfoques contrapuestos: la teoría piagetiana de las operaciones formales y el enfoque de las ideas previas o concepciones alternativas. Frente a estos dos enfoques los autores proponen una alternativa intermedia basada en el concepto de «teorías implícitas». Estas teorías serían teorías personales que, como las teorías científicas, sirven para organizar y predecir el mundo circundante. No obstante, presentan también características muy diferentes de las teorías científicas tanto en lo referente a su contenido como a su organización. Estas diferentes características tienen, como se expone en el artículo, importantes consecuencias tanto para la investigación como para la práctica educativa.     

Teachers’ attitudes towards inclusion,perceived adequacy of support and classroom learning environment

Inclusive education has become a cornerstone of many government policies in an increasing number of countries, yet teachers have been found to hold mixed attitudes towards its implementation and usefulness. This article, using English terminology and thinking, aims to extend previous research on the effect of teacher attitudes towards inclusion in classroom learning environments, and to explore perceived adequacy of support, levels of stress, and willingness to include pupils with certain difficulties. Teachers (N = 95) completed questionnaires on attitudes to inclusion, classroom learning environment, support and stress. Pupils (N = 2,514) completed a questionnaire on classroom learning environment only. Teacher attitudes towards including special educational needs pupils in mainstream settings were found to have a significant impact on how they managed their classroom learning environments and how adequately they perceived available support. Teachers with more positive attitudes towards inclusion were reported by their pupils to have classroom environments with greater levels of satisfaction and cohesiveness and lower levels of friction, competitiveness and difficulty than for those with teachers who held less positive attitudes. Teacher attitudes towards inclusion increased with greater perceived adequacy of both internal and external support. Teachers were less willing to include pupils with behavioural difficulties than pupils who were able/gifted or had physical difficulties, irrespective of attitude to inclusion.     

Becoming business critical: Knowledge for Healthcare

Significant progress has been made in implementing Knowledge for Healthcare. This editorial reports the central contribution of effective partnerships and the involvement of librarians and knowledge specialists in this work. There are compelling business priorities. Key elements of work‐streams on demonstrating impact, workforce development and streamlining are indicated, along with areas of growing importance – knowledge management, embedded roles and health information for the public and patients. Knowledge, and the skills to help people to use it, are business critical.