Medical Students’ Evaluation of Scientific Evidence and Their Justifications for Their Clinical Decisions: a Pilot Study

Christina Cestone; Rachel Lewis; Judith F. Aronson; Celia Chao

doi:10.1007/s40670-018-0595-5

Medical Students’ Evaluation of Scientific Evidence and Their Justifications for Their Clinical Decisions: a Pilot Study

Christina Cestone, Rachel Lewis, Judith F. Aronson, Celia Chao

Research output: Contribution to journal › Article › peer-review

Abstract

Medical school curricula teach students to apply scientific evidence for clinical decision-making. Research on whole-task evidence-based decision-making suggests that appraisal of scientific evidence is a challenge for trainees. This pilot study aimed to link medical students’ (MS) appraisal of scientific literature with clinical decision-making to inform future EBM instruction. Fifty-three MS evaluated scientific evidence and provided justifications for their clinical decisions. The MS group (n = 29) receiving more detailed evidence made a correct clinical decision against breast surgery (20; 69%) versus the comparison group (14; 58%; p <.05). MS justified their decisions predominantly on the evidence provided and personal experience.

Original language	English (US)
Pages (from-to)	587-590
Number of pages	4
Journal	Medical Science Educator
Volume	28
Issue number	4
DOIs	https://doi.org/10.1007/s40670-018-0595-5
State	Published - Dec 15 2018

Keywords

Clinical decision-making medical curriculum
Evidence-based medicine
Scientific text comprehension

ASJC Scopus subject areas

Medicine (miscellaneous)
Education

Access to Document

10.1007/s40670-018-0595-5

Cite this

@article{98f8978929dc4dc8ac7711a98e3ac527,

title = "Medical Students{\textquoteright} Evaluation of Scientific Evidence and Their Justifications for Their Clinical Decisions: a Pilot Study",

abstract = "Medical school curricula teach students to apply scientific evidence for clinical decision-making. Research on whole-task evidence-based decision-making suggests that appraisal of scientific evidence is a challenge for trainees. This pilot study aimed to link medical students{\textquoteright} (MS) appraisal of scientific literature with clinical decision-making to inform future EBM instruction. Fifty-three MS evaluated scientific evidence and provided justifications for their clinical decisions. The MS group (n = 29) receiving more detailed evidence made a correct clinical decision against breast surgery (20; 69%) versus the comparison group (14; 58%; p <.05). MS justified their decisions predominantly on the evidence provided and personal experience.",

keywords = "Clinical decision-making medical curriculum, Evidence-based medicine, Scientific text comprehension",

author = "Christina Cestone and Rachel Lewis and Aronson, {Judith F.} and Celia Chao",

note = "Funding Information: Funding This study was conducted with the support of the Institute for Translational Sciences at the University of Texas Medical Branch, supported in part by a Clinical and Translational Science Award (UL1TR001439) from the National Center for Advancing Translational Sciences, National Institutes of Health. Publisher Copyright: {\textcopyright} 2018, International Association of Medical Science Educators.",

year = "2018",

month = dec,

day = "15",

doi = "10.1007/s40670-018-0595-5",

language = "English (US)",

volume = "28",

pages = "587--590",

journal = "Medical Science Educator",

issn = "2156-8650",

publisher = "Springer New York",

number = "4",

}

TY - JOUR

T1 - Medical Students’ Evaluation of Scientific Evidence and Their Justifications for Their Clinical Decisions

T2 - a Pilot Study

AU - Cestone, Christina

AU - Lewis, Rachel

AU - Aronson, Judith F.

AU - Chao, Celia

N1 - Funding Information: Funding This study was conducted with the support of the Institute for Translational Sciences at the University of Texas Medical Branch, supported in part by a Clinical and Translational Science Award (UL1TR001439) from the National Center for Advancing Translational Sciences, National Institutes of Health. Publisher Copyright: © 2018, International Association of Medical Science Educators.

PY - 2018/12/15

Y1 - 2018/12/15

N2 - Medical school curricula teach students to apply scientific evidence for clinical decision-making. Research on whole-task evidence-based decision-making suggests that appraisal of scientific evidence is a challenge for trainees. This pilot study aimed to link medical students’ (MS) appraisal of scientific literature with clinical decision-making to inform future EBM instruction. Fifty-three MS evaluated scientific evidence and provided justifications for their clinical decisions. The MS group (n = 29) receiving more detailed evidence made a correct clinical decision against breast surgery (20; 69%) versus the comparison group (14; 58%; p <.05). MS justified their decisions predominantly on the evidence provided and personal experience.

AB - Medical school curricula teach students to apply scientific evidence for clinical decision-making. Research on whole-task evidence-based decision-making suggests that appraisal of scientific evidence is a challenge for trainees. This pilot study aimed to link medical students’ (MS) appraisal of scientific literature with clinical decision-making to inform future EBM instruction. Fifty-three MS evaluated scientific evidence and provided justifications for their clinical decisions. The MS group (n = 29) receiving more detailed evidence made a correct clinical decision against breast surgery (20; 69%) versus the comparison group (14; 58%; p <.05). MS justified their decisions predominantly on the evidence provided and personal experience.

KW - Clinical decision-making medical curriculum

KW - Evidence-based medicine

KW - Scientific text comprehension

UR - http://www.scopus.com/inward/record.url?scp=85061935470&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061935470&partnerID=8YFLogxK

U2 - 10.1007/s40670-018-0595-5

DO - 10.1007/s40670-018-0595-5

M3 - Article

AN - SCOPUS:85061935470

SN - 2156-8650

VL - 28

SP - 587

EP - 590

JO - Medical Science Educator

JF - Medical Science Educator

IS - 4

ER -

Medical Students’ Evaluation of Scientific Evidence and Their Justifications for Their Clinical Decisions: a Pilot Study

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this