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Minimal Criteria for Approving Evidence-Based Medicine (EBM) Courses for the Resident by the Saudi Council of Health Specialties

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Page 7 of 9

Assessment (Optional)

  • While the majority of the group agreed on the benefit of evaluating the workshops by the participants. However it was agreed that, for the time being, the formative assessment is optional. The benefits of formative assessments are a lot including feedback to the teachers and course organizers and feedback to the participants on their strong and weak points.
  • Computer based OSCE has been used elsewhere to test the abilities of framing questions, searching, and retrieving appropriate evidence(8).

The assessment for each EBM step is as follow:

1 One or more station covering step 1: Translation of uncertainty into an answerable question as follows:
  • The skills can be assessed by presenting a clinical scenario and asking the student to form a focused, answerable question (included in the Fresno test)(7). This could be done by presenting the question on the screen or in paper and ask the whole group to answer at the same time.
  • One or more question (station) covering step 2 as follows: Search for and retrieval of evidence. This could be done by either giving the search assigned at the end of 2nd day and asking them to bring on the 3rd day or in the form of computer based OSCE
  • One or more station covering step 3 as follows: Critical appraisal of evidence for validity and clinical importance.
  • Tests for critical appraisal of validity including the Fresno test and others, or giving them an article to appraise overnight or during the working day.
2 One or more station covering step 4 as follows: Application of appraised evidence to practice. Objective structured clinical examination (OSCE) involving clinical application and interaction with patient after reading supplied evidence(10).
3 One or more station covering step 5 as follows: Evaluation of performance.
Use of a questionnaire to assess knowledge, attitude and behavior(11).
4 Assignment (optional for courses and the participants):- It is a strong educational tool. Each candidate could write a (500-1000) words EBM report. The report describes the experience of the candidate in the application of the five steps of EBM for a clinical question. The candidate should reflect on how well these activities were performed and what conclusions and lessons were learned.

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