Medicine residents' understanding of the biostatistics and results in the medical literature.

作者: Donna M. Windish , Stephen J. Huot , Michael L. Green

DOI: 10.1001/JAMA.298.9.1010

关键词:

摘要: degrees(50.0%[95%CI,44.5%-55.5%]vs40.1%[95%CI,38.3%-42.0%];P.001); prior biostatistics training (45.2% [95% CI, 42.7%-47.8%] vs 37.9% 35.4%40.3%]; P=.001); enrollment in a university-based program (43.0% 41.0%-45.1%] 36.3% 32.6%-40.0%];P=.002); and male sex (44.0% 41.4%-46.7%] 38.8% 36.4%-41.1%]; P=.004). On individual knowledge questions, 81.6% correctly interpreted relative risk. Residents were less likely to know how interpret an adjusted odds ratio from multivariate regression analysis (37.4%) or the results of Kaplan-Meier (10.5%). Seventy-five percent indicated they did not understand all statistics encountered journal articles, but 95% felt it was important these concepts be intelligent reader literature. Conclusions Most residents this study lacked needed many published clinical research. Residency programs should include more effective their curricula successfully prepare for lifelong learning skill.

参考文章(29)
Cheatham Ml, A structured curriculum for improved resident education in statistics. American Surgeon. ,vol. 66, pp. 585- ,(2000)
Marshall Godwin, Rachelle Seguin, Critical appraisal skills of family physicians in Ontario, Canada. BMC Medical Education. ,vol. 3, pp. 10- 10 ,(2003) , 10.1186/1472-6920-3-10
Khalid S Khan, Arri Coomarasamy, A hierarchy of effective teaching and learning to acquire competence in evidenced-based medicine BMC Medical Education. ,vol. 6, pp. 59- 59 ,(2006) , 10.1186/1472-6920-6-59
Michael L. Green, Evidence-based medicine training in internal medicine residency programs a national survey. Journal of General Internal Medicine. ,vol. 15, pp. 129- 133 ,(2000) , 10.1046/J.1525-1497.2000.03119.X
Lois A. Jackson, Peter L. Twohig, Wayne Putnam, Jafna L. Cox, Frederick I. Burge, A qualitative study of evidence in primary care: what the practitioners are saying Canadian Medical Association Journal. ,vol. 166, pp. 1525- 1530 ,(2002)
Brent W. Beasley, Douglas C. Woolley, Evidence-based medicine knowledge, attitudes, and skills of community faculty. Journal of General Internal Medicine. ,vol. 17, pp. 632- 639 ,(2002) , 10.1046/J.1525-1497.2002.11110.X
Henrik R. Wulff, Bjørn Andersen, Preben Brandenhoff, Flemming Guttler, What do doctors know about statistics Statistics in Medicine. ,vol. 6, pp. 3- 10 ,(1987) , 10.1002/SIM.4780060103
Nicholas J. Horton, Suzanne S. Switzer, Statistical methods in the journal. The New England Journal of Medicine. ,vol. 353, pp. 1977- 1979 ,(2005) , 10.1056/NEJM200511033531823