Publications by authors named "Julie Hadley"

Aim: To evaluate the educational effectiveness of a clinically integrated e-learning course for teaching basic evidence-based medicine (EBM) among postgraduate medical trainees compared to a traditional lecture-based course of equivalent content.

Methods: We conducted a cluster randomized controlled trial to compare a clinically integrated e-learning EBM course (intervention) to a lecture-based course (control) among postgraduate trainees at foundation or internship level in seven teaching hospitals in the UK West Midlands region. Knowledge gain among participants was measured with a validated instrument using multiple choice questions.

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Article Synopsis
  • Evidence-based medicine (EBM) is becoming important for improving healthcare, but not many people know how to learn the necessary skills.
  • A survey of 156 course organizers in eight European countries showed there are 403 EBM courses offered, but they are still very limited compared to the number of doctors.
  • Most courses focus on practical learning strategies, but many countries want better training options that are affordable and easy to access.
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Article Synopsis
  • - The study compared the effectiveness of a clinically integrated e-learning course on evidence-based medicine (EBM) with a traditional lecture-based course among postgraduate trainees in obstetrics and gynecology.
  • - Results showed that while the e-learning group had a slightly higher knowledge gain, it was not statistically significant, and attitude changes towards EBM were similar in both groups.
  • - The e-learning course was found to be at least as effective as traditional lectures, with benefits like lower costs and the ability for independent learning, suggesting it should be included in postgraduate EBM training.
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Background: Evidence-based practice (EBP) has become an important competency in many allied and complementary and alternative medicine (CAM) health care practitioners' professional standards of proficiency.

Methods: To compliment an EBP course for allied health care professionals and CAM practitioners, we undertook a questionnaire survey to assess learning needs. We developed a questionnaire to measure allied health care professionals and CAM practitioners' basic knowledge, skills and beliefs concerning the main principles of EBP.

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Background: We developed and evaluated the outcomes of an e-learning course for evidence based medicine (EBM) training in postgraduate medical education in different languages and settings across five European countries.

Methods: We measured changes in knowledge and attitudes with well-developed assessment tools before and after administration of the course. The course consisted of five e-learning modules covering acquisition (formulating a question and search of the literature), appraisal, application and implementation of findings from systematic reviews of therapeutic interventions, each with interactive audio-visual learning materials of 15 to 20 minutes duration.

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Background: Current provision for teaching evidence-based medicine (EBM) to allied, alternative and complementary practitioners is limited. Using sound educational principles, an integrated EBM course was developed with an introductory 1-day workshop and a web-based module. This paper describes the development of the educational curriculum, evaluates its success, and appraises its methods critically.

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Background: Over the last years key stake holders in the healthcare sector have increasingly recognised evidence based medicine (EBM) as a means to improving the quality of healthcare. However, there is considerable uncertainty about the best way to disseminate basic knowledge of EBM. As a result, huge variation in EBM educational provision, setting, duration, intensity, content, and teaching methodology exists across Europe and worldwide.

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Background: We undertook a needs assessment exercise using questionnaire survey of junior doctors' knowledge and beliefs concerning evidence-based medicine (EBM) and critical literature appraisal, as this is a core competence in postgraduate medical education.

Methods: We surveyed 317 junior doctors in various specialities in the UK West Midlands Deanery. Using validated questionnaires we compared the needs of different trainee groups.

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The United Kingdom has a diabetic population of approximately 1.2 million. It is estimated that approximately 15% of all patients with diabetes will develop a foot ulcer in their lifetime.

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