Evidence-based Medicine: Perceptions, Attitudes, and Skills Among European Urology Residents

dc.contributor.authorGonzález Padilla, Daniel A.
dc.contributor.authorSubiela, José Daniel
dc.contributor.authorCarrion, Diego M.
dc.contributor.authorEsperto, Francesco
dc.contributor.authorGómez Rivas, Juan
dc.contributor.authorKhadhouri, Sinan
dc.contributor.authorMantica, Guglielmo
dc.date.accessioned2024-11-07T10:40:18Z
dc.date.available2024-11-07T10:40:18Z
dc.date.issued2022
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractBackground: Evidence-based medicine (EBM) was introduced as a concept in the early 1990s as an integration of the best available evidence with clinical expertise and patient values. Objective: To evaluate the current status of EBM training and EBM perception, attitudes, and self-perceived skills among European urology residents. Design, setting, and participants: Our online open survey comprised 28 multiple-choice items, including ten questions with responses on a five-point Likert scale ranging from 1 = strongly disagree to 5 = strongly agree. The survey was distributed via the mailing lists and social media accounts of the European Society of Residents in Urology, German Society of Residents in Urology, French Society of Urologists in Training, Spanish Urology Residents Working Group, Italian Society of Residents in Urology, and the Urology Social Media Working Group in two rounds (May–July 2019 and July 2020). We excluded responses from non-European countries. Outcome measurements and statistical analysis: The online open survey comprised 28 multiple-choice items. These included ten questions with answers on a five-point Likert scale with response items ranging from strongly disagree (score of 1) to strongly agree (score of 5). Results and limitations: We received 210 responses, of which 181 from 23 European countries were eligible. Approximately three-quarters (73.7%) of the respondents were male, with a mean age of 31 yr. Only 28.2% reported EBM training as part of their urology curriculum and 19.3% felt that the training they received was sufficient to guide their daily practice. An overwhelming majority (91.5%) stated that they would be interested in more formalized EBM training or additional training. There was a strong level of agreement (median score 5, interquartile range 4–5) that EBM is important for daily medical and surgical practice and that it improves patient care. Overall, the mean self-perceived understanding of basic EBM concepts was good. Limitations include concerns about generalizability given its internet-based format, the inability to calculate a response rate, poor representation from some European regions, and limited sample size. Conclusions: Our survey suggests that European urology residents receive a limited amount of EBM training despite considerable appreciation, interest, and self-perceived deficits for more advanced concepts. Formal integration of EBM teaching in all European residency programs should be considered. Patient summary: We performed an online survey of urology residents in Europe. We found that residents have positive perceptions of and attitudes to evidence-based medicine but most programs lack formal training in this area. © 2022 The Author(s)
dc.identifier.doi10.1016/j.euros.2022.08.023
dc.identifier.endpage49
dc.identifier.issn2666-1691
dc.identifier.scopus2-s2.0-85139033835
dc.identifier.scopusqualityQ2
dc.identifier.startpage44
dc.identifier.urihttps://doi.org/10.1016/j.euros.2022.08.023
dc.identifier.urihttps://hdl.handle.net/11480/11558
dc.identifier.volume45
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherElsevier B.V.
dc.relation.ispartofEuropean Urology Open Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectAttitudes
dc.subjectEducation
dc.subjectEvidence-based medicine
dc.subjectPerception
dc.subjectResidency
dc.subjectSkills
dc.subjectSurvey
dc.subjectTraining
dc.subjectUrology
dc.titleEvidence-based Medicine: Perceptions, Attitudes, and Skills Among European Urology Residents
dc.typeArticle

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