To prepare residents to handle the vast amount of scientific and clinical information available to them, CHOP offers a formal evidence-based medicine (EBM) curriculum that spans three years of training, and offers many opportunities to implement EBM skills in real-time patient care activities.
Progression of the EBM curriculum
The EBM curriculum draws on the expertise of faculty from many divisions including Emergency Medicine, General Pediatrics, Pulmonary Medicine and Infectious Diseases.
- During the first year, interns build foundational skills in developing questions and literature seeking and retrieval skills as well as how to catalogue the information they find using the expansive University of Pennsylvania’s online library resources. Basic EBM skills are applied to a practical clinical problem identified by the intern’s clinical experiences. In small groups, interns work through case scenarios and assess their skills as they are applied.
- In the second year, this curriculum expands with topics focusing on elements of study design and understanding how to interpret the literature assembled to address a specific question. Residents gather and appraise literature to inform a critically appraised topic.
- At the end of the rotation, residents present their findings and recommendations to their peers — findings grounded in the literature they assembled and synthesized.
Advocacy Journal Club
The growing evidence base for advocacy research has also been incorporated into our EBM curriculum in the form of our Advocacy Journal Club, where third-year residents on their Advocacy Month present a topic with mentoring from a faculty member. Residents consider the research design, statistical methods and conclusions as they critique the manuscript chosen.
Practicing EBM skills
Real-time implementation of EBM skills occurs in a variety of settings. During morning report, specific questions that arise during clinical discussions may be addressed with targeted literature search strategies and discussion of the findings. Beyond the formal curriculum, residents will practice EBM daily as they care for patients and participate on clinical teams.