A train-the-trainer model for integrating evidence-based medicine training into podiatric medical education

J Am Podiatr Med Assoc. 2005 Sep-Oct;95(5):497-504. doi: 10.7547/0950497.

Abstract

This article presents the development, implementation, and evaluation of a national evidence-based medicine faculty-development program for podiatric medical educators. Ten faculty members representing six accredited colleges of podiatric medicine, one podiatric medical residency program, and a Veterans Affairs podiatry service participated in a 2-day workshop, which included facilitated discussions, minilectures, hands-on exercises, implementation planning, and support after the workshop. Participants' evidence-based medicine skills were measured by retrospective self-reported ratings before and after the workshop. Participants also reported their implementation of "commitments to change" on follow-up surveys at 3 and 12 months. Participants' evidence-based medicine practice and teaching skills improved after the intervention. They listed a total of 84 commitments to change, most of which related to the program objectives. By 12 months after the workshop, participants as a group had fully implemented 24 commitments (32%), partially implemented 36 (48%), and failed to implement 15 (20%) of a total of 75 commitments with follow-up data. The most common barriers to change at 12 months were insufficient resources, systems problems, and short patient visit times. A train-the-trainer faculty-development program can improve self-reported evidence-based medicine skills and behaviors and affect curriculum reform at podiatric medical educational institutions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Curriculum
  • Education, Medical, Continuing / methods*
  • Evidence-Based Medicine / education*
  • Faculty, Medical*
  • Humans
  • Podiatry / education*
  • United States