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A real-world approach to Evidence-Based Medicine in general practice: a competency framework derived from a systematic review and Delphi process

Overview of attention for article published in BMC Medical Education, May 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (92nd percentile)

Mentioned by

blogs
1 blog
twitter
38 tweeters

Citations

dimensions_citation
25 Dimensions

Readers on

mendeley
118 Mendeley
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Title
A real-world approach to Evidence-Based Medicine in general practice: a competency framework derived from a systematic review and Delphi process
Published in
BMC Medical Education, May 2017
DOI 10.1186/s12909-017-0916-1
Pubmed ID
Authors

Kevin Galbraith, Alison Ward, Carl Heneghan

Abstract

Evidence-Based Medicine (EBM) skills have been included in general practice curricula and competency frameworks. However, GPs experience numerous barriers to developing and maintaining EBM skills, and some GPs feel the EBM movement misunderstands, and threatens their traditional role. We therefore need a new approach that acknowledges the constraints encountered in real-world general practice. The aim of this study was to synthesise from empirical research a real-world EBM competency framework for general practice, which could be applied in training, in the individual pursuit of continuing professional development, and in routine care. We sought to integrate evidence from the literature with evidence derived from the opinions of experts in the fields of general practice and EBM. We synthesised two sets of themes describing the meaning of EBM in general practice. One set of themes was derived from a mixed-methods systematic review of the literature; the other set was derived from the further development of those themes using a Delphi process among a panel of EBM and general practice experts. From these two sets of themes we constructed a real-world EBM competency framework for general practice. A simple competency framework was constructed, that acknowledges the constraints of real-world general practice: (1) mindfulness - in one's approach towards EBM itself, and to the influences on decision-making; (2) pragmatism - in one's approach to finding and evaluating evidence; and (3) knowledge of the patient - as the most useful resource in effective communication of evidence. We present a clinical scenario to illustrate how a GP might demonstrate these competencies in their routine daily work. We have proposed a real-world EBM competency framework for general practice, derived from empirical research, which acknowledges the constraints encountered in modern general practice. Further validation of these competencies is required, both as an educational resource and as a strategy for actual practice.

Twitter Demographics

The data shown below were collected from the profiles of 38 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 118 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 118 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 12%
Student > Doctoral Student 13 11%
Other 10 8%
Student > Ph. D. Student 10 8%
Researcher 9 8%
Other 39 33%
Unknown 23 19%
Readers by discipline Count As %
Medicine and Dentistry 37 31%
Nursing and Health Professions 13 11%
Social Sciences 8 7%
Psychology 8 7%
Business, Management and Accounting 6 5%
Other 19 16%
Unknown 27 23%

Attention Score in Context

This research output has an Altmetric Attention Score of 31. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 January 2022.
All research outputs
#999,907
of 21,681,896 outputs
Outputs from BMC Medical Education
#89
of 3,094 outputs
Outputs of similar age
#21,837
of 283,808 outputs
Outputs of similar age from BMC Medical Education
#1
of 1 outputs
Altmetric has tracked 21,681,896 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,094 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.4. This one has done particularly well, scoring higher than 97% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 283,808 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them