Volume 6, Issue 1 (1-2022)                   EBHPME 2022, 6(1): 5-15 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ahmady S, Salari H, Esfandiari A, Nemati R, Habibi A. Design, Implementation, and Evaluation of Physicians Empowerment Course for Evidence-Based MRI Prescription at Bushehr University of Medical Sciences in 2021. EBHPME. 2022; 6 (1) :5-15
URL: http://jebhpme.ssu.ac.ir/article-1-367-en.html
Department of Medical Education, Virtual School of Medical Education and Managment, Shahid Behshti University of Medical Sciences, Tehran, Iran
Abstract:   (163 Views)
Introduction: Evidence-based medicine is considered as a new and reliable approach which has new discussions on judgment to find the best evidence or qualitative evidence. This study was designed in Bushehr province for designing, implementing, and evaluating physician empowerment courses in evidence-based MRI prescriptions in the training hospitals of Bushehr University of Medical Sciences in 2021.
Methods: The present study was an educational scholarship which was conducted in Bushehr province. This study was performed in two phases in accordance with Glassic criteria. A number of five workshops were designed and conducted by researchers using the ADDIE Model in systemic educational design. The course was designed through the review of texts and interviews with experts and in-depth group discussions (FGD) with the presence of seven experts. After that, this training course was evaluated and the end-of-course test was performed using the Kirkpatrick model. In order to evaluate the reaction of participants during the training course, a questionnaire was designed and its face validity and content validity were approved by experts. In addition, a four-choice test was designed based on the presented scientific content to evaluate the learning level of participants. A number of 40 questions were designed for five workshops. Descriptive statistics (frequency, mean) were used in SPSS22 for data analysis.
Results: In terms of gender, 53.7 % were male and 46.3 % were female. In terms of age, 24.4 % were in the age group of 31-35 years. In terms of improving awareness, 34.1 % of participants were at a very good level after the empowerment course. Learning findings indicated that 85.7 % of participants in the final test received a passing score while 14.3 % failed.
Conclusion: In general, the findings of the study indicated that holding an empowerment course for physicians in Bushehr improved their awareness and knowledge. In fact, such improvement in awareness and knowledge can reduce unnecessary prescriptions and treatment costs but improve the quality of services.
Full-Text [PDF 1317 kb]   (43 Downloads) |   |   Full-Text (HTML)  (17 Views)  
Type of Study: Original article | Subject: Health Policy
Received: 2021/11/17 | Accepted: 2022/01/30 | Published: 2022/03/29

1. 1. Huddle TS, Heudebert GR. Taking apart the art: The risk of anatomizing clinical competence. Academic Medicine. 2007; 82(6): 536-41. [DOI:10.1097/ACM.0b013e3180555935]
2. Sackett DL, Rosenberg WM, Gray JM, Haynes RB, Richardson WS. Evidence based medicine: What it is and what it isn't. British Medical Journal Publishing Group. 1996; 312(7023): 71-2. [DOI:10.1136/bmj.312.7023.71]
3. Heneghan C, Badenoch D. Evidence-based medicine toolkit. 2nd edn. Oxford: John Wiley & Sons; 2013.
4. Matsumoto M, Koike S, Kashima S, Awai K. Geographic distribution of CT, MRI and PET devices in Japan: A longitudinal analysis based on national census data. PLoS One. 2015; 10(5): e0126036. [DOI:10.1371/journal.pone.0126036]
5. Blackmore CC, Mecklenburg RS, Kaplan GS. Effectiveness of clinical decision support in controlling inappropriate imaging. Journal of the American College of Radiology. 2011; 8(1): 19-25. [DOI:10.1016/j.jacr.2010.07.009]
6. Papanicolas I, Woskie LR, Jha AK. Health care spending in the United States and other high-income countries. Jama. 2018; 319(10): 1024-39. [DOI:10.1001/jama.2018.1150]
7. Bresnahan BW. Economic evaluation in radiology: Reviewing the literature and examples in oncology. Academic Radiology. 2010; 17(9): 1090-5. [DOI:10.1016/j.acra.2010.05.020]
8. Lehnert BE, Bree RL. Analysis of appropriateness of outpatient CT and MRI referred from primary care clinics at an academic medical center: How critical is the need for improved decision support?. Journal of the American College of Radiology. 2010; 7(3): 192-7. [DOI:10.1016/j.jacr.2009.11.010]
9. Smith-Bindman R, Miglioretti DL, Larson EB. Rising use of diagnostic medical imaging in a large integrated health system. Health Affairs. 2008; 27(6): 1491-502. [DOI:10.1377/hlthaff.27.6.1491]
10. Haji Aghajani M, Hashemi H, Haghdoost A, Noori Hekmat S, Janbabaee Gh, Maher A, et al. Distribution of major medical equipment in Iran in 2016 and the estimation of needs in 2026. Iranian Journal of Epidemiology. 2018; 13(5): 37-47. [In Persian]
11. Palesh M, Fredrikson S, Jamshidi HR, Tomson G, Petzold M. How is magnetic resonance imaging used in Iran?. International Journal of Technology Assessment in Health Care. 2008; 24(4): 452-8. [DOI:10.1017/S0266462308080598]
12. Kotur PF. Introduction of evidence-based medicine in undergraduate medical curriculum for development of professional competencies in medical students. Current Opinion in Anesthesiology. 2012; 25(6): 719-23. [DOI:10.1097/ACO.0b013e32835a1112]
13. Tamim HM, Ferwana M, Banyan EA, Alwan IA, Hajeer AH. Integration of evidence based medicine into a medical curriculum. Medical Education Online. 2009; 14: 15. [DOI:10.3885/meo.2009.F0000225]
14. Hagh Nedgahdar A, Salari H, Esfandiari A, Khammarnia M. Determination of prescription indications of brain MRI using appropriateness RAND in Shiraz University of Medical Sciences. Sadra Medical Journal. 2016; 4(1): 69-76. [In Persian]
15. Salari H, Ravanbod MR, Akbari Sari A, Farzanegan Gh, Esfandiari A. Developing appropriate indications for prescriptions of brain MRI using RAND appropriateness method. Evidence Based Health Policy, Management and Economics. 2017; 1(4): 205-10.
16. Kirkpatrick D, Kirpatrick JD. The kirkpatrick four levels. USA: Kirkpatrick Partners; 2011.
17. Rafiei S, Abdollahzadeh S, Ghajarzadeh M, Habibollahi P, Fayazbakhsh A. The effect of introducing evidence based medicine on critical appraisal skills of medical students. Iranian Journal of Medical Education. 2008; 8(1): 149-53. [In Persian]
18. Mirzaei K, Zahmatkesh S, Amini M. Effect of evidence-based medical education on knowledge and ability to use and apply it among clinical students of Bushehr University of Medical Sciences: A controlled trial. Iranian South Medical Journal. 2016; 19(3): 398-410. [DOI:10.18869/acadpub.ismj.19.3.398]
19. Karimian Z,Kojouri J,Sagheb MM. A review of evidenced-based medical education at universities in and outside Iran. Interdisciplinary Journal of Virtual Learning in Medical Sciences. 2015; 6(1): 64-75. [In Persian]
20. Taheri H, Mirrmohammad Sadeghi M, Adibi I, Ashourioun V, Sadeghizadeh A, Adibi P. The effect of an evidence based medicine workshop on undergraduate medical students' skills in applying Ebm. Iranian Journal of Medical Education. 2006; 6(2): 71-8. [In Persian]
21. Amini M, Sagheb MM ,Moghadami M, Shayegh S. The rate of knowledge and practice of medical residents of Shiraz Medical School in regard to evidence-based medicine. Strides in Development of Medical Education. 2007; 4(1): 30-5. [In Persian]
22. Kalavani A, Kazerani M, Shekofteh M. Evaluation of sbmu residents' knowledge and Use of evidence-based medical databases and concepts. PayavardSalamat. 2018; 12 (1): 34-43. [In Persian]
23. Yoon HB, Shin JS, Bouphavanh K, Kang YM. Evaluation of a continuing professional development training program for physicians and physician assistants in hospitals in Laos based on the Kirkpatrick model. Journal of Educational Evaluation for Health Professions. 2016; 13: 21. [DOI:10.3352/jeehp.2016.13.21]
24. Solivetti FM, Guerrisi A, Salducca N, Desiderio F, Graceffa D, Capodieci G, et al. Appropriateness of knee MRI prescriptions: Clinical, economic and technical issues. La Radiologia Medica. 2016; 121(4): 315-22. [DOI:10.1007/s11547-015-0606-1]
25. Sheehan SE, Coburn JA, Singh H, Vanness DJ, Sittig DF, Moberg DP, et al. Reducing unnecessary shoulder MRI examinations within a capitated health care system: A potential role for shoulder ultrasound. Journal of the American College of Radiology. 2016; 13(7): 780-7. [DOI:10.1016/j.jacr.2016.03.015]
26. Andrade EdO, Andrade ENd, Gallo JH. Case study of supply induced demand: The case of provision of imaging scans (computed tomography and magnetic resonance) at Unimed-Manaus. Revista Da Associacao Medica Brasileira. 2011; 57(2): 138-43. [DOI:10.1016/S0104-4230(11)70034-3]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2022 CC BY-NC 4.0 | Evidence Based Health Policy, Management and Economics

Designed & Developed by : Yektaweb