Evidence-based medicine

Discrepancy between perceived competence and actual performance among graduating medical students

Opher Caspi, Patrick Mcknight, Lillian Kruse, Victoria Cunningham, Aurelio J Figueredo, Lee Sechrest

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Since at the time of graduation from medical school physicians are expected to demonstrate adequate professional competence including mastery of critical appraisal skills, we conducted a preliminary, cross-sectional, web-based study to examine the extent to which fourth year medical students in the US are competent in core areas of evidence-based medicine (EBM). Using self-assessment instruments, subjects (n = 150) were asked to demonstrate their ability to understand the practical meaning of key methodological and data analysis constructs as they relate to patient care, to rate their perceived competence in core areas of EBM and to disclose their attitudes toward critical appraisal of the literature and EBM. The mean score in our cohort was 55% suggesting that students may have knowledge gaps that interfere with their ability to critically appraise the medical literature. There was an apparent chasm between subjects' perceived competence and their actual performance on the assessment instrument. These findings, if corroborated in larger studies, (1) suggest that better education in EBM is needed so as to avoid the possibility that patient care may inadvertently be jeopardized; and (2) cast doubt on the use of self-assessed knowledge as a proxy for actual skills with respect to EBM and medical decision-making.

Original languageEnglish (US)
Pages (from-to)318-325
Number of pages8
JournalMedical Teacher
Volume28
Issue number4
DOIs
StatePublished - Jun 2006

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Evidence-Based Medicine
Medical Students
Mental Competency
medical student
medicine
Aptitude
performance
evidence
patient care
Patient Care
Professional Competence
knowledge gap
ability
Proxy
self-assessment
Medical Schools
data analysis
physician
Students
Physicians

ASJC Scopus subject areas

  • Nursing(all)
  • Education
  • Public Health, Environmental and Occupational Health

Cite this

Evidence-based medicine : Discrepancy between perceived competence and actual performance among graduating medical students. / Caspi, Opher; Mcknight, Patrick; Kruse, Lillian; Cunningham, Victoria; Figueredo, Aurelio J; Sechrest, Lee.

In: Medical Teacher, Vol. 28, No. 4, 06.2006, p. 318-325.

Research output: Contribution to journalArticle

Caspi, Opher ; Mcknight, Patrick ; Kruse, Lillian ; Cunningham, Victoria ; Figueredo, Aurelio J ; Sechrest, Lee. / Evidence-based medicine : Discrepancy between perceived competence and actual performance among graduating medical students. In: Medical Teacher. 2006 ; Vol. 28, No. 4. pp. 318-325.
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