Abstract
Objectives
Urologists believe evidence-based clinical practice improves patient care. Competence in critical appraisal skills is necessary to successfully implement evidence-based practice. However, practicing urologists, urology program training directors, and residents have identified the need for urology-specific resources to promote competence in evidence-based practice. The objective of this review is to identify urology-specific educational resources for critical appraisal skills.
Methods
The PubMed® database was searched using the terms “evidence-based urology”, “training” and “medical education.” Results were limited to systematic reviews. Reference lists for manuscripts were manually searched to identify additional relevant publications. Additional educational resources and training opportunities were identified via direct communication with authors.
Results
New urology-specific educational resources are being developed to support evidence-based clinical practice. Resources exist in the medical literature, including the User’s Guide to the Urological Literature series and the Evidence-Based Urology in Practice series. Electronic resources include the Evidence Based Reviews in Urology program sponsored by the American Urological Association. Finally, workshops exist for live training to develop expertise in teaching EBM skills to others.
Conclusion
Educational support for the nascent evidence-based clinical practice movement in urology is growing. Journals provide the majority of urology-specific educational material for evidence-based medicine training. Additional online and live training opportunities should be developed to encourage competence and leadership in evidence-based urology.
Similar content being viewed by others
References
Sackett DL, Rosenberg WM, Gray JA et al (1996) Evidence based medicine: what it is and what it isn’t. Bmj 312:71
Sur RL, Scales CD Jr, Preminger GM et al (2006) Evidence-based medicine: a survey of American urological association members. J Urol 176:1127
Dahm P, Poolman RW, Bhandari M et al (2009) Perceptions and competence in evidence-based medicine: a survey of the American urological association membership. J Urol 181:767
Dahm P, Preminger GM, Scales CD Jr et al (2009) Evidence-based medicine training in residency: a survey of urology programme directors. BJU Int 103:290
Roth K, Siemens DR (2010) The status of evidence-based medicine education in urology residency. Can Urol Assoc J 4:114
Scales CD Jr, Voils CI, Fesperman SF et al (2008) Barriers to the practice of evidence-based urology. J Urol 179:2345
Guyatt G, Rennie D, Meade MO et al (2008) Users’ guides to the medical literature: a manual for evidence-based clinical practice, 2nd edn. The McGraw-Hill Companies, New York
Scales CD Jr, Preminger GM, Keitz SA et al (2007) Evidence based clinical practice: a primer for urologists. J Urol 178:775
Krupski TL, Dahm P, Fesperman SF et al (2008) User’s guide to the urologic literature: how to perform a literature search. J Urol
Breau RH, Dahm P, Fergusson DA et al (2009) Understanding results. J Urol 181:985
Singh JC, Dahm P (2009) Evidence-based urology in practice: what are levels of evidence? BJU Int 103:860
Canfield SE, Dahm P (2010) Evidence-based urology in practice: incorporating patient values in evidence-based clinical decision making. BJU Int 105:4
Krupski TL, Schardt CM, Fesperman SF et al (2009) Evidence-based urology in practice: how to use PubMed effectively. BJU Int 103:1156
Hajebrahimi S, Dahm P, Buckingham J (2009) Evidence-based urology in practice: the Cochrane library. BJU Int 104:1048
Breau RH, Fergusson D, Dahm P (2009) Evidence-based urology in practice: number needed to treat. BJU Int 104:6
Scales CD Jr, Zarei M, Dahm P (2009) Evidence-based urology in practice: likelihood ratios. BJU Int 104:892
Lavallee LT, Dahm P, Breau RH (2010) Evidence-based urology in practice: composite endpoints. BJU Int 106:610
MacDonald SL, Scales CD Jr, Dahm P (2010) Evidence-based urology in practice: P values vs. confidence intervals. BJU Int 106:758
Wang SS, Ou YC, Cheng CL et al (2010) Evidence-based urology in practice: when to believe a subgroup analysis? BJU Int 105:162
Imamura M, Cook J, Maclennan S et al (2010) Evidence-based urology in practice: heterogeneity in a systematic review meta-analysis. BJU Int 105:770
Mazel JW, Dahm P (2009) Evidence-based urology in practice: intention-to-treat analysis. BJU Int 104:582
Canfield SE, Sultan S, Dahm P (2010) Evidence-based urology in practice: randomized controlled trials stopped early for benefit. BJU Int 106:962
Scales CD Jr, Dahm P, Sultan S et al (2008) How to use an article about a diagnostic test. J Urol 180:469
Tseng TY, Dahm P, Poolman RW et al (2008) How to use a systematic literature review and meta‐analysis. J Urol 180:1249
Bajammal S, Dahm P, Scarpero HM et al (2008) How to use an article about therapy. J Urol 180:1904
Dahm P, Yeung LL, Gallucci M et al (2009) How to use a clinical practice guideline. J Urol 181:472
Dahm P, Gilbert SM, Zlotecki RA et al (2010) How to use an article about prognosis. J Urol 183:1303
Tseng TY, Stoffs TL, Dahm P (2010) Evidence‐based urology in practice: publication bias. BJU Int 106:318
Karl A, Akl EA, Moy ML et al (2010) Evidence‐based urology in practice: loss to follow-up. BJU Int 106:24
Sur RL, Dahm P (2010) Evidence‐based urology in practice: Kaplan‐Meier analysis. BJU Int 105:1360
Conflict of interest
Dr. Scales is a member of the Steering Committee for the Evidence-Based Reviews in Urology program sponsored by the Office of Education of the American Urological Association. In addition, he has been invited to serve on the faculty of the 2011 Teaching and Leading EBM workshop at Duke University. Dr. Scales is the Resident Member of the Review Committee for Urology of the Accreditation Council for Graduate Medical Education.
Author information
Authors and Affiliations
Consortia
Corresponding author
Rights and permissions
About this article
Cite this article
Scales, C.D., for the International Evidence-Based Urology Working Group. Education and training in evidence-based urology. World J Urol 29, 325–329 (2011). https://doi.org/10.1007/s00345-011-0651-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00345-011-0651-x