OBJECTIVES: This study describes how information retrieval skills are taught in evidence-based medicine (EBM) at the undergraduate medical education (UGME) level. METHODS: The authors systematically searched MEDLINE, Scopus, Educational Resource Information Center, Web of Science, and Evidence-Based Medicine Reviews for English-language articles published between 2007 and 2012 describing information retrieval training to support EBM. Data on learning environment, frequency of training, learner characteristics, resources and information skills taught, teaching modalities, and instructor roles were compiled and analyzed. RESULTS: Twelve studies were identified for analysis. Studies were set in the United States (9), Australia (1), the Czech Republic (1), and Iran (1). Most trainings (7) featured multiple sessions with trainings offered to preclinical students (5) and clinical students (6). A single study described a longitudinal training experience. A variety of information resources were introduced, including PubMed, DynaMed, UpToDate, and AccessMedicine. The majority of the interventions (10) were classified as interactive teaching sessions in classroom settings. Librarians played major and collaborative roles with physicians in teaching and designing training. Unfortunately, few studies provided details of information skills activities or evaluations, making them difficult to evaluate and replicate. CONCLUSIONS: This study reviewed the literature and characterized how EBM search skills are taught in UGME. Details are provided on learning environment, frequency of training, level of learners, resources and skills trained, and instructor roles. IMPLICATIONS: The results suggest a number of steps that librarians can take to improve information skills training including using a longitudinal approach, integrating consumer health resources, and developing robust assessments.

Director of Research and Instruction Lane Medical Library Stanford University School of Medicine 300 Pasteur Drive Room L 109 Stanford CA 94395; Administrator MD Admissions Undergraduate Medical Education University of Alberta 1 002 Katz Group Centre for Pharmacy and Health Research Edmonton AB Canada

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Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence-based medicine: what it is and what it isn't. BMJ. 1996 Jan;312(7023):71–2. PubMed PMC

Berwick DM. Broadening the view of evidence-based medicine. Qual Saf Health Care. 2005 Oct;14(5):315–6. PubMed PMC

Straus SE, Richardson WS, Glasziou P, Haynes RB. Evidence-based medicine: how to practice and teach it. Edinburgh, UK: Churchill Livingstone; 2011.

Just ML. Is literature search training for medical students and residents effective? a literature review. J Med Lib Assoc. 2012 Oct;100(4):270–6. DOI: http://dx.doi.org/10.3163/1536-5050.100.4.008. PubMed PMC

Green ML, Ruff TR. Why do residents fail to answer their clinical questions? a qualitative study of barriers to practicing evidence-based medicine. Acad Med. 2005 Feb;80(2):176–82. PubMed

Zwolsman SE, Te Pas E, Hooft L, Wieringa-de Waard M, van Dijk N. Barriers to GPs' use of evidence-based medicine: a systematic review. Br J Gen Pract. 2012 Jul;62(600):e511–21. PubMed PMC

Rengerink KO, Zwolsman SE, Ubbink DT, Mol B, van Dijk N, Vermeulen H. Tools to assess evidence-based practice behavior among healthcare professionals. Evid Based Med. 2013 Aug;18(4):129–38. PubMed

Te Pas E, van Dijk N, Bartelink MEL, Wieringa-de Waard M. Factors influencing the EBM behavior of GP trainers: a mixed method study. Med Teach. 2013 May;35(3):e990–7. PubMed

Brettle A. Information skills training: a systematic review of the literature. Health Info Lib J. 2003 Jun;20(s1):3–9. PubMed

Maggio LA, Tannery NH, Chen HC, ten Cate O, O'Brien B. Evidence-based medicine training in undergraduate medical education: a review and critique of the literature published 2006–2011. Acad Med. 2013 Jul;88(7):1022–8. PubMed

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLOS Med. 2009 Jul;6(7):e1000100. PubMed PMC

Hammick M, Dornan T, Steinert Y. Conducting a best evidence systematic review. part 1: from idea to data coding. BEME guide no. 13. Med Teach. 2010 Jan;32(1):3–15. PubMed

Khan KS, Coomarasamy A. A hierarchy of effective teaching and learning to acquire competence in evidenced-based medicine. BMC Med Educ. 2006 Dec;6:59. PubMed PMC

Chen HC, Tan JP, O'Sullivan P, Boscardin C, Li A, Muller J. Impact of an information retrieval and management curriculum on medical student citations. Acad Med. 2009 Oct;84(10 suppl):S38–41. PubMed

Geyer EM, Irish DE. Isolated to integrated: an evolving medical informatics curriculum. Med Ref Serv Q. 2008 Winter;27(4):451–61. PubMed

Ilic D, Tepper K, Misso M. Teaching evidence-based medicine literature searching skills to medical students during the clinical years: a randomized controlled trial. J Med Lib Assoc. 2012 Jul;100(3):190–6. DOI: http://dx.doi.org/10.3163/1536-5050.100.3.009. PubMed PMC

Kaneshiro KN, Emmett TW, London SK, Ralston RK, Richwine MW, Skopelja EN, Brahmi FA, Whipple E. Use of an audience response system in an evidence-based mini-curriculum. Med Ref Serv Q. 2008 Fall;27(3):284–301. PubMed

Maggio LA, Posley KA. Training the trainers: teaching clinician educators to provide information literacy skills feedback. J Med Lib Assoc. 2011 Jul;99(3):258–61. DOI: http://dx.doi.org/10.3163/1536-5050.99.3.014. PubMed PMC

Morley SK, Hendrix IC. “Information Survival Skills”: a medical school elective. J Med Lib Assoc. 2012 Oct;100(4):297–302. DOI: http://dx.doi.org/10.3163/1536-5050.100.4.012. PubMed PMC

O'Dwyer L, Kerns SC. Evolution of an information literacy curriculum for third-year medical students. Med Ref Serv Q. 2011 Fall;30(3):221–32. PubMed

Potomkova J, Mihal V, Zapletalova J, Subova D. Integration of evidence-based practice in bedside teaching paediatrics supported by e-learning. Biomedical Papers. 2010 Mar;154(1):83–8. PubMed

Sastre EA, Denny JC, McCoy JA, McCoy AB, Spickard A., 3rd Teaching evidence-based medicine: impact on students' literature use and inpatient clinical documentation. Med Teach. 2011 Jun;33(6):e306–12. PubMed

Schimming LM. Measuring medical student preference: a comparison of classroom versus online instruction for teaching PubMed. J Med Lib Assoc. 2008 Jul;96(3):217–22. DOI: http://dx.doi.org/10.3163/1536-5050.96.3.007. PubMed PMC

Taheri H, Mirmohamadsadeghi M, Adibi I, Ashorion V, Sadeghizade A, Adibi P. Evidence-based medicine (EBM) for undergraduate medical students. Ann Acad Med Singapore. 2008 Sep;37(9):764–8. PubMed

Tuttle BD, Isenburg MV, Schardt C, Powers A. PubMed instruction for medical students: searching for a better way. Med Ref Serv Q. 2009 Fall;28(3):199–210. PubMed

Durning SJ, Artino AR, Jr, Pangaro LN, van der Vleuten C, Schuwirth L. Perspective: redefining context in the clinical encounter: implications for research and training in medical education. Acad Med. 2010 May;85(5):894–901. PubMed

Herrington J, Oliver R, Reeves TC. Patterns of engagement in authentic online learning environments. Aust J Educ Technol [Internet] 2003;19(1):59–71 [cited 15 Sep 2013]. < http://www.ascilite.org.au/ajet/ajet19/herrington.html>.

Famiglio LM, Thompson MA, Kupas DF. Considering the clinical context of medical education. Acad Med. 2013 Sep;88(9):1202–5. PubMed

Kneebone R. Simulation in surgical training: educational issues and practical implications. Med Educ. 2003 Mar;37(3):267–77. PubMed

Davis J, Crabb S, Roders E, Zamora J, Khan K. Computer-based teaching is as good as face to face lecture-based teaching of evidence-based medicine: a randomized controlled trial. Med Teach. 2008 Jan;30(3):302–7. PubMed

Schilling K, Wiecha J, Polineni D, Khalil S. An interactive web-based curriculum on evidence-based medicine: design and effectiveness. Fam Med. 2006 Feb;38(2):126–32. PubMed

Prober CG, Khan S. Medical education reimagined: a call to action. Acad Med. 2013 Oct;88(10):1407–10. PubMed

Hlavaty G, Townsend M. The library's new relevance: fostering the first-year student's acquisition, evaluation, and integration of print and electronic materials. Teaching English Two Year Coll. 2010 Dec;38(2):149–60.

Houlson V. Getting results from one-shot instruction: a workshop for first-year students. Coll Undergrad Lib. 2007;14(1):89–105.

Martin F, Klein JD, Sullivan H. The impact of instructional elements in computer-based instruction. Br J Educ Technol. 2007 Jul;38(4):623–36.

Mackay S, Morgan P, Datta V, Chang A, Darzi A. Practice distribution in procedural skills training. Surg Endosc. 2002 Jun;16(6):957–61. PubMed

Moulton CE, Dubrowski A, MacRae H, Graham B, Grober E, Reznick R. Teaching surgical skills: what kind of practice makes perfect. Ann Surg. 2006 Sep;244(3):400–9. PubMed PMC

Ismach RB. Teaching evidence-based medicine to medical students. Acad Emerg Med. 2004 Dec;11(12):e6–10. PubMed

Srinivasan M, Weiner M, Breitfeld PP, Brahmi F, Dickerson KL, Weiner G. Early introduction of an evidence-based medicine course to preclinical medical students. J Gen Intern Med. 2002 Jan;17(1):58–65. PubMed PMC

Holloway R, Nesbit K, Bordley D, Noyes K. Teaching and evaluating first and second year medical students' practice of evidence-based medicine. Med Educ. 2004 Aug;38(8):868–78. PubMed

Nieman LZ, Cheng L, Foxhall LE. Teaching first-year medical students to apply evidence-based practices to patient care. Fam Med. 2009 May;41(5):332–6. PubMed

Dorsch JL, Aiyer MK, Meyer LE. Impact of an evidence-based medicine curriculum on medical students' attitudes and skills. J Med Lib Assoc. 2004 Oct;92(4):397–406. PubMed PMC

Van Merriënboer JJ, Clark RE, De Croock MB. Blueprints for complex learning: the 4C/ID-model. Educ Technol Res Dev. 2002 Jun;50(2):39–61.

Maggio LA, Steinberg RM, Moorhead L, O'Brien B, Willinsky J. Access of primary and secondary literature by health personnel in an academic health center: implications for open access. J Med Lib Assoc. 2013 Jul;101(3):205–12. DOI: http://dx.doi.org/10.3163/1536-5050.101.3.010. PubMed PMC

Davies K. The information-seeking behavior of doctors: a review of the evidence. Health Info Lib J. 2007 Jun;24(2):78–94. PubMed

Romana HW. Is evidence-based medicine patient-centered and is patient-centered care evidence-based. Health Serv Res. 2006 Feb;41(1):1–8. PubMed PMC

Cooper ID, Crum JA. New activities and changing roles of health sciences librarians: a systematic review, 1990–2012. J Med Lib Assoc. 2013 Oct;101(4):268–77. DOI: http://dx.doi.org/10.3163/1536-5050.101.4.008. PubMed PMC

Merrill MD. First principles of instruction. Educ Technol Res Dev. 2002 Sep;50(3):43–59.

Eldredge JD, Bear DG, Wayne SJ, Perea PP. Student peer assessment in evidence-based medicine (EBM) searching skills training: an experiment. J Med Lib Assoc. 2013 Oct;101(4):244–51. DOI: http://dx.doi.org/10.3163/1536-5050.101.4.003. PubMed PMC

Dorsch JL, Perry G. Evidence-based medicine at the intersection of research interests between academic health sciences librarians and medical educators: a review of the literature. J Med Lib Assoc. 2012 Oct;100(4):251–7. DOI: http://dx.doi.org/10.3163/1536-5050.100.4.006. PubMed PMC