EU EBM Unity Project: implementing systematic reviews into patient care through a unified European curriculum in evidence-based medicine

Article type
Authors
Kunz R, Arvanitis T, Burls A, Gibbons S, Horvath R, Khan K, Kaczor M, Mol B
Abstract
Background: Systematic reviews such as Cochrane reviews are an important source to inform evidence-based patient care. Nevertheless, it remains a big challenge to integrate systematic reviews in the day-to-day decision making process for healthcare practitioners. In order to overcome recognised barriers in translating evidence into immediate guidance for patient care the Leonardoda- Vinci Programme of the European Union has funded the development of a European-wide so-called 'integrated' evidence-based medicine (EBM) curriculum.

Objectives: To develop an integrated European EBM curriculum that focuses on the implementation of high quality findings from systematic reviews in patient care and thereby help practitioners to change not only knowledge and skills, but also behaviour in patient care.

Methods: Performance of national surveys to map existing learning and teaching opportunities in EMB and identify clinical, cultural and language barriers that might impede the implementation of the project. Design and pilot an EBM-teaching and -learning unit integrated in daily patient care using systematic reviews / meta-analyses which can then be used as a blueprint for other modules.

Results: Eight countries participate (UK, Germany, Hungary, Italy, the Netherlands, Poland, Spain and Switzerland). Recently, the national mapping of existing learning opportunities for EBM has started to identify achievements and needs in each country. The results of this survey will be presented. In parallel, we present the first results on the learning module on systematic reviews and its integration in individual patient care as a blueprint for other modules.

Conclusions: This presentation will share the idea and the ongoing work of a unified integrated EBM curriculum to an international audience. A subsequent workshop will seek an in-depth discussion with the international community about our module, about perceived and real challenges to implement the curriculum in clinical settings and about options to overcome language barriers and cultural differences.