Knowledge, Attitudes, Skills, and Practices regarding Evidence-Based Medicine among Clinical Staff and Medical Students in their Clinical Years: A Study in a Medical School in Thailand
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Abstract
This cross-sectional analytical study aims to evaluate the knowledge, attitudes, skills, and behaviors related to evidence-based medicine among clinical staff and medical students in their clinical years. This study also aims to examine factors associated with EBM use among these students. A total of 126 fourth- to sixth-year medical students and 130 clinical staff were selected through multistage sampling to participate in the study. Data were collected via an online questionnaire from August 2023 to August 2024. Descriptive statistics and multivariate logistic regression were used analyze the data. The results showed that clinical staff generally had positive attitudes toward EBM and played a key role in promoting its use among students. Faculty in core medical departments, particularly those emphasizing database-driven information retrieval, were more involved in promoting EBM than faculty in other clinical departments. Most medical students had insufficient EBM knowledge (89%), despite having predominantly positive attitudes (95%) and high EBM usage (66%). There were no significant differences in knowledge, attitudes, skills, or behaviors across clinical years. Positive attitudes (adjusted odds ratio, AOR=4.11; 95% confidence interval (CI): 1.84ñ9.21), research experience (AOR=2.62; 95% CI: 1.12ñ6.13), and low perceived barriers (AOR=2.65; 95% CI: 1.19ñ5.89) were significantly associated with EBM use among medical students. These findings therefore highlight the importance of enhancing EBM knowledge and skills to improve learning and the effectiveness of clinical practice sustainably.
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