Objectives: To understand trainee experiences of participating in a living systematic review (LSR) for rheumatoid arthritis and the potential benefits in terms of experiential evidence-based medicine (EBM) education. Study Design and Setting: We conducted a mixed-methods study with trainees who participated in the LSR and who were recruited broadly from training programs in two countries. Trainees received task-specific training and completed one or more tasks in the review: assessing article eligibility, data extraction, and quality assessment. Trainees completed a survey followed by a one-on-one interview. Data were triangulated to produce broad themes. Results: Twenty one trainees, most of whom had a little prior experience with systematic reviews, reported a positive overall experience. Key benefits included learning opportunities, task segmentation (ability to focus on a single task, as opposed to an entire review), working in a supportive environment, international collaboration, and incentives such as authorship or acknowledgment. Trainees reported improvement in their competency as a Scholar, Collaborator, Leader, and Medical Expert. Challenges included communication and technical difficulties and appropriate matching of tasks to trainee skillsets. Conclusion: Participating in an LSR provided benefits to a wide range of trainees and may provide an opportunity for experiential EBM training, while helping LSR sustainability. (C) 2022 Elsevier Inc. All rights reserved.
目的:了解学员参与类风湿性关节炎动态系统综述(LSR)的经历,以及在体验式循证医学(EBM)教育方面的潜在益处。
研究设计与背景:我们对参与LSR的学员进行了一项混合方法研究,这些学员广泛来自两个国家的培训项目。学员接受了特定任务的培训,并在综述中完成了一项或多项任务:评估文章的合格性、数据提取和质量评估。学员完成了一项调查,随后进行了一对一访谈。对数据进行三角测量以得出广泛的主题。
结果:21名学员(其中大多数之前几乎没有系统综述的经验)报告总体体验良好。主要益处包括学习机会、任务细分(能够专注于单一任务,而非整个综述)、在支持性环境中工作、国际合作以及诸如署名或致谢等激励措施。学员报告称其作为学者、合作者、领导者和医学专家的能力有所提高。挑战包括沟通和技术困难以及任务与学员技能的恰当匹配。
结论:参与LSR为众多学员带来了益处,并可能为体验式EBM培训提供机会,同时有助于LSR的可持续性。(C)2022爱思唯尔公司。保留所有权利。