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Disclosure belangen NHG spreker (Potentiële) belangenverstrengeling Geen Voor bijeenkomst mogelijk relevante relaties met bedrijven Sponsoring of onderzoeksgeld Honorarium of andere (financiële) vergoeding Aandeelhouder Andere relatie, namelijk … ZonMw project number: 839130005

Design of the TEE-study: Together for Evident Evidence Lisanne Welink PhD-student / GP-trainee Julius Center for Health Sciences and Primary Care, UMC Utrecht dr. M.E.L. Bartelink 1, dr. E. de Groot 1, dr. P. Pype 2, prof. dr. M. Deveugele 2, prof. dr. R.A.M.J. Damoiseaux 1 1: UMC Utrecht, 2: University of Ghent

Evidence-based medicine (EBM) in general practice Theory Practice Evidence Guidelines Other research Conferences Colleagues … Complicated process  asks for a critical mindset! Gabbay&Le May 2004, Greenhalgh 2014

Learning of EBM-behaviour in general practice Theory Institute Supervisor Trainee Practice Supervisor and trainee might learn from each other through: Observation Talking Eraut 2000, Tynjälä 2013, Zwolsman 2013, Kortekaas 2015, Kortekaas 2016

Aims TEE-study Methodology: To understand how GP supervisors and trainees learn EBM-behavior in daily clinical practice; To describe ways to support and enhance these learning processes in the GP workplace Methodology: Qualitative multicenter study, using video-stimulated recall interviews

Design principles to support and enhance EBM-learning processes Study design TEE-study Design principles to support and enhance EBM-learning processes Earlier results and literature Delphi study with educational experts Focus groups with medical stakeholders Recruitment of couples (GP supervisors and trainees) in the Netherlands and Flanders Observation of daily practice Video-recording of random consultations Video recordings of three tutorial dialogues Individual in-depth interviews, based on material from video-recordings Interview about consultations Interview about tutorial dialogues

Questions?

References: Eraut M. Non-formal learning and tacit knowledge in professional work. Br J Educ Psychol. 2000;70:113-136. Gabbay J, le May A. Evidence based guidelines or collectively constructed ‘mindlines’? Ethnographic study of knowledge management in primary care. BMJ 2004; 329:1013 Greenhalgh T, Howick J, Maskrey N. Evidence based medicine: a movement in crisis? Bmj. 2014;348(jun13 4):g3725-g3725. Kortekaas MF, Bartelink ME, Zuithoff NP, van der Heijden GJ, de Wit NJ, Hoes AW. Does integrated training in evidence-based medicine (EBM) in the general practice (GP) specialty training improve EBM behaviour in daily clinical practice? A cluster randomised controlled trial. BMJ Open. 2016; sep 13;6(9) Kortekaas MF, Bartelink ML, Boelman L, Hoes AW, de Wit NJ. General practice trainees’ information searching strategies for clinical queries encountered in daily practice. Fam Pract. 2015 Oct;32(5):533-7 Tynjälä P. Toward a 3-P Model of Workplace Learning: A Literature Review. Vocat Learn. 2013;6:11–36. Zwolsman SE, van Dijk N, de Waard MW. Observations of evidence-based medicine in general practice. Perspect Med Educ. 2013;2(4):196-208.