2. 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:

3. 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

4. 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

5. 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

6. 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

7. 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

8. Questions?

9. References:
Eraut M. Non-formal learning and tacit knowledge in professional work. Br J Educ Psychol. 2000;70:
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 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):