Approach to Evidence-based Medicine Exercises Using Flipped Teaching: Introductory Education for Clinical Practice for 4th-Year Pharmacy Students

Mitsuko Onda, Nobumasa Takagaki
2018 Yakugaku zasshi  
Osaka University of Pharmaceutical Sciences has included an evidence-based medicine (EBM) exercise in the introductory education for clinical practice for 4th-year pharmacy students since 2015. The purpose of this exercise is to learn the process of practice and basic concepts of EBM, especially to cultivate the practical ability to solve patients' problems and answer their questions. Additionally, in 2016, we have attempted ‰ipped teaching. The students are instructed to review the basic
more » ... dge necessary for active learning in this exercise by watching video teaching materials and to bring reports summarizing the contents on the ‰ipped teaching days. The program includes short lectures [overview of EBM, document retrieval, randomized controlled trials (RCTs), and systematic review], exercises [patient, intervention, comparison, outcome (PICO) structuring, critical appraisal of papers in small groups with tutors], and presentations. The program includes: step 1, PICO structuring based on scenarios; step 2, critical appraisal of Englishlanguage papers on RCTs using evaluation worksheets; and step 3, reviewing the results of the PICO exercise with patients. The results of the review are shared among groups through general discussion. In this symposium, I discuss students' attitudes, the eŠectiveness of small group discussions using ‰ipped teaching, and future challenges to be addressed in this program.
doi:10.1248/yakushi.17-00190-3 pmid:29710008 fatcat:w6r4twpjprh3bcllvmqv3lygj4