The study also intended to identify the barriers in the practice of EBM

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˜››Žœ™˜—’—ȱŠž‘˜›DZȱŠ›’ŠȱŽ—Ž•¢—ȱǯȱ•Ÿ’Š›ǰȱǰȱŒȱ

Š¢ž–ŠȱŠȱ‹ŠȱŠȱ•’—’”ȱȱ

˜—ȱŠ—’Š˜ȱž’•’—ȱ

ŠȱŸŽ—žŽǰȱŠ—’•Šǰȱ‘’•’™™’—ŽœȱŗŖŖŖȱ

–Š’•DZȱ“Ž—ǯŠ•Ÿ’Š›ȓ–Š’•ǯŒ˜–ȱȱ

ȱž›ŸŽ¢ȱ˜ȱ‘ŽȱŽ›ŒŽ™’˜—œǰȱ—˜ •ŽŽǰȱ’žŽœȱŠ—ȱ›ŠŒ’ŒŽȱ˜ȱȱ

Ÿ’Ž—ŒŽȬŠœŽȱŽ’Œ’—ŽȱŠ–˜—ȱŽ‘Š‹’•’Š’˜—ȱŽ’Œ’—Žȱȱ

›Š’—ŽŽœȱŠ—ȱ˜—œž•Š—œȱ’—ȱŠȱ—’ŸŽ›œ’¢ȬŠœŽȱŽ›’Š›¢ȱ˜œ™’Š•ȱȱ ȱ

Š›’ŠȱŽ—Ž•¢—ȱǯȱ•Ÿ’Š›ȱ

ȱ

Ž™Š›–Ž—ȱ˜ȱŽ‘Š‹’•’Š’˜—ȱŽ’Œ’—Žǰȱ

ȱ˜••ŽŽȱ˜ȱŽ’Œ’—ŽȱŠ—ȱ‘’•’™™’—Žȱ Ž—Ž›Š•ȱ˜œ™’Š•ǰȱ—’ŸŽ›œ’¢ȱ˜ȱ‘Žȱ‘’•’™™’—ŽœȱŠ—’•Šȱ

ȱ ȱ ABSTRACT

Objectives. The study aimed to determine the perceptions, attitudes, knowledge and practice of Evidence-Based Medicine (EBM) among Rehabilitation Medicine trainees and faculty. It aimed to compare trainees and faculty in terms of perceptions, attitudes, knowledge and practice. The study also intended to identify the barriers in the practice of EBM.

Methods. The study utilized a cross-sectional design. The study included residents or trainees and consultants at the Department of Rehabilitation Medicine-Philippine General Hospital. A questionnaire exploring the perceptions, knowledge, attitudes and practice of EBM and the barriers in its practice was developed based on review of previous studies. Focus group discussions were conducted with the residents and consultants separately to probe the responses in the questionnaire.

Results. Thirty-four trainees and consultants participated in the study. Trainees considered themselves having received more training in literature search (p=0.005) and critical appraisal (p=0.01) than consultants. Majority had fairly accurate conceptions of EBM. Thirty-eight percent of participants considered themselves competent in developing a clinical question and in doing a literature search. About 18% considered themselves competent in appraising literature. There were no significant differences between trainees and consultants in terms of their perceived knowledge and skills in EBM techniques.

Consultants and trainees expressed positive attitudes towards EBM. In a week, some 50% search the literature at least twice and appraised an article. Eighty percent of Rehabilitation Medicine physicians (physiatrists) spent at least 2 hours per week reading related literature. In terms of practice of EBM, the trainees rated themselves higher in searching and appraising literature than the consultants but the differences were not significant. More than 90% indicated interest in further training in EBM. Majority cited lack of time, lack of understanding of statistics and inadequate information sources as barriers to EBM.

Conclusion. Physiatrists have fairly accurate perceptions; positive attitudes; some knowledge / skills; and a high level of interest in EBM. There were no significant differences between consultants and trainees except in the aspect of training in literature search and appraisal. The lack of personal time, lack of understanding of statistical analyses and inadequate information sources were the most common perceived barriers in the practice of EBM in Physiatry.

Key Words: evidence-based medicine, physiatry, rehabilitation ȱ

—›˜žŒ’˜—ȱ

Ÿ’Ž—ŒŽȬŠœŽȱ Ž’Œ’—Žȱ ǻǼȱ ’œȱ ›ŽŠ›Žȱ Šœȱ Šȱ

™Š›Š’–ȱœ‘’ȱ’—ȱ–Ž’ŒŠ•ȱ™›ŠŒ’ŒŽǯȱȱ—›˜žŒŽȱ’—ȱ‘ŽȱŽŠ›•¢ȱ ŗşşŖȂœǰȱ’œȱ™›ŠŒ’ŒŽȱ’œȱ‹Ž•’ŽŸŽȱ˜ȱ ‹Žȱ‘Žȱ“ž’Œ’˜žœȱ žœŽȱ˜ȱ‘Žȱ

‹Žœȱ Š—ȱ Œ•’—’ŒŠ••¢ȱ ›Ž•ŽŸŠ—ȱ ›ŽœŽŠ›Œ‘ȱ Œ˜–‹’—Žȱ  ’‘ȱ Œ•’—’ŒŠ•ȱ

Ž¡™Ž›’œŽǰȱ Œ•’—’ŒŠ•ȱ Œ’›Œž–œŠ—ŒŽœȱ Š—ȱ ™Š’Ž—ȱ ŸŠ•žŽœȱ ’—ȱ

–Š”’—ȱ Œ•’—’ŒŠ•ȱ ŽŒ’œ’˜—œǯ^ŗȱȱ Žœ™’Žȱ ‘Žȱ œž›Žȱ ˜ȱ ‘Žȱ ȱ

Œ˜—ŒŽ™ȱ’—ȱ˜Š•ȱ‹’˜–Ž’ŒŠ•ȱ•’Ž›Šž›Žȱ•’œŽȱ’—ȱŽ•’—Žȱ›˜–ȱ ŗşşŖȱ ˜ȱ ŗşşŝǰȱ ‘Žȱ žœŽȱ ˜ȱ ‘Žȱ ”Ž¢ ˜›ȱ ȃŽŸ’Ž—ŒŽȬ‹ŠœŽȄȱ ’—ȱ

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Š•–˜œȱ •ŠŒ”’—ȱ ’—ȱ ‘Žȱ œŠ–Žȱ ’—Œ•žœ’ŸŽȱ ¢ŽŠ›œǯ^Řȱ Ž’œŠȱ

Ž–™‘Šœ’£Žȱ ‘Žȱ ’—Œ•žœ’˜—ȱ ˜ȱ ȱ Œ˜—ŒŽ™œȱ ’—ȱ ǭȱ

˜—’—ž’—ȱŽ’ŒŠ•ȱžŒŠ’˜—ȱǻǼȱŠ—ȱ›ŠžŠŽȱ–Ž’ŒŠ•ȱ

™›˜›Š–œȱ˜ȱ‹ž’•ȱ‘ŽȱœŒ’Ž—’’Œȱ˜ž—Š’˜—ȱ˜ȱ‘Žȱœ™ŽŒ’Š•¢ǯ^řȱ

—ȱ ‘’œȱ Š¢ȱ Š—ȱ ŠŽȱ ˜ȱ ›Š™’ȱ ŽŸŽ•˜™–Ž—œȱ Š—ȱ

’œŒ˜ŸŽ›’Žœȱ ’—ȱ ‘ŽŠ•‘ȱ Š—ȱ –Ž’Œ’—Žǰȱ œ˜ȱ –žŒ‘ȱ ’—˜›–Š’˜—ȱ ’œȱ

ŠŸŠ’•Š‹•Žȱ‘ŠȱŒŠ—ȱ‹Žȱž’•’£Žȱ’—ȱ‘ŽȱŒ•’—’ŒŠ•ȱœŽ’—ȱŠ—ȱ’—ȱ‘Žȱ

’Ž•ȱ ˜ȱ ›ŽœŽŠ›Œ‘ǯȱ ȱ ‘Žȱ ǰȱ ŠŠ‹ŠœŽȱ ˜ȱ ‘Žȱ Š’˜—Š•ȱ

’‹›Š›¢ȱ˜ȱŽ’Œ’—Žǰȱœ˜›ŽœȱŗŜȱ–’••’˜—ȱ›ŽŽ›Ž—ŒŽœȱ›˜–ȱ–˜›Žȱ

‘Š—ȱ śǰŘŖŖȱ ‹’˜–Ž’ŒŠ•ȱ “˜ž›—Š•œȱ Š—ȱ ‘Žȱ Ÿ˜•ž–Žȱ ’œȱ ›Š™’•¢ȱ

›˜ ’—ǯ^Śȱ ȱ ’œȱ ‘Ž›Ž˜›Žȱ ’–™˜›Š—ȱ ˜ȱ Š’—ȱ œ”’••œȱ ‘Šȱ  ’••ȱ

Š••˜ ȱ ™‘¢œ’Œ’Š—œȱ ˜ȱ —ŠŸ’ŠŽȱ ‘’œȱ ŸŠœȱ œŽŠȱ ˜ȱ ›Žœ˜ž›ŒŽœǯȱȱ

ŽŽ™’—ȱŠ‹›ŽŠœȱ ’‘ȱ‘ŽȱŽ¡™Š—œ’˜—ȱ˜ȱ–Ž’ŒŠ•ȱ•’Ž›Šž›ŽȱŠ—ȱ

’—Ž›Š’—ȱ ‘’œȱ ’—˜›–Š’˜—ȱ ˜ȱ ™Š’Ž—ȱ ŒŠ›Žȱ –Š”Žœȱ ˜Œ˜›œȱ

–˜›ŽȱŽ’Œ’Ž—ȱŠ—ȱ–˜›Žȱ›Ž•ŽŸŠ—ȱ˜ȱ‘Žȱ™›ŽœŽ—ȱ’–Žœǯȱȱȱ

ȱ ’œȱ ŽœœŽ—’Š•ȱ ˜ȱ ’—Œ˜›™˜›ŠŽȱ ȱ ’—ȱ ‘¢œ’Š›¢ȱ ˜›ȱ

œŽŸŽ›Š•ȱ›ŽŠœ˜—œDZȱŠǼȱ’ȱŒ˜—›’‹žŽœȱ˜ȱ‘Žȱ˜ž—Š’˜—ȱ˜ȱŒž››Ž—ȱ ȱǭȱȱ”—˜ •ŽŽȱ^řDzȱ‹Ǽȱ’ȱŠŒ’•’ŠŽœȱ‘Žȱ›˜ ‘ȱ˜ȱ›Ž•ŽŸŠ—ȱ

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