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Table 3 Proposed spiral approach of EBM OSCE stations of increasing complexity for different years of undergraduate medical education mapped against the core competencies

From: Development and evaluation of a spiral model of assessing EBM competency using OSCEs in undergraduate medical education

Year EBM task Mapping against the EBP core competencies (focusing on those rated by authors as ‘practiced with exercises’) Possible EBM station The spiral approach to assessment of EBM skills in UBMS
year 1 Asking
Acquiring
Convert clinical questions into structured, answerable clinical questions using PICO
Construct and carry out an appropriate search strategy
Students formulate an appropriate clinical question and search terms which they apply to a database search Examine Evidence
Year 2 Appraising Interpret commonly used measures of uncertainty, in particular, confidence intervals
Interpret different types of measures and effect, including key graphical presentations
Critically appraise and interpret a treatment study
Students explain epidemiological terms in an article to a patient. Consider evidence
Students review clinical guidelines and apply it to the diagnosis and management of a clinical condition.
Year 3 Appraising Applying in a simulated clinical setting Interpret different types of measures and effect, including key graphical presentations
Critically appraise and interpret a systematic review
Critically appraise and interpret a treatment study
Students interpret and explain screening results to a patient using epidemiolocal terms within their explanations
Students discuss a paper with a patient to discuss the management of the disease
Utilise evidence as a tool
Year 4 Applying Engage patients in a decision-making process, using shared decision making, including explaining the evidence and integrating their preferences Students explain epidemiological terms mentioned in publications to help guide shared decision making with the patient. Integrate evidence
Students use a patient decision aid to guide a shared decision-making discussion with a patient.