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Development of an Integrated Evidence-Based Medicine Curriculum Using a “Cascade” Model

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Abstract

Medical students need a practical grasp of the key concepts necessary to engage in evidence-based clinical practice, alongside ongoing opportunities for deliberate practice of these skills. We developed a longitudinal, multimodal, evidence-based medicine curriculum for medical students using a “curriculum cascade” that allows learners to apply progressively complex knowledge and skills over time and that fosters the ongoing practice of lifelong learning. Students were integrally involved in both the design and revisions of the curriculum. Real-time and longitudinal feedback mechanisms were used to pursue ongoing curricular improvement. Results after 5 years of curriculum design and improvement have been positive.

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Acknowledgements

The authors would like to thank Amy E. Blevins, MALS and Kathy Foss for their help with the curriculum transition as well as Kristi J. Ferguson, PhD, Professor of General Internal Medicine and Director of the Office of Consultation and Research in Medical Education (OCRME); Susan Lenoch, MA, Associate Director of OCRME; and Marc A. Pizzimenti, PhD, Assistant Professor of Anatomy and Cell Biology for their ideas and support.

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Authors and Affiliations

  1. Department of Internal Medicine, University of New Mexico, 1 University Blvd. SE, MSC 10-5550, 87131, Albuquerque, NM, USA

    Martha L. Carvour

  2. Department of Pediatrics, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, 52242, USA

    Matthew A. Rysavy

  3. Graduate Medical Education, University of Iowa Carver College of Medicine, C127 GH, Iowa City, IA, 52242, USA

    Mark C. Wilson

  4. Department of Internal Medicine, University of Iowa Carver College of Medicine, E329-2 GH, Iowa City, IA, 52242, USA

    Jane A. Rowat

  5. Office of Student Affairs and Curriculum, University of Iowa Carver College of Medicine, 1216H MERF, Iowa City, IA, 52242, USA

    Amal Shibli-Rahhal

Authors
  1. Martha L. Carvour
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  2. Matthew A. Rysavy
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  3. Mark C. Wilson
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  4. Jane A. Rowat
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  5. Amal Shibli-Rahhal
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Corresponding author

Correspondence to Martha L. Carvour.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required. This article does not contain any studies with animals performed by any of the authors.

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Carvour, M.L., Rysavy, M.A., Wilson, M.C. et al. Development of an Integrated Evidence-Based Medicine Curriculum Using a “Cascade” Model. Med.Sci.Educ. 28, 221–226 (2018). https://doi.org/10.1007/s40670-017-0496-z

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  • DOI: https://doi.org/10.1007/s40670-017-0496-z

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