Knowledge of evidence-based medicine among medical students in Saudi Arabia (2)

6 January, 2019

Our study from the U.S. "Healthy Doc=Healthy Patient" intervention is relevant to this issue of preferentially providing evidence-based training:

"Do US medical students report more training on evidence-based prevention topics?" [2012, Health Education Research]:

Little is known about the extent to which evidence-based prevention topics are taught in medical school. All class of 2003 medical students (n = 2316) at 16 US schools were eligible to complete three questionnaires: at the beginning of first and third years and in their senior year, with 80.3% responding. We queried these students about 21 preventive medicine topics, concerning the extent of their training and their patient counseling frequency at some of these time points. At the beginning of the third year, self-reported extensive training was low for all preventive medicine topics (range 7-26%). USPSTF-recommended topics received more curricular time (median for topics: 36% if recommended versus 24.5% if not, P ¼ 0.025), as did topics addressed through testing rather than through discussion (median for topics: 37% for testing and 25% for discussion, P ¼ 0.005). Extensive training was always associated with higher counseling frequency, and intention to go into primary care, female gender, a positive attitude toward prevention and positive personal health habits were associated with higher counseling frequency. Although some bemoan the overall low levels of US medical students’ prevention-related training and practice, we demonstrate that at least they are preferentially evidence-based, a novel and encouraging finding for preventionists



Erica Frank, MD, MPH

Professor + Canada Research Chair, University of British Columbia

Founder + President,

Principal Investigator, Healthy Doc = Healthy Patient

Research Director, Annenberg Physician Training Program

HIFA profile: Erica Frank, MD, MPH, FACPM is the Founder and President of, the world's first portal to free, accredited higher education now used in 193 countries and offering a globally free MPH and MedSchoolInABox. She is also the Canada Research Chair in Preventive Medicine & Population Health and a Professor (Faculty of Medicine), at the University of British Columbia, the Founder and Principal Investigator of the Healthy Doc = Healthy Patient initiative (delineating and building on the strong positive relationship between physicians' personal and clinical preventive practices), Research Director of the Annenberg Physician Training Program, and Past President of the Nobel Prize winning Physicians for Social Responsibility.