Knowledge Translation in Emergency Medicine among Intern Doctors In Karbala Hospitals

Abstract

Background: Knowledge translation (KT) describes any process that contributes to the effective and timely incorporation of evidence-based information into the practices of health professionals in such a way as to affect optimal health care outcomes and maximize the potential of the health care system. Emergency medicine offers a truly unique educational experience for medical students.

The aim of this study: is to establish the extent to which newly graduated doctor in a medical program can translate their own knowledge to emergency practice.

Method and Results: A descriptive cross sectional study conducted during the period from the first of January to the last day of September 2013 in Karbala Teaching Hospitals. The sample is composed of 49 Intern doctors (newly graduated) in Karbala teaching hospitals. The questionnaire consisted of two main domains, with 13 items. Section one (chick list) was designed to explore doctors' performance. The second section was designed to asses perceptions of doctors about emergency KT.

Statistical Analysis

Data was analyzed by Minitab 13.1 software was used for data entry and analysis.

P-value ≤ 0.05 considered as significant.

Results:

Majority complete test with high score evidence. But reversed to that the majority (83.67%) show low evidences to call protocol, and about half of doctors (51.02%) failed to take consent. The majority of doctors (87.76%) did not incorporate guidelines and their implementation in clinical practice, and (69.39%) thought there are barriers to incorporate EBM.

Conclusions and Recommendations; Most of candidate show high technical tasks regarding pass exam corresponding to that, the majority show low evidences to call protocol, and instead of that they follow traditional procedures that learned in emergency rooms from older doctors (Role Model). While most of candidates agree about the benefit of K.T to improve medical emergency service.

Current study revealed a lack of awareness of benefit toward Continuous Medical Education.

Extra research projects can be designed around the K.T to determine the most effective ways to adhere doctor’s optimal skills and ensure that they become efficient practitioners of evidence-based medicine (EM).

Key wards: Knowledge translation, emergency medicine, Intern doctors