Bookmarkers beware: Bookmarks to pages other than the home page may not work after we change our server in April Editor's Choice | This Week in BMJ | Press releases BMJ No 7128 Volume 316 Evidence-Based Medicine in Primary Care Saturday 31 January 1998 General practitioners' perceptions of the route to evidence based medicine: survey questionnaire Firstly, we would like to ask you about your current attitudes towards EBM. Please mark an X on the line corresponding to your opinion or response eg EXAMPLE - "The world is in danger of a nuclear holocaust" Strongly Agree Strongly Disagree 1. How would you describe your attitude towards the current promotion of evidence-based medicine? Extremely Welcoming Welcoming 2. How would you describe the attitude of most of your GP colleagues towards evidence-based medicine? Extremely Welcoming Welcoming 3. How useful are research findings in your day to day management of patients? Extremely Useful Totally Useless 4. What percentage of your clinical practice do you feel is currently evidence-based? 100% 0% 5. Practising evidence-based medicine improves patient care. Strongly Agree Strongly Disagree 6. Evidence-based medicine is of limited value in general oractice because much of primary care lacks a scientific base. Strongly Agree Strongly Disagree 7. The adoption of EBM, however worthwhile as an ideal, places another demand on already overloaded GPs. Strongly Agree Strongly Disagree One can move from opinion based practice towards evidence based medicine in three very different ways: a by learning the skills of evidence based medicine ie to identify and appraise the primary literature or systematic reviews oneself; b by seeking and applying evidence based summaries, which give the clinical "bottom line". Such summaries may be obtained from abstracting journals; c by using evidence based practice guidelines or protocols developed by colleagues for use by others. Which of these methods are you using? Please tick one or more boxes. a b c Which of these methods would you be interested in using in the future? Please tick one or more boxes. a b c Which of these methods do you think is the most appropriate in General Practice? Choose one only. a b c Please can you describe how the practice of evidence based medicine could be further facilitated in your own Practice? What do you think are the major barriers to practising EBM in General Practice? Accessing the evidence How often in the last year have you (or someone on your behalf) used MEDLINE or another bibliographic database for literature searching? times When did you last do a search which influenced your practise? Month Year What was the topic? Have you ever received formal training in search strategy? No Yes If so, where? Have you ever received formal training in critical appraisal? No Yes If so, where? Have you attended any other course related to evidence based medicine? No Yes If so, which one? Where do you have access to MEDLINE (or other bibliographic databases)? At home yes no In my surgery yes no At my local medical library yes no Other (please specify) Where do you have access to the World Wide Web? At home yes no In my surgery yes no At my local medical library yes no Other (please specify) There are a growing number of extracting journals, review publications and databases relevant to EBM. Please indicate those which you have used or are aware of unaware aware but not used read used to help in clinical decision making Bandolier (published in Oxford) Evidence Based Medicine (from the BMJ publishing group) Effective Health Care Bulletins (from York) Cochrane database of Systematic Reviews (part of Cochrane library) Database of abstracts of reviews of effectiveness (DARE) (another part of Cochrane library) Evidence Based Purchasing (R&D, Bristol) Please list other sources of information that you have found relevant to EBM Technical Terms The following are terms used in papers about EBM which may be relevant to General Practice. Please indicate your reaction to them by ticking the appropriate box. It would not be helpful to me to understand Don't understand but would like to Some understanding Yes, understand and could explain to others relative risk absolute risk systematic review odds ratio meta analysis clinical effectiveness number needed to treat confidence interval heterogeneity publication bias Finally, we would like to ask you a few questions about your practice and yourself. Practice Details Practice Size? <5,000 5,000-<10,000 10,000-<15,000 15,000-<20,000 20,000+ Number of full time equivalent Principals? Practice Setting? Rural Urban Mixed Fundholding Practice? Yes No Training Practice? Yes No Undergraduate Teaching Practice? Yes No Personal Details Gender Male Female Age <30 30-39 40-49 50-59 60+ MRCGP No Yes Year Principal Full-time ¾ time ½ time ¼ time Other Nearest Postgraduate Centre? Home | Current issue | Past issues | Classified ads | Career Focus | Feedback Collections | About this site | About the BMJ | BMA | Medline