Sharné Naidoo, Nicole Karensa Hoenselaar, Christopher Yelverton
Chiropractic attitude and utilisation of evidence-based practice in South Africa: a secondary analysis
Chiropractic & manual therapies
background standardized letters recommendation slor become common features medical school residency transition research shown many advantages narrative letter recommendation including improved letterwriting efficiency ease interpretation improved reliability performance predictors currently least four specialties require fellowship slors internal medicine adopted slor 2017 previous research showed fellowship program directors satisfaction 2017 guidelines little known residency program directors acceptance adherence guidelines objectives study sought assess adoption rate component barriers adoption time commitment alignment intended goals guidelines methods anonymous survey links posted internal medicine discussion forum prior guidelines spring 2017 twice following guidelines fall 2018 winter 2019 twosample tests proportions used compare respondent characteristics known survey population data pre postsurvey comparisons assessed statistical significance pearson chisquared statistic results response rate varied 30 35 survey period medical knowledge patient care interpersonal communication skills professionalism scholarly activity reported frequently 96 baseline inclusion residency program characteristics systemsbased practice practicebased learning improvement skills sought master increased study period conclusions new guidelines improved uniform reporting core competency data overall gains modest many presurvey respondents reported high rates including components within guidelines