Nicole Naadu Ofosu, John Paul Ekwaru, Kerry Ann Bastian, Sarah A Loehr, Kate Storey, John C Spence, Paul J Veugelers
Long-term effects of comprehensive school health on health-related knowledge, attitudes, self-efficacy, health behaviours and weight status of adolescents
BMC public health
identify whether clinical maturity medical trainees impacts upon level trainee competency evidencebased medicine ebm undergraduate graduateentry medical trainees entering first year training clinical environment recruited study competency ebm measured using psychometrically validated instrument ebm competency scores analysed using students tests order differentiate undergraduate graduateentry trainee performance ten focus group discussions conducted undergraduate graduateentry trainees audio transcripts thematically analysed data total 885 medical trainees collected 5year period undergraduate trainees significantly higher ebm competency scores years programme presented didactic format mean difference md124 95 cici 021 226 178 039 317 213 116 309 graduate trainee ebm competency scores increased blended learning approach ebm adopted demonstrating significant difference ebm competency scores undergraduate graduate cohorts 027 138 085 039 157 079 qualitative findings indicated differences learning teaching preference among undergraduate graduateentry trainees influenced level competency obtained ebm clinical maturity one factor may influence medical trainees competency ebm predictors ebm competency may include previous training exposure epidemiology biostatistics information literacy graduateentry medical students may life experience maturity necessarily translate clinical maturity integration clinical environment