An Evaluation of Educational Iranian Papers on the Application of Evidence-Based Medicine


Shahrzad Saravani 1 , Maryam Yazdandoost 2 , * , Hamed Basir-Ghafouri 3


1 M.Sc. in Medical Education, Medical Education Development Center, Center for Educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Iran, Iran

2 BSc. of Medical Library & Information Science, Medical Education Development Center, Center for Educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Iran, Iran

3 Specialist in Emergency Medicine, Assistant Professor, Department of emergency Medicine, Haftom Tir Hospital, Iran University of Medical Sciences, Tehran, Iran, Iran


Strides in Development of Medical Education: 12 (1); e59623
Published Online: January 28, 2015
Article Type: Research Article
Received: August 07, 2017
Accepted: August 18, 2014




Background & Objective: Nearly two decades have passed since the establishment of evidence-based medicine (EBM). EBM is of great importance due to its ability to fill the information gap between medical research and clinical practice. The aim of the present study was to evaluate the existing evidence of the application of EBM in published Iranian educational papers.

Methods: This is a systematic review of Iranian papers published in both Iranian and international journals. The results were reviewed by two researchers separately to assess the inclusion and exclusion criteria and evaluate the level of evidence. We used the Best Evidence Medical Education (BEME) guideline for conducting the systematic review and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart to present the selection process. In addition, the Medical Education Research Quality Index (MERSQI) was used for the evaluation of the quality of the studies.

Results: EBM was used in 11 fields which can be categorized as the 4 clinical, educational, research, and policy-making groups. The educational group consisted of 3 domains of holding a journal club, case discussions, and teaching and learning. Only 6 studies were found to report the effect of education on the application of evidence-based medicine. The evaluation of their quality showed average quality.

Conclusion: Although there are a limited number of studies on the effect of education on EBM application, they present satisfactory and average quality evidence. Despite the existence of various educational courses on EBM in Iran, no high level and high quality evidence exists to show the effectiveness of education on knowledge, attitude, practice, and behavior of healthcare professionals especially in the long-term. Thus, the designing and performing of high quality research is required in this field.


Evidence-based medicine Application Educational papers Iran

© 2015, Strides in Development of Medical Education. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.


Full text is available in pdf



  • 1. Reference is available in pdf