Evidence-Based Medicine, Presentation Skills, and the Quality of Morning Report in Medical Students: An Operations Research


Ehsan Nezakati 1 , Mohammad Bagher Sohrabi 2 , * , Robabeh Zaroug-Hosseini 3 , Pouneh Zolfaghari 2 , Elaheh Yahyaei 4

1 Infectious Disease Specialist, Assistant Professor, Department of Internal Medicine, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran, Iran

2 General Practitioner, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran, Iran

3 MSc in Medical Education, Vice-chancellery of Education, Shahroud University of Medical Sciences, Shahroud, Iran, Iran

4 Expert in Health Care Management, Vice-chancellery of Treatment, Shahroud University of Medical Sciences‎, Shahroud, Iran, Iran

How to Cite: Nezakati E , Sohrabi M B, Zaroug-Hosseini R , Zolfaghari P, Yahyaei E . Evidence-Based Medicine, Presentation Skills, and the Quality of Morning Report in Medical Students: An Operations Research, Strides Dev Med Educ. 2016 ; 13(4):e57642.


Strides in Development of Medical Education: 13 (4); e57642
Published Online: November 02, 2016
Article Type: Research Article
Received: July 05, 2017
Accepted: December 30, 2015




Background & Objective: The morning report is a common, useful, and valuable clinical ‎training method in the world. This method, when applied on the basis ‎of evidence-based medicine (EBM), plays a more effective role in learning among medical ‎students. This study aimed to determine the impact of EBM on medical students' skill in ‎presentation of morning report and its quality.‎

Methods: This study was operations research and 80 students were selected through simple random sampling ‎from among, all medical practitioners of Shahroud University of Medical ‎Sciences (Iran). The selected participants took part in the 3-day workshop of introduction to ‎EBM, with emphasis on morning report presentation. Data were gathered using a researcher-‎made questionnaire which was validated by experts and its reliability was approved using ‎Cronbach's alpha coefficient. Questionnaires were distributed among the students before and after ‎the study and the results were compared. Data were analyzed using chi-squared test and t-test in ‎SPSS software.‎

Results: Of the 80 interns participating in the study, 22 individuals (27.5%) were men and the rest were female. Average ‎time of internship training for the interns was 10.5 ± 6.5 months (range: 3-16 months). The mean quality ‎score of morning increased significantly from 90.3 ± 25.6 at baseline to 132.8 ± 30.3 (P ‎‎= 0.001). Significant changes were observed in broadband facilities , computer ‎facilities , and the emergence of new and accessible scientific resources , the ‎average number of interns participating in the meeting , average attendance of those on ‎duty the night before , regular attendance of teachers , regular participation ‎of interns, the regular and timely attendance of those managing the discussion, active participation of interns in discussions, role of teachers in the meeting , the selection of patients, the method of discussion about different parts of the ‎patient, follow-up of previously introduced patients, and the positive role ‎of group administrators before and after EBM training.‎

Conclusion: Morning reports presentation based on EBM during internship at this ‎University was desirable, which can effectively result in the ‎improvement of the quality of education, regular and more beneficial attendance of teachers, ‎especially on-duty specialists, and more active participation of students, and thus, improve care ‎training and update clinical teachers’ information. However, due to students’ and professors’ lack ‎of knowledge regarding EBM, holding training courses on ‎this topic seems necessary.‎


Evidence-based medicine (EBM) Medical students Morning report

© 2016, Medical Education Development Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.




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