Article Text

Primary care
Successes, lessons and opportunities: 15-year follow-up of an integrated evidence-based medicine curriculum
  1. Christina S Korownyk1,
  2. G Michael Allan1,2,
  3. James McCormack3,
  4. Adrienne J Lindblad1,2,
  5. Samantha Horvey1,
  6. Michael R Kolber1
  1. 1Family Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
  2. 2College of Family Physicians of Canada, Mississauga, Ontario, Canada
  3. 3Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada
  1. Correspondence to Dr Christina S Korownyk, Family Medicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, AB T6G 2R3, Canada; cpoag{at}


In 2005, the Department of Family Medicine at the University of Alberta introduced an evidence-based practice curriculum into the 2-year Family Medicine Residency Program. The curriculum was based on best available evidence, had multiple components and was comprehensive in its approach. It prioritised preappraised summary evidence over in-depth evidence appraisal. This paper describes the lessons learnt over the past 15 years including components that were eventually discontinued. We also discuss additions to the programme including the development of accessible, preappraised, summarised resources. We review the difficulties associated with evaluation and the incorporation of evidence-based practice into all aspects of residency training. Future directions are discussed including the incorporation of shared decision-making at the point of care.

  • general practice
  • evidence-based practice

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  • Contributors CK, MK and AL conceived of the original idea. MA, SH and MK assisted with data collection. CK wrote the first draft. Draft review and critical revision were completed by JM, MA, SH, MK and AL. All authors gave final approval of the version to be published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

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