Prospective assessment of a critical appraisal teaching programme on medical students’ confidence and performance in appraising medical literature

Background Previous research has demonstrated that medical students have insufficient knowledge of critical appraisal, a fundamental aspect of evidence-based medicine. We aimed to enhance medical students’ critical appraisal skills using an innovative mixed-methods programme.

Attaining minimally disruptive medicine: context, challenges and a roadmap for implementation

In this second of two papers on minimally disruptive medicine, we use the language of patient workload and patient capacity from the Cumulative Complexity Model to accomplish three tasks. First, we outline the current context in healthcare, comprised of contrasting problems: some people lack access to care and others receive too much care in an overmedicalised system, both of which reflect imbalances between patients’ workloads and their capacity.

Scottish Intercollegiate Guidelines Network: the first 15 years (1993–2008)

The Scottish Intercollegiate Guidelines Network (SIGN) was established in 1993. One of the first national programmes of evidence-based clinical practice guidelines, it has played a lead role internationally in many of the developments in guideline methodology. The challenges faced from the beginning of the organisation up to its integration into the National Health Service and how they were addressed are set out and related to SIGN’s contribution to the Scottish tradition of medical education.

Scottish Intercollegiate Guidelines Network: the first 15 years (1993–2008)

The Scottish Intercollegiate Guidelines Network (SIGN) was established in 1993. One of the first national programmes of evidence-based clinical practice guidelines, it has played a lead role internationally in many of the developments in guideline methodology. The challenges faced from the beginning of the organisation up to its integration into the National Health Service and how they were addressed are set out and related to SIGN’s contribution to the Scottish tradition of medical education.