T. Ibbotson et al., EVALUATION OF A PROGRAM OF WORKSHOPS FOR PROMOTING THE TEACHING OF CRITICAL-APPRAISAL SKILLS, Medical education, 32(5), 1998, pp. 486-491
The aim of this study was to assess the effectiveness of four training
workshops at the inception of a programme to cascade critical apprais
al skills training throughout Scotland. Data were collected from all p
articipants and organizers at four commissioned critical appraisal ski
lls training workshops in Scotland. The collection of data involved th
ree components: a survey of workshop participants before and after eac
h workshop to determine knowledge of the principles of clinical effect
iveness; semi-structured interviews with organizers before, during and
after the programme of commissioned workshops to assess views on the
workshops; and a postal survey to determine involvement in critical ap
praisal activities following the initial workshops. The main outcome m
easures were 'change in knowledge' and subsequent involvement in teach
ing. An average of 41 people attended each workshop. Participants impr
oved their scores on understanding of clinical effectiveness. Not all
of the improvement can be ascribed to the workshops, however, because
control item scores also improved, albeit to a lesser extent. The work
shops were perceived as an acceptable way of acquiring critical apprai
sal skills, but doubts were expressed about whether participants would
be able to roll out the programme on their own. Of the 32 (42%) atten
dees who were involved in GASP-style workshops after the initial works
hops, 26 (34%) providing aspects of teaching, and a further six (8%) w
ere participants. The evaluation of the GASP workshop technique sugges
ts that it does improve knowledge of clinical effectiveness, but conce
rns remain about the viability and reliability of this approach as it
rolls out training within Scotland.