AB1391 Obstacles facing evidence based medicine in physical medicine and rehabilitation: from opinion and knowledge to practice

Background Evidence-based medicine (EBM) is a new approach to medicine. Up to now, there have been fewavailable articles about specialists’ EBM status, specifically the status of physiatrists in the area of EBM. Objectives To determine the present status of physiatrists’ attitudes, knowledge and skill in the area of EBM andthe existing obstacles Methods The cross-sectional study was performed among physiatrists in Iran. The valid and reliablequestionnaire contained 25 questions in 8 fields including demographic and professional information, point ofview regarding EBM, familiarity with databases, educational history and information about EBM, use ofscientific resources, scientific evidence usage, and the amount of access to resources. Results One hundred twenty-eight questionnaires were completed (response percentage 52.2%). In total, 48.4%specialists had attended EBM workshops and 89.6% of people were familiar with medical search engines. Theamount of familiarity with databases was mostly with MEDLINE/PubMed (52.3%). Respondents mainly had apositive point of view towards EBM. Those who had access to databases at work or somewhere out of home hada more positive attitude (p=0.002). Those who had attended EBM workshops and members of faculty also hadmore positive attitudes (p=0.003 and p=0.01, respectively). Around 70% of responders had adequate knowledgeregarding EBM. Physicians, members of faculty and participants who had spent more time on research, reviewedarticles and attended workshops had more knowledge (p=0.001). Conclusions Results from our study revealed that although there is a significant number of physiatrists who are familiar with the practicality of EBM, they are still not familiar enough with its concepts and applications. References [1] Raeissadat SA, Samadi B, Rayegani SM, Bahrami MH, Mahmoudi H. Survey of Medical Residents’ Attitude Toward Physical Medicine and Rehabilitation. American Journal of Physical Medicine & Rehabilitation. 2014; 93(6): 540–7. doi: 10.1097/PHM.0000000000000057. PMID: 24508929. [2] Raeissadat SA, Bahrami MH, Rayegani SM, Babaee M, Roshan Pajoh R. Attitude, beliefs and knowledge of iranian physiatrists towards Evidence Based Medicine and its barriers. A cross-sectional study. Eur J Phys Rehabil Med. 2016; 52(5): 755–7. PMID: 27164540. [3] Raeissadat SA, Bahrami MH, Rayegani SM, Hassanabadi H, Babaee M, Najafi S, et al. Obstacles facing evidence based medicine in physical medicine and rehabilitation: from opinion and knowledge to practice. Electronic Physician. 2017;9(11). Disclosure of Interest None declared