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Table 2 Details about the activities (intervention)

From: A cluster randomized controlled trial to evaluate the effectiveness of the clinically integrated RHL evidence -based medicine course

1. E-learning sessions

The web-based e-learning tools are structured as short sessions (one or more per module) that each can be completed in 15-25 minutes by the participant. These sessions are aimed to give a basic understanding about the concepts involved in each module. Multiple choice questions for self-assessment will be incorporated in the e-sessions.

2. Learning/teaching in a clinical setting

This part is guided by a facilitator during the wardround and includes identification of learning opportunities in a clinical setting. Participants will, by using practical examples, apply the concepts of evidence-based medicine in a real clinical case scenario and be able to discuss with the facilitator and their colleagues.

3. Formative assessment (assignments, OSCE)

The participant needs to complete formative assignments which consist of MCQs, assignments for each module and questionnaires (attitude, educational environment) and OSCEs at the end of the course.

After having studied each module, completed assignments need to be sent to the tutor who will provide feedback, which will serve as discussion background between participant and facilitator. The facilitator will decide when the assignment has been completed successfully.

OSCEs will need to be completed at the end of the course.

4. Summative assessment

Participants are assessed at the end the course by multiple choice questions (MCQs) which have to be completed pre-course and four weeks after the end of the course.

A questionnaire to assess participants' attitudes towards EBM and a questionnaire to assess the educational environment will be taken pre-course (at baseline) and at the end of the course. This will not count towards the participant's overall assessment.

Participants will be provided with a password to gain access to the online MCQs. For this, a suitable place at the learner's department or institute providing internet access should be identified. The test has to be taken in presence of the tutor or a person designated by the tutor and the use of additional materials is not allowed. Once the pre-course MCQs have been completed, the partcipant will have access to the online e-sessions and related materials.

Assignments need to be completed for each module before moving on to the next module. Assessment (MCQs for all five modules)) will need to be completed at the beginning of the course and at the end.