Integrating Cochrane methodology into medical education: Experience and outcomes

Abstract

Background

Modern medical education faces the challenges of digitalization, the implementation of evidence-based medicine, the development of research skills, and interdisciplinarity. In response, Sechenov University has developed a curriculum based on Cochrane methodology aimed at training professionals capable of making clinical decisions under uncertainty and data deficit, while taking into account both scientific validity and ethical standards.

Methods

A cross-sectional online survey was conducted among 3rd- to 6th-year medical students to assess their knowledge in evidence-based medicine methodology, research skills, and satisfaction with the program.

Results

A total of 359 students were surveyed. Study year significantly affected knowledge level, with systematic knowledge accumulation occurring over time (p < 0.001). Senior students demonstrated higher proficiency with evidence-based medicine tools and research skills, although even in years 5–6, a considerable proportion of students were initially unsure of specific topics. Overall, 87.5% of all respondents reported increased knowledge, and 95.8% were fully satisfied with the course.

Conclusions

To develop clinical and critical thinking in medical students—enabling them to act reasonably in complex and changing clinical situations with incomplete or conflicting data and strict adherence to bioethical norms—it is necessary to expand practical training based on Cochrane methodology.