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Japanese Resident Physicians' Attitudes, knowledge, and Perceived Barriers on the Practice of Evidence Based Medicine: a Survey

Risahmawati RM Risahmawati14*, Sei SE Emura2, Tomoko TN Nishi3 and Shunzo SK Koizumi3

Author Affiliations

1 Department of General Medicine, Saga University Graduate School of medicine, Saga University, Saga 849-8501, Japan

2 Center for Graduate Medical Education Development and Research, Faculty of Medicine, Saga University, Saga 849-8501, Japan

3 Department of General Medicine, Faculty of Medicine, Saga University, Saga 849-8501, Japan

4 Faculty of Medicine and Health Sciences, Syarif Hidayatullah State Islamic University, Jl. Ir. H. Juanda No.95 Ciputat 15412 Jakarta, Indonesia

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BMC Research Notes 2011, 4:374  doi:10.1186/1756-0500-4-374

Published: 28 September 2011



Evidence based medicine plays a crucial role as a tool that helps integrate research evidence into clinical practice. However, few reports have yet to examine its application in daily practice among resident physicians in Japan. The aim of this study was to assess the attitudes towards and knowledge of EBM among resident physicians in Japanese and determine perceived barriers to its use.


A cross-sectional, self-administered anonymous questionnaire was distributed to 60 resident staffs at Saga University Hospital in Japan.

Forty residents completed and returned the questionnaire. Fifty four percent of respondents understood the basic terminology of EBM, 3% could explain this to others, and 41% indicated they would like to understand the terminology more. Thirteen percent admitted having a good understanding of EBM basic skills. Fifty respondents indicated having read EBM sources, but only 3% indicated that they use these sources in clinical decision making. The most prominent barriers of EBM application revealed in this study were insufficient time to access the sources, a lack of native language references, and insufficient basic EBM skills, but not scepticism about the EBM concept.


In general, respondents positively welcomed EBM, and moderately understood and knew basic EBM skill; however, barriers in its application were shown to exist.