Rev Bras Oftalmol.2026;85:e0081
Evidence-based practice in Ophthalmology: a cross-sectional study in a Brazilian training center
DOI: 10.37039/1982.8551.20260081
ABSTRACT
Objective:
To compare knowledge, perceptions, and competencies in Evidence-Based Practice among first- and third-year ophthalmology residents in Brazil.
Methods:
Thirty-one residents (16 in the first year, 15 in the third year) completed a 13-item questionnaire and the ACE Tool, assessing five Evidence-Based Practice domains (Ask, Acquire, Appraise, Apply, Assess).
Results:
Overall performance was intermediate, with no significant difference in total ACE scores (46.7 versus 53.3; p = 0.509). Third-year students scored higher in Appraise (p = 0.032), while first years students scored higher in Apply (p = 0.013). Both groups reached a median of 100 in Assess, showing heterogeneity and a possible ceiling effect. Attitudes toward Evidence-Based Practice were positive, although third-year students reported more frequent practical application (53% versus 19%). Lack of time was the main barrier.
Conclusion:
Residents showed moderate Evidence-Based Practice competence with domain-specific differences, highlighting the need for targeted training to strengthen critical appraisal and practical application skills.