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O&G TopicsProfessional practice — Scholar role, research literacy and evidence-based practice

O&G · Professional practice — Scholar role, research literacy and evidence-based practice

Research literacy and the Scholar role

Also known as The Scholar role · Research and the FRANZCOG · Evidence-based practice in O&G · Critical appraisal · Biostatistics for FRANZCOG · Research ethics

FRANZCOG reference on research literacy: the definition of evidence based medicine, appraisal tools by design (RoB 2, ROBINS-I, AMSTAR 2), reporting guidelines (PRISMA 2020, CONSORT 2010), GRADE certainty, effect measures and the NNT with the WOMAN and ASPRE trials as worked examples, P values and confidence intervals, diagnostic accuracy, and the NHMRC ethics framework.

high18 referencesUpdated 23 Oct 20266 min readSource-verified · Oct 2026

Checked against its sources on 23 Oct 2026

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Practise this topic8 MCQs with explanations

Target exams

FRANZCOGMRCOGABOGFRCSCMRCPI

Red flags

  • Reading an odds ratio as a risk ratio when events are common overestimates the intervention effect
  • Treating P above 0.05 as proof of no effect; a large P value does not mean the test hypothesis is true
  • Relying on a systematic review that AMSTAR 2 rates critically low; it should not be relied on to summarise the evidence
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Study tools

Your progress

Saved on this device.

Practise this topic8 MCQs with explanations

Target exams

FRANZCOGMRCOGABOGFRCSCMRCPI

Red flags

  • Reading an odds ratio as a risk ratio when events are common overestimates the intervention effect
  • Treating P above 0.05 as proof of no effect; a large P value does not mean the test hypothesis is true
  • Relying on a systematic review that AMSTAR 2 rates critically low; it should not be relied on to summarise the evidence
One-line fellowship answer

Evidence based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.[1] Appraise a randomised trial result with RoB 2, a non-randomised study of an intervention with ROBINS-I, and a systematic review with AMSTAR 2. Then grade the body of evidence for each outcome with GRADE (high, moderate, low or very low certainty).[13][3][4][14] Summary of findings tables give both relative and absolute effects, and the confidence interval should be read rather than the P value alone.[14][9]

Scenario

Your supervisor hands you a trial abstract on a ward round and asks three things: is the result believable, how large is the effect for the woman in front of you, and how confident should the unit be in changing practice? This topic gives you a structured way to answer each question.

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You have read the opening of this topic. The complete unit — every section and its primary-source references — is part of the Obstetrics & Gynaecology fellowship library.

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References18ShowHide
  1. [1]Sackett DL, Rosenberg WM, Gray JA, et al. Evidence based medicine: what it is and what it isn't. BMJ (Clinical research ed.), 1996.PMID 8555924
  2. [2]Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical research ed.), 2021.PMID 33782057
  3. [3]Sterne JA, Hernán MA, Reeves BC, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ (Clinical research ed.), 2016.PMID 27733354
  4. [4]Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ (Clinical research ed.), 2017.PMID 28935701
  5. [5]Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ (Clinical research ed.), 2008.PMID 18436948
  6. [6]Schulz KF, Altman DG, Moher D, et al. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ (Clinical research ed.), 2010.PMID 20332509
  7. [7]Ioannidis JP Why most published research findings are false. PLoS medicine, 2005.PMID 16060722
  8. [8]Cook RJ, Sackett DL The number needed to treat: a clinically useful measure of treatment effect. BMJ (Clinical research ed.), 1995.PMID 7873954
  9. [9]Greenland S, Senn SJ, Rothman KJ, et al. Statistical tests, P values, confidence intervals, and power: a guide to misinterpretations. European journal of epidemiology, 2016.PMID 27209009
  10. [10]Trevethan R Sensitivity, Specificity, and Predictive Values: Foundations, Pliabilities, and Pitfalls in Research and Practice. Frontiers in public health, 2017.PMID 29209603
  11. [11]WOMAN Trial Collaborators Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. Lancet (London, England), 2017.PMID 28456509
  12. [12]Rolnik DL, Wright D, Poon LC, et al. Aspirin versus Placebo in Pregnancies at High Risk for Preterm Preeclampsia. The New England journal of medicine, 2017.PMID 28657417
  13. [13]Higgins JP, Savović J, Page MJ, Elbers RG, Sterne JAC Chapter 8: Assessing risk of bias in a randomized trial. Cochrane Handbook for Systematic Reviews of Interventions version 6.5 Cochrane, 2024.Source
  14. [14]Schünemann HJ, Higgins JP, Vist GE, Glasziou P, Akl EA, Skoetz N, Guyatt GH Chapter 14: Completing 'Summary of findings' tables and grading the certainty of the evidence. Cochrane Handbook version 6.5 Cochrane, 2024.Source
  15. [15]Higgins JP, Li T, Deeks JJ (editors) Chapter 6: Choosing effect measures and computing estimates of effect. Cochrane Handbook version 6.5 Cochrane, 2024.Source
  16. [16]Schünemann HJ, Vist GE, Higgins JP, Santesso N, Deeks JJ, Glasziou P, Akl EA, Guyatt GH Chapter 15: Interpreting results and drawing conclusions. Cochrane Handbook version 6.5 Cochrane, 2024.Source
  17. [17]National Health and Medical Research Council National Statement on Ethical Conduct in Human Research NHMRC, 2026.Source
  18. [18]National Health and Medical Research Council Ethical considerations in quality assurance and evaluation activities NHMRC, 2014.Source

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