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. 2019 Aug 8;9(8):e026947. doi: 10.1136/bmjopen-2018-026947

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© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Impact of EBCR provision on class exam performance at UR. (A) The average grades of graduating Doc4 students over time. Each dot represents one student and shows the average of their grades in the following eight exams: written and clinical exams in internal medicine, paediatrics, obstetrics and gynaecology and surgery. (B) The average grades of students pre-UpToDate (UTD) (2012–2015) and post-UpToDate (2016–2017). The p value represents a two-sided heteroscedastic t-test. The error bars represent standard error of the mean. EBCR, evidence-based clinical resource.