临床医学生对循证医学课程认知和态度分析

目的 对首都医科大学临床医学生学习循证医学课程的效果进行调查和评估,进而提出教学建议.方法 采用事先设计的调查问卷对该校2006级临床5年制和7年制医学生开设循证医学课程前、后在文献检索利用、循证医学常用术语掌握、学科认知态度方面进行调查,并辅以访谈法收集学生的意见进行统计分析.结果 开设循证医学课程后,医学生的文献平均阅读时间和文献检索次数较开设前明显增加(P＜0.05)；循证医学实践涉及的术语理解程度在课程后也明显提高(P＜0.05)；学生文献严格评价能力在5年制学生中也有明显提高(P＜0.05).在访谈中,学生建议增加文献检索和筛选文献课时,并对医学统计学内容进行复习.结论 循证医学课程的学习对学生认知和行为均有较大改变,结合案例教学法进行循证医学课程讲授具有较好的教学效果,循证医学理念和技能的学习对于临床医学生应用医学研究证据、自我学习和临床中付诸实践均有较大意义.

Analysis of Knowledge and Attitude Related to Evidence-Based Medicine Course in Clinical Medical Students

Objective To investigate the effects of evidence-based medicine（EBM） course on clinical medical students and to propose teaching advice.Methods Using a predesigned questionnaire,we conducted an investigation on the literature retrieval,knowledge of EBM terms,and subject attitude of clinical 5-year and 7-year medical students before and after EBM course,and then an interview was performed to collect the opinions of the students.Data was statistically analyzed.Results After the course,average reading time and frequency of literature retrieval increased significantly compared to the situation before EBM course（P0.05）.Knowledge levels of main EBM terms related to practice increased significantly（P0.05）.5-year medical students’ ability of literature appraisal also increased（P0.05）.In this interview,these students suggested that course time of literature retrieval and screening should increase and medical statistics should be reviewed.Conclusion Through the study of EBM course,both knowledge and attitude of students changed a lot,and combining case teaching with EBM course has a better teaching effect.Learning the concepts and techniques of EBM for clinical medical students can help them apply medical research evidence correctly in clinical practice,and train their selflearning ability.