循证医学课程教学效果分析及对策探讨  

Analysis of teaching effect of evidence-based medicine and discussion on teaching methods

作　　者：刘谦[1] 秦明照[1] 刘国樑[1] Liu Qian;Qin Mingzhao;Liu Guoliang(Geriatric Department, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China)

机构地区：[1]首都医科大学附属北京同仁医院老年医学科/干部医疗科,北京100730

出　　处：《医学教育管理》2017年第2期97-100,共4页Medical Education Management

摘　　要：目的评估首都医科大学附属北京同仁医院医学生的循证医学教学效果并提出改进策略。方法对该院2012级五年制31名和2011级七年制34名见习医学生进行2016年循证医学卷面考试知识点完全正确率的分析和比较,并收集学生的意见和建议。结果五年制学生9个知识点完全正确率均超过50%;七年制4个知识点完全正确率超过50%,其余7个知识点均低于50%。两个班级对于循证医学的概念达到100%掌握,但随机对照试验的认知度较低,系统综述的概念(80.65%vs 41.18%,P=0.001)和证据等级划分(61.29%vs32.35%,P=0.019)两个知识点五年制优于七年制学生。五年制学生建议增加课堂互动及参与度,希望临床实习阶段继续学习。结论通过对结果的分析,进一步提出五年制和七年制医学生循证医学教学的改进措施,对课程在临床阶段的实施有一定的借鉴意义。Objective To investigate the teaching effect of the evidence-based medicine(EBM)course among medicalstudents of Beijing Tongren Hospital affiliated to Capital Medical University and explore the improving methods.MethodsA total of65medical students,including thirty-one5-year students and thirty-four7-year students,were enrolled.Theirexamination paper was analyzed and the frequency of complete accuracy of each knowledge point was calculated.Thecomparison of the5-year students and the7-year students was made by Chi-square test.Opinions and suggestions werecollected among the5-year students.Results There were nine knowledge points with the frequency of complete accuracyexceeding50%among5-year students while there were only four among7-year students and the other seven points werebelow50%.All the students mastered the concept of EBM,but the perceptions towards randomized control trial were notgood.The5-year students were better than the7-year students in mastering the two knowledge points:the concept ofsystemic review(80.65%vs41.18%,P=0.001)and the level of evidence(61.29%vs32.35%,P=0.019).Some5-year studentssuggested that more chances of participation in the course should be given to them and hoped to go on learning EBM in theirclinical practice.Conclusion The analysis of the above results may improve the teaching methods and strategies of theEBM course for the5-year and7-year medical students.It will benefit the teaching of the EBM course in the clinical practicestage.

关 键 词：循证医学课程 教学效果 评价 

分 类 号：G642[文化科学—高等教育学] R-4[文化科学—教育学]