微信公众号背景下住院医师循证医学认知、态度及实践的多中心调查研究  

Resident physicians'knowledge,attitudes and practice of evidence-based medicine in the context of WeChat public platform:a multicenter crosssectional survey study

作　　者：江利冰[1] 张宏宇 徐善祥[1] 金卫健 陆骁臻[3] 郁慧杰 蔡园晖 何许伟[6] 刘雪兰[7] Jiang Libing;Zhang Hongyu;Xu Shanxiang;Jin Weijian;Lu Xiaozhen;Yu Huijie;Cai Yuanhui;He Xuwei;LiuXuelan(Department of Emergency Medicine,Second Affiliated Hospital,Zhejiang University School of Medicine,Zhejiang Key Laboratory of Trauma,Burn,and Medical Rescue,Zhejiang Province Clinical Research Center for Emergency and Critical Care Medicine,Hangzhou 310009,Zhejiang,China;Department of Emergency Medicine,Changxing County People's Hospital,Changxing 313100,Zhejiang,China;Department of Emergency Medicine,Ningbo No.2 Hospital,Ningbo 315800,Zhejiang,China;Department of Emergency Medicine,Jiaxing First Hospital,Jiaxing 314001,Zhejiang,China;Department of Emergency Medicine,Zhejiang Hospital,Hangzhou 310000,Zhejiang,China;Department of Emergency Medicine,Lishui People's Hospital,Lishui 323000,Zhejiang,China;Department of Emergency Medicine,Li Huili Hospital,Ningbo Medical Centre,Ningbo 315041,Zhejiang,China)

机构地区：[1]浙江大学医学院附属第二医院急诊医学科/浙江省严重烧创伤诊治与应急救援重点实验室/浙江省急危重症临床医学研究中心,浙江杭州310009 [2]长兴县人民医院急诊医学科,浙江长兴313100 [3]宁波市第二医院急诊医学科,浙江宁波315800 [4]嘉兴市第一医院急诊医学科,浙江嘉兴314001 [5]浙江医院急诊医学科,浙江杭州310000 [6]丽水市人民医院急诊医学科,浙江丽水323000 [7]宁波市医疗中心李惠利医院急诊医学科,浙江宁波315041

出　　处：《中国毕业后医学教育》2024年第12期913-917,共5页Chinese Journal of Graduate Medical Education

基　　金：浙江省自然科学基金项目(LQ20H150006);浙江省医药卫生科技计划项目(2024KY092);浙江大学第二临床医学院2022年度教学改革研究培育项目(20220211)。

摘　　要：目的调查微信公众号背景下住院医师自主学习途径以及对循证医学相关的认知、态度和实践情况。方法采用调查问卷对浙江省16家三级甲等医院住院医师进行调查。结果共收回有效问卷712份,其中71.49%为本科学历。排名前三的专业分别为内科(29.49%)、外科(11.80%)及全科(10.96%)。住院医师在临床遇到问题、教学查房、教学小讲课及其他类型汇报时,微信公众号均排在自主学习途径的前3位。不足5%的住院医师对循证医学相关知识与工具非常了解。结论微信公众平台逐渐成为住院医师循证实践的重要途径;住院医师对循证医学的认知水平有限,但认可其价值;目前微信公众平台使用方面尚需进一步提高。Objective To evaluate residents'self-directed learning pathways,and their knowledge,attitudes,and practices related to evidence-based medicine in the context of the popularity of WeChat.Methods A questionnaire was used to survey residents in 16 tertiary-level hospitals in Zhejiang Province.Results A total of 712 valid questionnaires were returned,of which 71.49%were from undergraduate students.The top three specialities were internal medicine(29.49%),surgery(11.80%)and general medicine(10.96%).Residents ranked WeChat in the top 3 independent learning pathways for clinical encounters,teaching rounds,didactic mini-lectures,and other types of debriefings.Less than 5% of residents were very knowledgeable about knowledge and tools related to evidence-based medicine.Conclusion WeChat public platforms are increasingly becoming an important avenue for the evidence-based practice of resident physicians.While their knowledge of EBM remains limited,they recognize its value.There is still room for improvement in the use of WeChat public platforms for this purpose.

关 键 词：自主学习 循证医学 住院医师规范化培训 微信公众号 

分 类 号：G40-034[文化科学—教育学原理] R4[文化科学—教育学]