循證醫學課程對醫學生核心能力影響的系統評價_《中國循證醫學雜志》

作者：

鄭會賢 ,  陳進 , 李幼平 , 陳燕玲

四川大學華西醫院循證醫學與臨床流行病學教研室（成都 610041）;

關鍵詞：

循證醫學課程醫學本科生核心能力系統評價

DOI：

10.7507/1672-2531.20090186

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　系統評價循證醫學課程對醫學生核心能力的影響。
方法　計算機檢索CBM、CNKI、VIP、MEDLINE、ERIC、Academic Source Premier、Campbell Library，同時使用Google 學術搜索有關循證醫學教育的隨機對照、非隨機對照（與對照組比較或課程前后比較）研究，檢索時間限定為1992 年1 月至2009 年5 月。兩名研究者獨立篩選文獻，提取數據并交叉核對，而后采用Gemma Flores-Mateo 等人改編的質量評價表評價文獻質量，對納入研究進行描述性分析。
結果　共納入17 篇文獻，其中高質量文獻2 篇，中等質量15 篇。內容包括醫學科學基礎知識、臨床技能、信息管理三項核心能力。絕大多數研究結果顯示循證醫學課程能提高醫學生的核心能力，少數研究顯示無影響。
結論　循證醫學能提高醫學生的醫學科學基礎知識、臨床技能和信息管理能力；對職業價值、態度、行為和倫理，群體健康和醫療衛生系統，信息管理和批判性思維四項核心能力無相關研究可納入，無法予以評價。

引用本文： 鄭會賢,陳進,李幼平,陳燕玲. 循證醫學課程對醫學生核心能力影響的系統評價. 中國循證醫學雜志, 2009, 09(10): 1048-1054. doi: 10.7507/1672-2531.20090186 復制

1.	萬學紅, 張肇達, 李甘地, 等. “全球醫學教育最基本要求” 的研究與在中國的實踐. 醫學教育, 2005, 2: 11-13.
2.	Gemma Flores-Mateo, Josep M Argimon. Evidence based practice in postgraduate healthcare education: A systematic review. BMC Health Services Research, 2007, 7: 119.
3.	黃伯成, 盧天祥, 湯海峰. 在臨床實習期間進行短期循證醫學課程培訓的效果分析. 繼續醫學教育, 2006, 20(31): 36-39.
4.	梁莉, 曹勵之, 李清香, 等. 開展教學活動加強醫學生核心知識與核心能力的培養. 中國現代醫學雜志, 2003, 13(18): 157-158.
5.	詹思延, 吳濤, 南奕, 等. 循證醫學教學的短期效果評估. 醫學教育, 2005, (4): 86-90.
6.	Graham T McMahon & Robert G Dluhy. Impact of a novel evidencebased medicine curriculum. Medical Teacher, 2006, 40: 459-489.
7.	Okoromah CAN, Adenuga AO, Alesi FA. Evidence-based medicine curriculum: impact on medical students. Medical Teacher, 2006, 40: 459-489.
8.	Taheri H, Mirmohamadsadeghi M, Adibi I, et al. Evidence-based medicine (EBM) for undergraduate medical students. Ann Acad Med Singapore, 2008, 37: 764-768.
9.	Paul M, Krueger DO. Teaching critical appraisal: a pilot randomized controlled outcomes trial in undergraduate osteopathic medical education. J Am Osteopath Assoc, 2006, 106: 658-662.
10.	Ghail WA, Richard SR, Eskew AH. Successful teaching in evidencebased medicine. Medical Teacher, 2000, 34: 18-22.
11.	Dorsch JL, Aiyer MK, Meyer LE. Impact of an evidence-based medicine curricuium on medical students’ attitudes and skills. J Med Libr Assoc, 2004, 92(4): 397-406.
12.	Sanchez-Mendiola M. Evidence-based medicine teaching in the Mexican Army Medical School. Medical Teacher, 2004, 26(7): 661-663.
13.	Weberschock TB, Ginn TC, Reinhold J, et al. Change in knowledge and skills of Year 3 undergraduates in evidence-based medicine seminars. Medical Education, 2005, 39: 665-671.
14.	Gruppen LD, Gurpreet K. A controlled comparison study of the efficacy of training medical students in evidence-based medicine literature searching skills. Acad Med, 2005, 80: 940-944.
15.	Cayley WE. Evidence-based medicine for medical students: introducing EBM in a primary care rotation. Wisconisn. Wisconsin Medical Journal, 2005, 104(3): 34-37.
16.	Ryce A, Dodson S. Partnership in teaching evidence-based medicine to interns at the University of Washington Medical Center. J Med Libr Assoc, 2007, 95(3): 283-286.
17.	Schilling K, Wiecha J, MD, et al. An interactive web-based curriculum on evidence-based medicine design and effectiveness. Fam Med, 2006, 38(2): 126-132.
18.	West CP, Furman S. Evaluation of a Longitudinal Medical School Evidence-Based Medicine Curriculum: A Pilot Study. J Gen Intern Med, 2008, 23(7): 1057-1059.
19.	Srinivasan M, Weiner M, Breitfeld PP, et al. Early introduction of an evidence-based medicine course to preclinical medical students. J Gen Intenmed, 2002, 17: 58-65．.
20.	Coomarasamy A, Khan KS. What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ, 2004, 329(23): 15-19.
21.	Flores-Mateo G, Argimon JM. Evidence based practice in postgraduate healthcare education: Asystematic review. BMC Health Services Research, 2007, 7: 119.
22.	劉建平. 循證醫學與循證醫學教育. 醫學教育, 2002, 1: 12-14.
23.	Cartwright CA, Korsen N, Urbach LE. Teaching the teachers: helping faculty in a family practice residency improve their informatics skills. Acad Med, 2002, 77: 385-391.
24.	Green ML. Evidence-based medicine training in internal medicine residency programs:a national survey. J Gen Intern Med, 2000, 15: 129-133.
25.	Knowles MS, Downie CM, Basford P. Teaching and assessing in clinical practice. London:University of Greenwich, 1998. 23-38.
26.	Parkes J, Hyde C, Deeks J, et al. Teaching critical appraisal skills in health care settings [database on CD-ROM]. Oxford, England: Cochrane Library, Update Software; 2002, Issue 2.
27.	Hatala R, Guyatt G. Evaluating the Teaching of Evidence-Based Medicine. JAMA, 2002, 288(9): 1057-1059.
28.	Reed D, Price EG, Windish DM, et al. Challenges in systematic reviews of educational intervention studies. Ann Intern Med, 2005, 142: 1080-1089.

1. 萬學紅, 張肇達, 李甘地, 等. “全球醫學教育最基本要求” 的研究與在中國的實踐. 醫學教育, 2005, 2: 11-13.
2. Gemma Flores-Mateo, Josep M Argimon. Evidence based practice in postgraduate healthcare education: A systematic review. BMC Health Services Research, 2007, 7: 119.
3. 黃伯成, 盧天祥, 湯海峰. 在臨床實習期間進行短期循證醫學課程培訓的效果分析. 繼續醫學教育, 2006, 20(31): 36-39.
4. 梁莉, 曹勵之, 李清香, 等. 開展教學活動加強醫學生核心知識與核心能力的培養. 中國現代醫學雜志, 2003, 13(18): 157-158.
5. 詹思延, 吳濤, 南奕, 等. 循證醫學教學的短期效果評估. 醫學教育, 2005, (4): 86-90.
6. Graham T McMahon & Robert G Dluhy. Impact of a novel evidencebased medicine curriculum. Medical Teacher, 2006, 40: 459-489.
7. Okoromah CAN, Adenuga AO, Alesi FA. Evidence-based medicine curriculum: impact on medical students. Medical Teacher, 2006, 40: 459-489.
8. Taheri H, Mirmohamadsadeghi M, Adibi I, et al. Evidence-based medicine (EBM) for undergraduate medical students. Ann Acad Med Singapore, 2008, 37: 764-768.
9. Paul M, Krueger DO. Teaching critical appraisal: a pilot randomized controlled outcomes trial in undergraduate osteopathic medical education. J Am Osteopath Assoc, 2006, 106: 658-662.
10. Ghail WA, Richard SR, Eskew AH. Successful teaching in evidencebased medicine. Medical Teacher, 2000, 34: 18-22.
11. Dorsch JL, Aiyer MK, Meyer LE. Impact of an evidence-based medicine curricuium on medical students’ attitudes and skills. J Med Libr Assoc, 2004, 92(4): 397-406.
12. Sanchez-Mendiola M. Evidence-based medicine teaching in the Mexican Army Medical School. Medical Teacher, 2004, 26(7): 661-663.
13. Weberschock TB, Ginn TC, Reinhold J, et al. Change in knowledge and skills of Year 3 undergraduates in evidence-based medicine seminars. Medical Education, 2005, 39: 665-671.
14. Gruppen LD, Gurpreet K. A controlled comparison study of the efficacy of training medical students in evidence-based medicine literature searching skills. Acad Med, 2005, 80: 940-944.
15. Cayley WE. Evidence-based medicine for medical students: introducing EBM in a primary care rotation. Wisconisn. Wisconsin Medical Journal, 2005, 104(3): 34-37.
16. Ryce A, Dodson S. Partnership in teaching evidence-based medicine to interns at the University of Washington Medical Center. J Med Libr Assoc, 2007, 95(3): 283-286.
17. Schilling K, Wiecha J, MD, et al. An interactive web-based curriculum on evidence-based medicine design and effectiveness. Fam Med, 2006, 38(2): 126-132.
18. West CP, Furman S. Evaluation of a Longitudinal Medical School Evidence-Based Medicine Curriculum: A Pilot Study. J Gen Intern Med, 2008, 23(7): 1057-1059.
19. Srinivasan M, Weiner M, Breitfeld PP, et al. Early introduction of an evidence-based medicine course to preclinical medical students. J Gen Intenmed, 2002, 17: 58-65．.
20. Coomarasamy A, Khan KS. What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ, 2004, 329(23): 15-19.
21. Flores-Mateo G, Argimon JM. Evidence based practice in postgraduate healthcare education: Asystematic review. BMC Health Services Research, 2007, 7: 119.
22. 劉建平. 循證醫學與循證醫學教育. 醫學教育, 2002, 1: 12-14.
23. Cartwright CA, Korsen N, Urbach LE. Teaching the teachers: helping faculty in a family practice residency improve their informatics skills. Acad Med, 2002, 77: 385-391.
24. Green ML. Evidence-based medicine training in internal medicine residency programs:a national survey. J Gen Intern Med, 2000, 15: 129-133.
25. Knowles MS, Downie CM, Basford P. Teaching and assessing in clinical practice. London:University of Greenwich, 1998. 23-38.
26. Parkes J, Hyde C, Deeks J, et al. Teaching critical appraisal skills in health care settings [database on CD-ROM]. Oxford, England: Cochrane Library, Update Software; 2002, Issue 2.
27. Hatala R, Guyatt G. Evaluating the Teaching of Evidence-Based Medicine. JAMA, 2002, 288(9): 1057-1059.
28. Reed D, Price EG, Windish DM, et al. Challenges in systematic reviews of educational intervention studies. Ann Intern Med, 2005, 142: 1080-1089.

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《中國循證醫學雜志》

循證醫學課程對醫學生核心能力影響的系統評價

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