Thomas Kris G, Thomas Matthew R, York Elaine B, Dupras Denise M, Schultz Henry J, Kolars Joseph C
Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 559005, USA.
Teach Learn Med. 2005 Spring;17(2):130-5. doi: 10.1207/s15328015tlm1702_6.
Evidence-based medicine (EBM) is a required component of the Accreditation Council for Graduate Medical Education's Practice-Based Learning core competency.
To compare the efficacy of conferences and small-group discussions in enhancing EBM competency.
EBM conferences and small-group discussions were integrated into an internal medicine curriculum. EBM competency was assessed by written examination following participation in both groups and compared with residents who had not participated in either format.
Small-group discussion participants (n = 10) scored higher on an EBM exam (17.8 +/- 4.5 correct out of 25) when compared with 10 conference participants (12.2 +/- 4.6, p = .010) and 26 residents who did not participate in either format (12.0 +/- 4.5, p = .002). Small-group discussion participants also reported increased confidence and high satisfaction.
Although more resource intensive, small-group discussions resulted in increased EBM knowledge, increased confidence with critical appraisal skills, and high satisfaction compared with a conference-based format.
循证医学（EBM）是毕业后医学教育认证委员会基于实践的学习核心能力的一个必要组成部分。
比较会议和小组讨论在提高循证医学能力方面的效果。
将循证医学会议和小组讨论纳入内科课程。在参与这两种形式后，通过笔试评估循证医学能力，并与未参与任何一种形式的住院医师进行比较。
与10名参加会议的参与者（12.2±4.6，p = 0.010）和26名未参与任何一种形式的住院医师（12.0±4.5，p = 0.002）相比，10名参加小组讨论的参与者在循证医学考试中的得分更高（25题中答对17.8±4.5题）。参加小组讨论的参与者也报告了自信心增强和高度满意度。
尽管小组讨论资源消耗更多，但与基于会议的形式相比，小组讨论能提高循证医学知识、增强对批判性评估技能的信心并带来高度满意度。
