Cayley William E
University of Wisconsin, Department of Family Medicine, Eau Claire, WI 54701, USA.
WMJ. 2005 Apr;104(3):34-7.
Evidence-based medicine (EBM) seeks to improve patients' lives by applying the best available evidence to decisions affecting health outcomes. Since medical students often do not appreciate the value of an evidence-based approach to medicine when they enter third-year clinical training, a curriculum was developed introducing third-year students to the practice of EBM during a primary care clinical rotation.
Twenty-seven students over 4 rotations participated in the series of 6 hour-long seminars, and 8 items from a 27-item questionnaire were used to measure the impact on students' self reported understanding and use of EBM.
Responses to questionnaires given before and after completion of the curriculum documented improved self-reported understanding of EBM and improved self-reported comfort with critical appraisal.
A seminar series introducing EBM in a primary care rotation improved students' familiarity with and receptivity to use of EBM.
循证医学（EBM）旨在通过将最佳可得证据应用于影响健康结果的决策来改善患者生活。由于医学生在进入三年级临床培训时往往不重视循证医学方法的价值，因此开发了一门课程，在初级保健临床轮转期间向三年级学生介绍循证医学实践。
27名学生分4轮参加了一系列为时6小时的研讨会，并使用一份27项问卷中的8项来衡量对学生自我报告的循证医学理解和应用的影响。
课程结束前后的问卷回复表明，学生自我报告的对循证医学的理解有所提高，对批判性评价的自我报告舒适度也有所提高。
在初级保健轮转中引入循证医学的系列研讨会提高了学生对循证医学的熟悉程度和接受使用的程度。
