Rhodes Martin, Ashcroft Richard, Atun Rifat A, Freeman George K, Jamrozik Konrad
Imperial College, UK.
Med Teach. 2006 Jun;28(4):313-7. doi: 10.1080/01421590600624604.
A six-week full time course for third-year undergraduate medical students at Imperial College uniquely links evidence-based medicine (EBM) with ethics and the management of change in health services. It is mounted jointly by the Medical and Business Schools and features an experiential approach. Small teams of students use a problem-based strategy to address practical issues identified from a range of clinical placements in primary and secondary care settings. The majority of these junior clinical students achieve important objectives for learning about teamwork, critical appraisal, applied ethics and health care organisations. Their work often influences the care received by patients in the host clinical units. We discuss the strengths of the course in relation to other accounts of programmes in EBM. We give examples of recurring experiences from successive cohorts and discuss assessment issues and how our multi-phasic evaluation informs evolution of the course and the potential for future developments.
这是一门为期六周的全日制课程，面向帝国理工学院三年级本科医学生，它将循证医学（EBM）与伦理学以及卫生服务变革管理独特地联系在一起。该课程由医学院和商学院联合举办，采用体验式教学方法。学生小组运用基于问题的策略来解决从基层和二级医疗环境中的一系列临床实习中发现的实际问题。这些低年级临床学生中的大多数在团队合作、批判性评估、应用伦理学和医疗保健组织等方面的学习实现了重要目标。他们的工作常常会影响到所在临床科室患者接受的护理。我们将讨论该课程相对于其他循证医学课程描述的优势。我们给出连续几届学生反复出现的经历示例，并讨论评估问题，以及我们的多阶段评估如何为课程的发展和未来发展潜力提供参考。
