Liu Jeffrey C, Stewart Michael G
Department of Otorhinolaryngology, Weill Cornell Medical College, 1305 York Avenue, New York, NY 10021, USA.
Otolaryngol Clin North Am. 2007 Dec;40(6):1261-74, vii-viii. doi: 10.1016/j.otc.2007.07.006.
Learning to apply the ever-expanding volume of clinical literature to patient care is critical for the next generation of physicians. This evidence-based medicine (EBM) offers much to improve patient care and outcomes, but should enhance rather than restrict the practice of medicine. Although the barriers to the adoption and teaching of EBM lie on many fronts, including institutional and staff limitations, many examples of structured didactics--from journal club to professor rounds--have been reported with good success. Published reviews and online evidence-based guidelines offer excellent synthesis of complex topics as a catalyst for understanding the clinical literature. Beyond academics, this article, in its discussion of what EBM is and how to practice it, presents information of value to practicing clinicians.
学会将不断扩充的临床文献应用于患者护理，对下一代医生而言至关重要。这种循证医学（EBM）在改善患者护理及治疗结果方面大有可为，但应强化而非限制医学实践。尽管循证医学的采用与教学面临诸多障碍，包括机构和人员限制等，但已有许多结构化教学方法（从期刊俱乐部到教授查房）取得了良好成效的报道。已发表的综述和在线循证指南对复杂主题进行了出色的综合归纳，可促进对临床文献的理解。除学术领域外，本文在探讨循证医学是什么以及如何实践时，还为临床执业医生提供了有价值的信息。
