Jacobson Robert M
Department of Pediatric and Adolescent Medicine, College of Medicine at Mayo Clinic, USA.
Minn Med. 2007 Nov;90(11):37-8, 46.
Many physicians admit to having some degree of innumeracy--difficulty understanding and working with numbers. Yet, increasingly, physicians in all specialties are committing to practicing evidence-based medicine (EBM) and, as a result, must learn to discern quantitative differences and address statistical significance. Although no one expects a practicing physician to be able to evaluate a statistician's choice of methods or conduct an independent rendering of a clinical study's analysis, practitioners of EBM must learn how to assess the importance of results found in a clinical study. Since 2001, Mayo Clinic has been teaching its residents in pediatric and adolescent medicine the skills required for EBM. This article describes the 5 steps involved in practicing EBM, focusing on the interpretation of study results.
许多医生承认自己在一定程度上缺乏数字素养——即理解和处理数字方面存在困难。然而，各专业的医生越来越致力于实践循证医学（EBM），因此，他们必须学会辨别数量差异并处理统计学显著性问题。虽然没人指望执业医生能够评估统计学家的方法选择或独立进行临床研究分析，但循证医学的从业者必须学会如何评估临床研究结果的重要性。自2001年以来，梅奥诊所一直在向其儿科和青少年医学住院医师传授循证医学所需的技能。本文介绍了实践循证医学所涉及的5个步骤，重点是研究结果的解读。
