Aiyer Meenakshy K, Dorsch Josephine L
University of Illinois College of Medicine at Peoria, 61637, USA.
Med Teach. 2008;30(4):377-83. doi: 10.1080/01421590701881632.
Evidence-based medicine (EBM) is an essential tool for students across the medical education continuum. Incorporation of EBM skills into core competencies by national educational organizations denotes their vital role.
The main purpose is to describe the transformation of an EBM curriculum in an Internal Medicine clerkship and the educational principles that influenced changes over ten years.
The EBM curriculum over ten years was reviewed. This retrospective review was divided into four phases, based on the educational interventions used. Associated outcomes of the curriculum, student skills, and satisfaction with the course and faculty involvement were assessed.
A majority of the 493 students felt they received adequate and appropriate exposure to EBM. The curriculum evolved from a teacher-centered approach using computer-based case scenarios to a learner-centered, and patient centric approach. Student skills in EBM improved, as was evidenced by the pre- and post-tests and the evaluations of critically appraised topic assignments.
EBM is an essential tool to develop life-long learners. A learner-centered, patient centric approach is well received by students. Long-term studies are needed to assess the impact of these teaching interventions on patient outcomes.
循证医学（EBM）是医学教育各阶段学生的一项重要工具。国家教育组织将循证医学技能纳入核心能力范畴，这表明了其至关重要的作用。
主要目的是描述内科实习中循证医学课程的转变以及在十年间影响这些变化的教育原则。
回顾了十年间的循证医学课程。基于所采用的教育干预措施，此次回顾性研究分为四个阶段。评估了课程的相关结果、学生技能以及学生对课程的满意度和教师参与情况。
493名学生中的大多数认为他们接受了充分且适当的循证医学知识传授。课程从以教师为中心、使用基于计算机的病例场景的方法演变为以学习者为中心、以患者为中心的方法。循证医学方面的学生技能有所提高，这在前后测试以及对严格评价主题作业的评估中得到了证明。
循证医学是培养终身学习者的一项重要工具。以学习者为中心、以患者为中心的方法受到学生的广泛欢迎。需要进行长期研究来评估这些教学干预措施对患者治疗结果的影响。
