Phillips R, Glasziou P
Centre for Reviews and Dissemination, University of York, York, UK.
Postgrad Med J. 2008 Sep;84(995):450-3. doi: 10.1136/pgmj.2008.069310.
This paper gives a practical account of why and how to learn to practise evidence based medicine while still in clinical training. It highlights practical benefits to learning the skills (such as passing exams, coping with information overload and helping patients), and explains how to manage each of the four essential steps (asking questions, acquiring information, appraising evidence, and applying the results). Key resources to give the trainee rapid access to evidence based answers are highlighted, as are efficient ways of keeping up to date with the emerging literature.
本文切实阐述了在临床培训期间学习并践行循证医学的原因及方法。它强调了学习这些技能的实际益处(如通过考试、应对信息过载和帮助患者),并解释了如何处理四个基本步骤(提出问题、获取信息、评估证据以及应用结果)中的每一个步骤。文中突出了能让实习生快速获取循证答案的关键资源,以及紧跟新出现文献的有效方法。