Srihari Vinod
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Acad Psychiatry. 2008 Nov-Dec;32(6):463-9. doi: 10.1176/appi.ap.32.6.463.
Evidence-based medicine has an important place in the teaching and practice of psychiatry. Attempts to teach evidence-based medicine skills can be weakened by conceptual confusions feeding a false polarization between traditional clinical skills and evidence-based medicine.
The author develops a broader conception of clinical expertise consisting of three tasks, clarifies the role of evidence-based medicine, and explores the implications for teaching and practice.
Evidence-based medicine is an essential tool that enables clinicians to assess causal explanations in etiology, risk, or prognosis, or to compare treatments.
An explicit and inclusive conceptualization of clinical skills can provide a framework to implement and assess curricular efforts to teach evidence-based medicine.
循证医学在精神病学教学与实践中占有重要地位。传统临床技能与循证医学之间虚假的两极分化所导致的概念混淆，可能会削弱传授循证医学技能的努力。
作者提出了一个更广泛的临床专业概念，包括三项任务，阐明了循证医学的作用，并探讨了其对教学和实践的影响。
循证医学是一种重要工具，可使临床医生评估病因、风险或预后方面的因果解释，或比较不同治疗方法。
对临床技能进行明确且包容的概念化，可为实施和评估循证医学教学的课程努力提供一个框架。
