将循证医学融入医学生课程的纵向分析

Longitudinal analysis of integrating evidence-based medicine into a medical student curriculum.

作者信息

Liabsuetrakul Tippawan, Suntharasaj Thitima, Tangtrakulwanich Boonsin, Uakritdathikarn Thida, Pornsawat Panumad

机构信息

Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkla, Thailand.

出版信息

Fam Med. 2009 Sep;41(8):585-8.

PMID:19724944

Abstract

BACKGROUND AND OBJECTIVES

Evidence-based medicine (EBM) is an important tool for lifelong learning by medical students. This study aimed to determine changes in self-reported attitudes and skills after integration of EBM into a medical school curriculum.

METHODS

A pre- and post-intervention study was conducted at the Faculty of Medicine, Prince of Songkla University in Thailand during 2005-2007. Fourth-year medical students were instructed in EBM by a team promoting EBM and then practiced EBM under supervision of faculty advisors. We then evaluated changes in attitude and skills before studying EBM (T0) and at two points (T1 and T2) after learning about EBM. Data were analyzed using Wilcoxon Sign Rank test and a generalized linear multilevel model.

RESULTS

After integration of EBM into the curriculum, the students' attitudes and skills at T1 and T2 were improved significantly compared to ratings at T0.

CONCLUSIONS

Medical students developed a positive attitude toward EBM and improved their skills after integration of EBM into a medical school curriculum.

摘要

背景与目的

循证医学（EBM）是医学生终身学习的重要工具。本研究旨在确定将循证医学纳入医学院课程后，自我报告的态度和技能的变化。

方法

2005 - 2007年期间，在泰国宋卡王子大学医学院开展了一项干预前后研究。由一个推广循证医学的团队向四年级医学生讲授循证医学，然后在教员顾问的监督下让学生实践循证医学。随后，我们评估了在学习循证医学之前（T0）以及学习循证医学之后的两个时间点（T1和T2）学生态度和技能的变化。使用Wilcoxon符号秩检验和广义线性多级模型对数据进行分析。