Department of Medical Education and Informatics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Department of Medical Education and Informatics, Faculty of Medicine, Hacettepe University, Ankara, Turkey;
Med Educ Online. 2014 Apr 25;19:24269. doi: 10.3402/meo.v19.24269. eCollection 2014.
Evidence-based medicine (EBM) aims to provide skills that help physicians answer clinically important questions, determine new evidence, and incorporate the acquired knowledge in practice. EBM skills are necessary for the practice of modern medicine, since physicians should use up-to-date knowledge and information to justify their medical decisions.
We aimed to evaluate the EBM program implemented at Hacettepe University School of Medicine.
In 2004, a spiral program for the teaching and practice of EBM was developed for the first 3 years of medical school. Following this program, a practice of EBM was included in the fourth year during the surgery clerkship, after an introductory lecture. The students worked within collaborative teams of 3-5 and practiced EBM with actual cases seen in the surgical service in which they were involved. Each student was asked to complete a questionnaire that evaluated the more theoretical program from the first 3 years and the practical application in the fourth year.
Nearly half of the students stated that the preclinical years of the EBM program were 'adequate', but only 30% of the students indicated that the program was practical. They stated that 'more practical approaches were used in the fourth year, whereas more theory-based approaches were used during the preclinical years'. More than 75% of the students declared that the practice of EBM in the fourth year was useful and appropriate for team-based learning.
The EBM program was evaluated as 'adequate'. EBM courses should be included in the entire curriculum in an integrated manner. The students understand the main philosophy of EBM in the clinical year when involved in its practical application with actual patients.
循证医学（EBM）旨在提供帮助医生回答临床重要问题、确定新证据并将获得的知识融入实践的技能。EBM 技能是现代医学实践所必需的，因为医生应该利用最新的知识和信息来证明他们的医疗决策是合理的。
我们旨在评估在哈塞特佩大学医学院实施的 EBM 计划。
2004 年，为医学院的前 3 年开发了螺旋式 EBM 教学和实践计划。在此计划之后，在第四年的外科实习期间，在进行介绍性讲座后，将 EBM 的实践纳入其中。学生以 3-5 人的协作小组合作，使用他们参与的外科服务中实际看到的案例进行 EBM 实践。要求每位学生完成一份问卷，评估前 3 年的更理论性课程和第四年的实际应用。
将近一半的学生表示 EBM 项目的临床前几年“足够”，但只有 30%的学生表示该项目具有实用性。他们表示，“在第四年使用了更多的实践方法，而在临床前几年使用了更多的理论方法”。超过 75%的学生表示，第四年的 EBM 实践对团队学习是有用且合适的。
EBM 计划被评估为“足够”。EBM 课程应该以综合的方式纳入整个课程。当学生在实际应用中涉及实际患者时，他们会理解 EBM 的主要哲学。
