Acharya Yogesh, Raghavendra Rao M V, Arja Sateesh
Department of Epidemiology and Preventive Medicine, Avalon University School of Medicine, Curacao, Netherlands.
Department of Students' Affairs, Avalon University School of Medicine, Curacao, Netherlands.
J Adv Med Educ Prof. 2017 Jul;5(3):95-100.
Evidence Based Medicine (EBM) has established itself as a strong predictor of future medical practice by medical students. The purpose of this study was to determine the effectiveness of EBM in pre-clinical years and reflect on self-assessment skill of 4 semester medical students regarding the understanding of EBM and its various determinants.
All of the 4 semester (MD4) medical students at the Avalon University of Medical School, Curacao who had completed their EBM curriculum were asked to voluntarily participate in a cross sectional student survey containing qualitative and quantitative questionnaires in a 10-point scale. The students' responses were analyzed statistically and the results reported.
Twenty-three students participated in the survey. 91% of them reported that EBM had helped them to better understand research process and 95% believed that EBM was necessary to develop clinical skills in the future. 78% of the students agreed that they were provided with enough resources for effective implementation of EBM in the university. All participants (100%) self reported that they could appraise the research articles effectively (mean score 8.26, S.D-1.45).
EBM is an integrative and comprehensive way to successfully adopt concepts of acquired medical knowledge for effective medical practice. Early introduction of EBM in preclinical years proved favorable in students and better equipped them with the ability to critically apprehend and appraise new research and innovations in medicine for optimal learning experience. There is a definitive need for scientific and systematic design of the curriculum for early introduction of EBM in pre-clinical years, best suited for the students. The principles should be directed towards further research for the effective implementation of EBM to enhance clinical skills.
循证医学（EBM）已成为医学生未来医学实践的有力预测指标。本研究的目的是确定循证医学在临床前几年的有效性，并反思四年级医学生在理解循证医学及其各种决定因素方面的自我评估技能。
库拉索岛阿瓦隆医学院所有完成循证医学课程的四年级（MD4）医学生被要求自愿参与一项横断面学生调查，该调查包含定性和定量问卷，采用10分制。对学生的回答进行统计分析并报告结果。
23名学生参与了调查。其中91%的学生报告称循证医学帮助他们更好地理解了研究过程，95%的学生认为循证医学对未来临床技能的培养是必要的。78%的学生同意在大学中为有效实施循证医学提供了足够的资源。所有参与者（100%）自我报告称他们能够有效地评估研究文章（平均得分8.26，标准差-1.45）。
循证医学是一种综合全面的方法，能够成功地将获得的医学知识概念应用于有效的医学实践。在临床前几年尽早引入循证医学对学生有利，并使他们更好地具备批判性理解和评估医学新研究与创新的能力，以获得最佳学习体验。确实需要科学系统地设计课程，以便在临床前几年尽早引入循证医学，最适合学生。这些原则应指向进一步研究以有效实施循证医学，从而提高临床技能。
