Aldugieman Thamer Z, Alanezi Rawabi S, Alshammari Wasmiah M G, Al-Shamary Yasmeen W Z, Alqahtani Mishaal M, Alreshidi Fayez S
Department of Family Medicine, College of Medicine, University of Hail, Hail, Saudi Arabia.
J Family Med Prim Care. 2018 Sep-Oct;7(5):1026-1031. doi: 10.4103/jfmpc.jfmpc_129_18.
To study the knowledge, attitudes, and perceptions toward evidence-based medicine among medical students from different colleges across the Kingdom of Saudi Arabia.
An adapted evidence-based medicine (EBM) questionnaire was administered to second year to sixth year level of medical students and interns from different medical colleges across the Kingdom from November 2016 to May 2017. The questionnaire contains items that would describe the demographic characteristics of the respondents: 24 multiple-choice questions and one open-ended question. Questions were randomly arranged to refrain from respondents' bias but are identified to determine the knowledge, attitudes, and perceptions of the respondents toward evidence-based medicine (EBP). Data were analyzed statistically using descriptive statistics.
This study surveyed 344 medical students from different universities in Saudi Arabia. The students' knowledge and attitude to EBM were low: 80.8% answered incorrectly on the components of EBM; 40.4% knew that the strongest evidence to EBP is systematic review, and 95% of the respondents were not aware of the Cochrane Library (CL). Nearly 70% did not attend EBP workshops, 18% read journals, and 85.8% use the Internet to support clinical decisions. Only 50% are interested of knowing and using CL, 69.5% would evaluate the veracity of evidence when it contradicts clinical judgment, 24.4% will follow the evidence, and 6.1% will discard the evidence favoring their clinical judgment. No journal subscription, having no time, and difficulty in comprehension were the greatest reported barriers with a relative weight of 29.1%, 25%, and 15.7%, respectively; 68.8% claimed that EBP is not applicable to their culture, and 87.1% believed that their patients are willing to participate in clinical decision-making but perceived a low participation in clinical trials.
The findings described the current status of the level of awareness and use of EBM among the medical students. This calls for a well-structured incorporation of the pedagogy into the undergraduate curriculum as a major competency standard considering culture and values that are well-preserved in the Kingdom. The outcomes of its integration will impact not only the medical and allied-medical professions but also the public health in general.
研究沙特阿拉伯王国不同院校医学生对循证医学的知识、态度和认知。
2016年11月至2017年5月，对沙特阿拉伯王国不同医学院校二年级至六年级的医学生及实习生发放一份经过改编的循证医学（EBM）问卷。问卷包含描述受访者人口统计学特征的项目：24道多项选择题和1道开放式问题。问题随机排列以避免受访者偏差，但可确定受访者对循证医学（EBP）的知识、态度和认知。使用描述性统计方法对数据进行统计分析。
本研究调查了沙特阿拉伯不同大学的344名医学生。学生对循证医学的知识和态度较低：80.8%的学生在循证医学的组成部分上回答错误；40.4%的学生知道循证医学的最有力证据是系统评价，95%的受访者不知道考科蓝图书馆（CL）。近70%的学生未参加循证医学研讨会，18%的学生阅读期刊，85.8%的学生使用互联网辅助临床决策。只有50%的学生有兴趣了解和使用考科蓝图书馆，69.5%的学生在证据与临床判断相矛盾时会评估证据的准确性，24.4%的学生会遵循证据，6.1%的学生会摒弃支持其临床判断的证据。未订阅期刊、没有时间和理解困难是报告的最大障碍，相对权重分别为29.1%、25%和15.7%；68.8%的学生声称循证医学不适用于他们的文化，87.1%的学生认为他们的患者愿意参与临床决策，但临床研究参与度较低。
研究结果描述了医学生中循证医学认知水平和应用的现状。鉴于沙特王国保存完好的文化和价值观，这就要求将循证医学教学法作为一项主要能力标准，精心纳入本科课程。其整合的成果不仅会影响医学及相关医学专业，还会对总体公共卫生产生影响。
