Department of General Practice, School of Medicine, University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia; and Corresponding author. Email:
Department of General Practice, School of Medicine, University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia.
Aust J Prim Health. 2021 Aug;27(4):271-275. doi: 10.1071/PY20267.
Learning evidence-based medicine (EBM) skills is now integral to university medical education. GPs who trained before the introduction of EBM in the late 1990s have identified a lack of training in this area. Evidence-based journal clubs (EBJCs) aim to promote the application of research evidence to clinical decision making. GPs meet regularly to develop EBM skills and apply these to questions arising in their clinical practice. Over 4 years, 47 GP clinical supervisors of medical students participated in a series of EBJCs offered by a university medical school. This article presents a qualitative exploration of their views and experiences. GPs noted that participating in EBJCs improved their use of EBM in clinical practice by making them more independent learners, facilitating consistent management approaches in group practices and aligning their skills in EBM with those of current students. Barriers such as time constraints and limited access to EBM resources were also noted, and GPs discussed strategies for managing these. Opportunities for GPs who act as clinical supervisors to increase their skills in EBM are important, particularly for those GPs transitioning from a traditional medical education model to an EBM model, as they role model highest-quality patient care to students, including the need for ongoing learning.
学习循证医学 (EBM) 技能现在是大学医学教育不可或缺的一部分。在 20 世纪 90 年代后期 EBM 引入之前接受培训的全科医生已经意识到在这一领域缺乏培训。循证期刊俱乐部 (EBJCs) 旨在促进将研究证据应用于临床决策。全科医生定期开会以提高 EBM 技能，并将这些技能应用于他们临床实践中出现的问题。在 4 年的时间里，47 名医学专业学生的全科医生临床导师参加了由一所大学医学院提供的一系列 EBJCs。本文对他们的观点和经验进行了定性探索。全科医生指出，参加 EBJCs 通过使他们成为更独立的学习者，在小组实践中促进一致的管理方法，并使他们的 EBM 技能与当前学生的技能保持一致，从而提高了他们在临床实践中应用 EBM 的能力。还注意到了时间限制和有限的 EBM 资源获取等障碍，并讨论了管理这些障碍的策略。对于作为临床导师的全科医生来说，增加他们在 EBM 方面的技能的机会很重要，特别是对于那些从传统医学教育模式过渡到 EBM 模式的全科医生来说，因为他们向学生树立了最高质量的患者护理模式，包括持续学习的必要性。
