Department of Primary Care and Medical Education, Faculty of Medicine, University of Tsukuba, Japan.
Int J Med Educ. 2022 Aug 26;13:215-220. doi: 10.5116/ijme.62eb.7c19.
To identify the elements needed to facilitate undergraduate EBM learning among Japanese medical students.
We conducted a qualitative study based on individual semi-structured interviews. Participants were physicians working at universities, teaching hospitals, or clinics who teach EBM to medical students. Purposive sampling was used to recruit participants via email through the researchers' acquaintances. Six physicians agreed to participate in the study and were interviewed individually from October 2019 to January 2020. The interviewees were asked about their own EBM learning and teaching experiences, what they kept in mind when teaching EBM to medical students, and what they felt was needed to improve current undergraduate EBM education. Interviews were recorded. Transcripts were analysed using thematic analysis.
Thematic analysis extracted five themes: finding foreground questions, observing role models, active learning, understanding patient backgrounds, and understanding the reason for learning EBM. To promote EBM education for medical students, it is first necessary for students to actively participate in clinical practice and identify foreground questions by observing their supervisors practicing EBM. In addition to acquiring skills in information retrieval and critical appraisal, understanding a patient's background leads to understanding the significance of learning EBM, which improves students' motivation to learn EBM.
This study identified five themes that promote undergraduate EBM education. Curriculum development incorporating these elements would improve EBM education in Japan and other countries.
确定有助于日本医学生本科循证医学学习的要素。
我们开展了一项基于个体半结构化访谈的定性研究。参与者为在大学、教学医院或诊所工作的医生，他们向医学生教授循证医学。通过研究人员的熟人通过电子邮件进行了目的性抽样，招募参与者。六名医生同意参加研究，并于 2019 年 10 月至 2020 年 1 月期间进行了单独访谈。访谈内容包括他们自己的循证医学学习和教学经验、在向医学生教授循证医学时的注意事项，以及他们认为需要改进目前本科循证医学教育的方面。访谈进行了录音。使用主题分析对记录进行了分析。
主题分析提取了五个主题：寻找前景问题、观察榜样、主动学习、了解患者背景和理解学习循证医学的原因。为了促进医学生的循证医学教育，首先需要学生通过观察他们的导师实践循证医学来积极参与临床实践并识别前景问题。除了掌握信息检索和批判性评价技能外，了解患者的背景还可以帮助学生理解学习循证医学的意义，从而提高他们学习循证医学的积极性。
本研究确定了促进本科循证医学教育的五个主题。将这些要素纳入课程开发将改善日本和其他国家的循证医学教育。
