循证医学培训如何影响医学生对传统、补充和替代医学以及关于 COVID-19 的阴谋论的看法：一项全国性研究。

How does evidence-based medicine training affect medical students' views on traditional, complementary, and alternative medicine and the conspiracy theories about COVID-19: a nationwide study.

机构信息

Department of Medical Education and Informatics, Gazi University Faculty of Medicine, Ankara, Turkey.

出版信息

Prim Health Care Res Dev. 2023 Nov 24;24:e65. doi: 10.1017/S1463423623000464.

DOI:10.1017/S1463423623000464

PMID:37997437

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10689091/

Abstract

AIM

It was aimed to explore the relationship between evidence-based medicine (EBM) training and medical students' views on traditional, complementary, and alternative medicine (TCAM) and their views on conspiracies about COVID-19.

BACKGROUND

Medical students constitute the future workforce of primary health care services. The relationship between EBM training and their views on conspiracies about COVID-19 is critical to explore for providing a better primary health care. The relationship EBM training and medical students' views on TCAM is also important in this regard.

METHODS

This is a cross-sectional study. Turkish medical students were surveyed about EBM training, TCAM, and COVID-19 conspiracies. The electronic survey form consisted of five parts: Demographic characteristics, views and self-perceived knowledge about TCAM and the methods, views on the origin of SARS-COV-2, participation in EBM training, and views on TCAM training. A total of 49 medical schools provided response. Along with descriptive statistics, Chi-square test was utilized.

FINDINGS

Among 2577 participants, 24.0% of them believed SARS-COV-2 was artificially designed. The students who have participated in EBM training via both lecture and small group discussions have a less positive view on TCAM than both the students who have not participated in any EBM training ( < 0.05) and the students who participated in only-lectures ( < 0.05). There was a significant association between EBM training and whether believing COVID-19 (SARS-COV-2) has been designed purposefully by some people or it has emerged naturally (1) = 17.21 < 0.001. The odds of thinking COVID-19 emerged naturally was 1.85 times higher (95% CI: 1.38-2.47) if the students have participated in EBM training via both lectures and small group discussions than if they have not participated in any EBM training. EBM training affects medical students in terms of beliefs on COVID-19 conspiracies.

摘要

目的

旨在探讨循证医学（EBM）培训与医学生对传统、补充和替代医学（TCAM）的看法及其对 COVID-19 阴谋论的看法之间的关系。

背景

医学生是初级卫生保健服务未来的劳动力。探讨 EBM 培训与他们对 COVID-19 阴谋论的看法之间的关系对于提供更好的初级卫生保健至关重要。在这方面，EBM 培训与医学生对 TCAM 的看法之间的关系也很重要。

方法

这是一项横断面研究。对土耳其医学生进行了关于 EBM 培训、TCAM 和 COVID-19 阴谋论的调查。电子调查表格包括五个部分：人口统计学特征、对 TCAM 和方法的看法和自我感知知识、SARS-COV-2 的起源、EBM 培训的参与情况以及对 TCAM 培训的看法。共有 49 所医学院提供了回应。除了描述性统计数据外，还使用了卡方检验。

结果

在 2577 名参与者中，有 24.0%的人认为 SARS-COV-2 是人为设计的。与未参加任何 EBM 培训的学生（<0.05）和仅参加讲座的学生（<0.05）相比，通过讲座和小组讨论参加 EBM 培训的学生对 TCAM 的看法更为消极。EBM 培训与是否相信 COVID-19（SARS-COV-2）是由某些人故意设计的还是自然出现的之间存在显著关联（1）=17.21 <0.001。如果学生通过讲座和小组讨论接受了 EBM 培训，那么他们认为 COVID-19 是自然出现的可能性是未接受任何 EBM 培训的学生的 1.85 倍（95%CI：1.38-2.47）。EBM 培训会影响医学生对 COVID-19 阴谋论的看法。