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北爱尔兰和南爱尔兰的经验丰富的全科医生(G.P.s)以及全科医生注册员使用“READER”首字母缩写进行批判性阅读。

Critical reading using the READER acronym by experienced general practitioners (G.P.s) and by G.P. registrars in southern and Northern Ireland.

作者信息

MacAuley D, Sweeney K G

机构信息

Department of Epidemiology and Public Health, Queen's University of Belfast.

出版信息

Ir J Med Sci. 1997 Jul-Sep;166(3):121-3. doi: 10.1007/BF02943585.

DOI:10.1007/BF02943585
PMID:9256542
Abstract

The READER acronym describes a simple easily applied method of critical reading, an important skill for general practitioners (GPs). The aim of the study was to evaluate an abstract using the READER method, and to compare the appraisal by GP registrars in Southern Ireland with those of GP registrars in Northern Ireland and those previously recorded by experienced GPs at the Conference of Teachers of the Irish College of General Practitioners. General practice registrars (n = 41) in Southern Ireland participated in a critical reading workshop at which they appraised the abstract of a sample paper using the READER model for critical appraisal. A group of GP registrars (n = 10) in Northern Ireland, and experienced GPs (n = 35) at the Conference of Teachers of the Irish College of General Practitioners evaluated the complete paper using a similar methodology. There was no statistically significant difference between scores recorded by GP registrars in Southern Ireland and their Northern Irish counterparts, nor was there a statistically significant difference with experienced GP teachers. The READER model for critical reading provides GP registrars with a useful tool for critical evaluation of medical literature. GP registrars in Southern Ireland, Northern Ireland, and experienced GP's from the Conference of Teachers in Ireland recorded similar results and the study appraised, while dealing with an intervention in one practice in south west England, appeared relevant and applicable to participants from other locations in a different health care system.

摘要

READER这个首字母缩写词描述了一种简单且易于应用的批判性阅读方法,这是全科医生(GP)的一项重要技能。该研究的目的是使用READER方法评估一篇摘要,并将爱尔兰南部的全科医生注册实习生的评估结果与北爱尔兰的全科医生注册实习生以及爱尔兰全科医生学院教师会议上经验丰富的全科医生之前记录的评估结果进行比较。爱尔兰南部的全科医生注册实习生(n = 41)参加了一个批判性阅读研讨会,在会上他们使用READER批判性评估模型对一篇示例论文的摘要进行了评估。北爱尔兰的一组全科医生注册实习生(n = 10)以及爱尔兰全科医生学院教师会议上的经验丰富的全科医生(n = 35)使用类似方法对完整论文进行了评估。爱尔兰南部的全科医生注册实习生与北爱尔兰的同行记录的分数之间没有统计学上的显著差异,与经验丰富的全科医生教师相比也没有统计学上的显著差异。READER批判性阅读模型为全科医生注册实习生提供了一个评估医学文献的有用工具。爱尔兰南部、北爱尔兰的全科医生注册实习生以及爱尔兰教师会议上经验丰富的全科医生记录了相似的结果,并且该研究在评估对英格兰西南部一个诊所的一项干预措施时,似乎与不同医疗保健系统中其他地区的参与者相关且适用。

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本文引用的文献

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Developing a register of randomised controlled trials in primary care.建立基层医疗中随机对照试验的登记册。
BMJ. 1993 Apr 3;306(6882):897-900. doi: 10.1136/bmj.306.6882.897.
2
Changing physicians' practices.改变医生的诊疗方式。
N Engl J Med. 1993 Oct 21;329(17):1271-3. doi: 10.1056/NEJM199310213291714.
3
Evaluation of an easy, cost-effective strategy for cutting benzodiazepine use in general practice.评估一种在全科医疗中减少苯二氮䓬类药物使用的简便且具成本效益的策略。
Br J Gen Pract. 1994 Jan;44(378):5-8.
4
READER: an acronym to aid critical reading by general practitioners.READER:一个帮助全科医生进行批判性阅读的首字母缩写词。
Br J Gen Pract. 1994 Feb;44(379):83-5.
5
Clinical guidelines: their implementation in general practice.临床指南:其在全科医疗中的实施
Br J Gen Pract. 1995 Jul;45(396):371-5.