医学教育管理 ›› 2017, Vol. 3 ›› Issue (2): 97-100.doi: 10.3969/j.issn.2096-045X.2017.02.004

• 课程建设 • 上一篇    下一篇

循证医学课程教学效果分析及对策探讨

刘 谦,秦明照,刘国樑   

  1. 首都医科大学附属北京同仁医院老年医学科/干部医疗科,北京100730
  • 收稿日期:2017-01-06 出版日期:2017-04-20

Analysis of teaching effect of evidence-based medicine and discussion on teaching methods

Liu Qian, Qin Mingzhao, Liu Guoliang   

  1. Geriatric Department, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2017-01-06 Online:2017-04-20

摘要: 目的 评估首都医科大学附属北京同仁医院医学生的循证医学教学效果并提出改进策略。方法 对该院2012级五年制31名和2011级七年制34名见习医学生进行2016年循证医学卷面考试知识点完全正确率的分析和比较,并收集学生的意见和建议。结果 五年制学生9个知识点完全正确率均超过50%;七年制4个知识点完全正确率超过50%,其余7个知识点均低于50%。两个班级对于循证医学的概念达到100%掌握,但随机对照试验的认知度较低,系统综述的概念(80.65% vs 41.18%,P=0.001)和证据等级划分(61.29% vs 32.35%,P=0.019)两个知识点五年制优于七年制学生。五年制学生建议增加课堂互动及参与度,希望临床实习阶段继续学习。结论 通过对结果的分析,进一步提出五年制和七年制医学生循证医学教学的改进措施,对课程在临床阶段的实施有一定的借鉴意义。

Abstract: Objective To investigate the teaching effect of the evidence-based medicine(EBM) course among medical students of Beijing Tongren Hospital affiliated to Capital Medical University and explore the improving methods. Methods A total of 65 medical students,including thirty-one 5-year students and thirty-four 7-year students, were enrolled. Their examination paper was analyzed and the frequency of complete accuracy of each knowledge point was calculated. The comparison of the 5-year students and the 7-year students was made by Chi-square test. Opinions and suggestions were collected among the 5-year students. Results There were nine knowledge points with the frequency of complete accuracy exceeding 50% among 5-year students while there were only four among 7-year students and the other seven points were below 50%. All the students mastered the concept of EBM, but the perceptions towards randomized control trial were not good. The 5-year students were better than the 7-year students in mastering the two knowledge points: the concept of systemic review (80.65% vs 41.18%, P=0.001) and the level of evidence (61.29% vs 32.35%, P=0.019). Some 5-year students suggested that more chances of participation in the course should be given to them and hoped to go on learning EBM in their clinical practice. Conclusion The analysis of the above results may improve the teaching methods and strategies of the EBM course for the 5-year and 7-year medical students. It will benefit the teaching of the EBM course in the clinical practice stage.