CAJ | 학술논문

目的系统评价循证医学课程对医学生核心能力的影响.方法计算机检索CBM、CNKI、VIP、MEDLINE、ERIC、Academic Source Premier、Carnpbell Library,同时使用Google学术搜索有关循证医学教育的随机对照、非随机对照(与对照组比较或课程前后比较)研究,检索时间限定为1992年1月至2009年5月.两名研究者独立筛选文献,提取数据并交叉核对,而后采用Gemma Flores-Mateo等人改编的质量评价表评价文献质量,对纳入研究进行描述性分析.结果共纳入17篇文献,其中高质量文献2篇,中等质量15篇.内容包括医学科学基础知识、临床技能、信息管理三项核心能力.绝大多数研究结果显示循证医学课程能提高医学生的核心能力,少数研究显示无影响.结论循证医学能提高医学生的医学科学基础知识、临床技能和信息管理能力;对职业价值、态度、行为和伦理,群体健康和医疗卫生系统,信息管理和批判性思维四项核心能力无相关研究可纳入,无法予以评价.
목적 계통평개순증의학과정대의학생핵심능력적영향.방법 계산궤검색CBM、CNKI、VIP、MEDLINE、ERIC、Academic Source Premier、Carnpbell Library,동시사용Google학술수색유관순증의학교육적수궤대조、비수궤대조(여대조조비교혹과정전후비교)연구,검색시간한정위1992년1월지2009년5월.량명연구자독립사선문헌,제취수거병교차핵대,이후채용Gemma Flores-Mateo등인개편적질량평개표평개문헌질량,대납입연구진행묘술성분석.결과 공납입17편문헌,기중고질량문헌2편,중등질량15편.내용포괄의학과학기출지식、림상기능、신식관리삼항핵심능력.절대다수연구결과현시순증의학과정능제고의학생적핵심능력,소수연구현시무영향.결론 순증의학능제고의학생적의학과학기출지식、림상기능화신식관리능력;대직업개치、태도、행위화윤리,군체건강화의료위생계통,신식관리화비판성사유사항핵심능력무상관연구가납입,무법여이평개.
Objective To assess the effectiveness of evidence-based medicine for improving core competencies of undergraduate medical students.Methods MEDLINE,ERIC,Academic Source Premier,Campbell Library databases and three Chinese Databases(CBM,CNKI,VIP) were searched from January 1992 to May 2009.We also used Google to searching related literature.The design is a systematic review of randomized,non-randomized,and before-after studies.Two reviewers did study selection,quality assessment,and data abstraction independently.Di erent opinions were resolved by consensus.We used an adaptation of the quality measure from Gemma Flores-Mateo et al to assess the quality of selected studies.And descriptive analysis was conducted.Results A total of 17 studies met the selection criteria,2 of them were of high quality,the others were of moderate quality.Studies involved Competencies of Scienti c Foundation of Medicine,Clinical Skills,and Management of Information.Conclusion Competencies of Scientific Foundation of Medicine,Clinical Skills,and Management of Information are improved by evidence-based medicine teaching.No study on professional values,attitudes,behavior and ethics,population health and health systems,management of information,critical thinking and research is available.It is impossible to assess the four domains above.