在实习中教学基于证据的医学方法:系统审查
Kathleen Mathieson1, Megan Weemer1, Laura Lipke2
1College of Graduate Health Studies, A.T. Still University, Mesa, AZ, USA.
Medical education online
|May 22, 2025
概括
这次审查发现,虽然交互式教学改善了短期的基于证据的医学 (EBM) 技能,但很少有研究评估了长期的应用. 未来的研究应该集中在临床整合和在研究生医学教育中持续的EBM实践上.
科学领域:
- 医学教育研究 医学教育研究
- 基于证据的医学培训
- 研究生医学教育研究生医学教育
背景情况:
- 基于证据的医学 (EBM) 课程在研究生医学教育中经常被研究,但最佳教学方法仍然不清楚.
- 现有的系统性审查突出了对有效的EBM教学策略缺乏共识.
研究的目的:
- 评估目前的基于证据的医学 (EBM) 教学方法,为研究生医学实习生.
- 在医学研究生培训中提供EBM教育的更新系统审查.
主要方法:
- 健康和教育数据库的系统文献搜索 (2014年1月 - 2022年10月).
- 选文章进行实验或准实验评估的EBM教学在研究生医学实习生.
- 使用医学教育研究研究质量仪器进行质量评估,并通过Coomarasamy和Khan的层次结构进行数据合成.
主要成果:
- 35项研究符合资格标准;交互式,基于课堂的教学是最常见的 (66%).
- 临床整合的EBM教学仅在6%的研究中使用.
- 大多数研究报告了EBM知识,技能,态度和满意度的短期积极结果,很少有人评估EBM行为或长期应用.
结论:
- 包含的研究质量通常低至中等,通常是由于样本规模小和未经验证的措施.
- 尽管有建议,但临床综合的EBM教学仍未得到充分利用.
- 未来的研究应该调查研究生医学教育中更广泛的EBM文化,并优先考虑在临床实践中持续应用.
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