试述循证医学在临床教学中的应用

A discussion on the role of evidence-based medicine in clinical education

循证医学意指“遵循证据的医学”,是国外占主导地位的临床思维方式,近年来引进国内后,逐渐被国内医学界所接受,但是在临床上占主导地位的依旧是经验医学。对某些疾病,不同的医师根据各自的临床经验选择的治疗方案是截然不同的。在这种情况下,只有循证医学才能够为治疗方案的选择提供最充分的证据。引导学生学习循证医学的工作方法,加强学生循证医学的思想,既有助于提高学生的临床工作水平,也教会了学生自我学习的方法。

Evidence - based medicine （EBM） is generally used in western medical practice, but in domestic the experience of doctor is more important in clinic. For example, different doctors would select opposite treatment plan for the same patient based on their own experience. In such condition, EMB is most persuasive. Introduction of EBM could teach medical students not only their knowledge, but also the way to teach themselves.