我国部分医学院校循证医学教学实践情况调查

A Survey of Evidence-Based Medicine Teaching in China

目的了解目前我国开展循证医学教学的现状和存在的问题。方法以2005年教育部循证医学青年骨干师资培训班的104名学员为调查对象。在其报到的当天由专人负责发给调查表,现场填写后由专人收回。结果收回调查表75份,占72%。学员平均年龄38岁,有硕士和博士学历者占61.3%;高级技术职称者占53%。学员来自全国18个省、直辖市和25个市的50个医疗卫生机构。有14所医学院校已开设“循证医学”课程。开课对象:9所为研究生,2所为本科生,1所为公卫学员,2所为在职医护和管理人员。学时数为8～36学时。授课方式均为讲授和讲座形式。开展循证医学教学和实践的主要困难有师资缺乏,领导不够重视,忙于本专业业务和经济效益,对循证医学缺乏基本认识等。结论循证医学教学正在我国高等医学院校逐步广泛开展,加强循证医学的师资建设是当务之急。

Objective To investigate the situation and problems of medical evidence-based medicine （EBM） teaching in China. Methods One hundred and four participants from different hospitals or universities of China in 2005 “Evidence-Based Medicine Teachers Advanced Training Workshop Ⅱ of Ministry of Education” were investigated. A selfcomplete questionnaire on EBM teaching was given at the registration. Results Seventy five questionaires from responders who came from 50 medical institutions of 18 provinces and 25 cities were available for analysis, representing a response rate of 72%. The average age of responders were 38 years old, and 61.3% were graduates. And 14 hospitals or universities have given EBM courses. Namely, for the postgraduates in 9 universities, undergraduates in 2 universities, physicians, nurses and medical managers in 2 hospitals. The lectures lasted from 8 to 36 hours in different units. Di^culties were： lack of EBM teachers, and better understanding the concept and approach of EBM, less paid attention by policy makers, and too busy in specialty. Conclusion EBM teaching is blooming in medical universities in China. It is needed for us to train high qualified EBM teachers.