循证医学教学培养医学生批判性思维能力的研究与实践

Research and practice of evidence-based medicine education on critical thinking abilities in medical students

本文探讨了循证医学教学对医学生批判性思维能力的作用。围绕循证医学临床实践的“五步法”原则开展以问题为基础学习教学，采用批判性思维能力测量表评价医学生七个方面的特质。结果表明，医学生的各项批判性思维特质评分较基线水平均有提高。循证医学教学培养医学生的主观能动性、探究意识和批判性思维能力，建议积极探索批判性思维的培养模式。

To evaluate the effects of evidence-based medicine （EBM） education on critical thinking abilities of medical students. Five steps of evidence-based practice and problem-based learning ap-proaches were integrated into the EBM education. Chinese Version of Critical Thinking Disposition Inventory （CTDI-CV） was used to measure seven components of critical thinking. Each aspect of critical thinking abilities were elevated compared with baseline levels. EBM education may promote subjective initiative, exploration awareness and critical thinking skills of medical students. Cultivation model of critical thinking should be investigated.