循证医学在肾内科临床教学中的应用

Application of Evidence Based Medicine in Clinical Teaching of Renal Department of Internal Medicine

随着医学的发展,很多肾脏疾病的病因、发病机制、诊断及治疗都有了新的认识,知识更新较快,传统的教科书上的医学理论知识已经不能完全适应肾内科临床具体实践的需要,因此学生很难通过传统的教学方法获取与疾病相关的最新研究进展,如何获得与疾病先关的最佳证据以给患者制定最佳治疗决策,这就需要把循证医学理念引入肾内科临床教学实践中,采用以问题为中心的教学模式,有助于激发医学生学习的积极性。培养医学生主动学习的习惯,培养寻找证据,应用证据的能力,并学习运用循证医学依据,制定最佳的个体化诊疗方案,提升其临床思维能力和创新意识。

With the development of medical science,the etiology,pathogenesis,diagnosis and treatment of many kidney diseases have new understanding,which knowledge is updated faster.The knowledge of medical theory from the traditional textbook has not fully adapted to the needs of kidney internal medicine clinical practice,so students very hard through the traditional teaching method to obtain the latest research progress which related to diseases.How to obtain the best evidence which related to diseases to give patients the best treatment decision.So the idea of the evidence-based medicine（EBM） which introduced to nephrology clinical teaching practice is very necessary.The problem as the center of teaching mode,which stimulating the learning enthusiasm of medical students.Training medical students active learning habits.Looking for evidence,and using evidence,making the best individualized treatment plan for the patients,improving the clinical thinking ability and sense of innovation.