关键词: 专科医师规范化培训, 循证思维, 强化训练

Abstract: In recent years, the rapid development of anti-tumor drugs has led to the accumulation of a large amount of evidence. High-level evidence has been incorporated into clinical guidelines but does not meet the needs of each patient in the real world. Oncology specialists need to conduct in-depth evidence-based thinking on issues that are encountered in clinic but not covered in the guidelines. From October 2019 to March 2023, the Oncology Department of Zhongshan Hospital Affiliated to Fudan University conducted intensive evidence-based thinking training for 17 physicians who were receiving standardized training for oncology specialists, focusing on developing their abilities in evaluating evidence quality, extracting and analyzing clinical data. This article elucidates the design and implementation process of the training and evaluates the training effect through evidence-based thinking assessment. Each physician has undergone at least 2 assessments. The results showed that the total average score of the 17 physicians in the second assessment increased by 9.6 points compared to the first assessment (P<0.001). The most significant improvement was observed in the ability to interpret literature deeply with the average score of the second assessment increasing by 2.4 points compared to the first assessment (P<0.001). We have established a preliminary evidence-based thinking training method for standardized training for oncology specialists to improve their ability to deeply interpret literature around clinical issues, and then extract effective data for clinical application.

Key words: Standardized training for specialists, Evidence-based thinking, Intensive training