目的 调查循证医学类课程对医学研究生批判性思维能力的培养效果。方法 采用问卷调查方法。2020年9至11月,以武汉大学2020级学习循证医学和循证临床实践课程(循证医学类课程)的医学研究生为调查对象,采用中文版批判性思维能力测量表分别于课程前、课程后对医学研究生的批判性思维能力进行调查。采用Wilcoxon符号秩检验、Wilcoxon秩和检验和Kruskal-Wallis检验进行数据分析。结果 共回收有效问卷331份。课程后医学研究生批判性思维能力总分高于课程前[297.0(45.0)分比291.0(40.0)分,P=0.001]。课程后医学研究生的寻找真相特质、系统化能力特质、批判思维的自信心特质评分均高于课程前[40.0(9.0)分比38.0(7.0)分,41.0(9.0)分比40.0(8.0)分,39.0(6.0)分比39.0(6.0)分,均P<0.05]。课程前参与科研项目的医学研究生在循证医学类课程前后批判性思维能力评分的变化值高于未参与科研项目者(6.0分比1.5分,P=0.032)。结论 循证医学类课程可以提升医学研究生的批判性思维能力,且课前参与科研项目有助于进一步提升循证医学类课程对医学研究生批判性思维能力的培养效果。
阎思宇
,
靳英辉
,
王宇
,
王云云
,
黄桥
,
王永博
,
黄笛
,
郭毅
,
曾宪涛
. 循证医学类课程对医学研究生批判性思维能力的培养效果[J]. 中华医学教育杂志, 2024
, 44(3)
: 217
-221
.
DOI: 10.3760/cma.j.cn115259-20230506-00456
Objective To investigate the training effect of evidence-based medicine courses on the critical thinking ability of medical postgraduates. Methods Questionnaire survey was used. From September to November 2020, medical postgraduates of Wuhan University who participated in the courses of Evidence-based Medicine and Evidence-based Clinical Practice (evidence-based medicine courses) in 2020 were taken as the survey objects. The Chinese version of critical thinking disposition inventory was used to measure the critical thinking abilities of students before and after the courses. Wilcoxon signed rank tests, Wilcoxon rank sum tests, Kruskal-Wallis tests were used for data analysis. Results A total of 331 valid questionnaires were collected. The total score of critical thinking of medical postgraduates after the evidence-based medicine courses 297.0(45.0) was higher than that before the courses291.0(40.0), P=0.001. The score of truth seeking , systematic ability and self-confidence of critical thinking after the courses were significantly higher than those before the courses [40.0(9.0) vs. 38.0(7.0), 41.0(9.0) vs. 40.0(8.0), 39.0(6.0) vs. 39.0(6.0)], all P<0.05. The change in critical thinking ability scores before and after evidence-based medicine courses of students who participated in research projects before the courses was higher than that of those who did not participate in research projects(6.0 points vs. 1.5 points), P=0.032. Conclusions Evidence-based medicine courses can improve the critical thinking abilities of medical postgraduates, and participating in research projects before the courses will further enhance the training effect of evidence-based medicine courses on critical thinking abilities.
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