目的 探讨在小儿眼科临床教学过程中传统教学结合循证医学教学方法的应用效果。方法 采用实验对照方法。选取在北京大学第三医院参加小儿眼科学实习的北京大学2008级～2009级八年制临床医学专业60名学生为研究对象。将其随机分为实验组和对照组,每组30人。实验组采用传统教学结合循证医学教学方法,对照组采用传统教学方法。教学结束后,比较两组学生的考核成绩,采用自制问卷调查两组学生对教学效果的满意度。结果 实验组学生的理论考核成绩为(93.4±1.12)分,对照组学生的理论考核成绩为(90.5±0.68)分,两组差异具有统计学意义(t=12.75,P<0.05)。临床实践能力考核中,实验组学生成绩(98.6±0.58)分,对照组学生成绩(93.2±1.23)分,两组差异具有统计学意义(t=21.47,P<0.05)。问卷调查结果显示,实验组学生对教学效果的满意度优于对照组学生。结论 传统教学结合循证医学教学方法,通过传统教学引导学生学习和理解小儿眼科学基本知识;通过循证医学教学构建导学式提纲,提出问题,要求学生翻阅资料,寻找最佳证据,培养了学生的临床思维和灵活运用知识的能力,培养了他们终身学习的能力。

Objective To explore the learning outcome of traditional teaching combined with evidence-based medicine model in the clinical teaching of pediatric ophthalmology. Methods Experimental control methods were used. Sixty students from the eight-year curriculum in Pediatric Ophthalmology Department, Peking University Third Hospital from 2012 to 2016 were selected as subjects. They were randomly divided into an experimental group and a control group, with 30 in each group. In the clinical teaching of pediatric ophthalmology, the experimental group used the combination of traditional teaching and evidence-based medicine, and the control group used classic teaching methods. The theoretical scores and the questionnaires of the two groups were compared to evaluate the teaching effects. Results The theoretical scores of the experimental group (93.4±1.12)were better than those of the control group(90.5±0.68)(t=12.75, P<0.05). The clinical scores of the experimental group( 98.6±0.58)were better than those of the control group(93.2±1.23) (t=21.47, P<0.05).The results of the questionnaire showed that the experimental group was more satisfied with the education experience than the control group. Conclusions The combination of traditional teaching and evidence-based medicine could lead students to learn and understand the basic knowledge of ophthalmology through traditional teaching, and to find clinical problems, to search references then to find best evidences model. The students' attention is paid mainly to patient they can use knowledge with a smart approach with the development of lifelong learning.