Investigation on the basic situation of the clinical practice of evidence-based medicine in the training of the resident physician

  • Yan Xiue ,
  • Zhang Qi ,
  • Wang Ye ,
  • Zeng Lin ,
  • Tao Liyuan ,
  • Wang Yingchun ,
  • Huang Yonghui
Expand
  • Department of Gastroenterology, Peking University Third Hospital, Beijing 100191, China(Yan XE, Wang Y, Wang YC, Huang YH);
    Department of Education, Peking University Third Hospital, Beijing 100191, China(Zhang Q);
    Evidence-based Medicine and Epidemiology Center, Peking University Third Hospital, Beijing 100191, China(Zeng L, Tao LY)

Online published: 2020-12-09

Abstract

Objective To provide a basis for formulating the content of clinical practice of evidence-based medicine course through investigating the basic situation in the training of the resident physician.Methods Resident physician were investigated who came to Peking University Third Hospital in 9th 2015 through the questionnaire.Results (1)120 questionnaires were sent and 112 efficient copies were recalled. The recovery rate is 93.3%. Resident physician were divided into two groups according to whether they took the theoretical course of evidence-based medicine or not. Group A had a total 72 physicians who had taken the theoretical course of evidence-based medicine, and group B had a total 40 physicians who had not. The differences about the literature retrieval and strategy between the two groups was compared. (1) There was no significant difference about literature retrieval activity, language used to search literature, common retrieval tools between the two groups. The residents in group A prefer to read guideline, review and high quality research, meanwhile, residents in group B prefer to read guideline, review, textbooks. The proportion of waiting for instructions from superior doctors in group B(10.0%) is higher than group A(1.4%). (3) The proportion of reading bilingual guideline in group A(54.2%) is higher than group B(40%). On the contrary, the proportion of reading Chinese guideline only in group B(52.5%) is higher than group A(36.1%). The situation and frequency in both groups are similar.Conclusions The learning of evidence-based medicine theory course improves the awareness of active retrieval literature to some extent. However, there is a gap between the theory and clinical practice. It is urgent to build a bridge course to combine them.

Cite this article

Yan Xiue , Zhang Qi , Wang Ye , Zeng Lin , Tao Liyuan , Wang Yingchun , Huang Yonghui . Investigation on the basic situation of the clinical practice of evidence-based medicine in the training of the resident physician[J]. Chinese Journal of Medical Education, 2017 , 37(4) : 601 -606 . DOI: 10.3760/cma.j.issn.1673-677X.2017.04.027

References

[1] Aschenbrener CA,Ast C,Kirch DG. Graduate medical education:its role in achieving a true medical education continuum[J].Acad Med,2015,90(9):1203-1209.DOI:10.1097/ACM.
0000000000000829.
[2] Breen D, Shorten G, Aboulafia A, et al. Defining a competency map for a practical skill[J]. Clin Teach, 2014,11(7): 531-536. DOI: 10.1111/tct.12194.
[3] Evidence-Based Medicine Working Group.Evidence-based medicine:a new approach to teaching the practice of medicine[J].JAMA,1992,268(17):2420-2425.DOI:10.1001/jama.1992.
03490170092032.
[4] Richards D. Integrating evidence-based teaching into to clinical practice should improve outcomes[J]. Evid Based Dent, 2005, 6(2): 47-47.DOI:10.1038/sj.ebd.6400332.
[5] Citrome L, Ketter TA. Teaching the philosophy and tools of evidence-based medicine: misunderstandings and solutions[J]. Int J Clin Pract, 2009,63(3):353-359. DOI: 10.1111/j.1742-1241.2009.02014.x.
[6] Pearson A,Jordan z.Evidence-based healthcare in developing countries[J].Int J EB Healthcare, 2010, 8(2): 97-100.
[7] 陈晶, 吴均林. 临床循证实践面临的困难与对策[J]. 中国医院管理, 2012, 32(10): 4-6.
[8] 胡晶, 詹思延. 中国临床实践指南制定的现状与建议[J].
中国循证心血管医学杂志, 2013, 5(3): 217-218. DOI: 10.3969/j.1674-4055.2013.03.003.
[9] 曾宪涛,冷卫东,李胜,等.如何正确理解及使用GRADE系统[J].中国循证医学杂志,2011,11(9):985-990.DOI:10.3969/j.issn.1672-2531.2011.09.002.
Outlines

/