目的:通过调查眼耳鼻喉专业、视光学专业医学生对循证医学的认知态度,了解目前循证医学在眼科学教学中的实施效果和主要障碍。方法:对南通大学2005/2007级选修循证医学的273名医学生(眼耳鼻喉专业和视光学专业)进行问卷调查,就参加循证医学课程的主要目的、学习循证医学的兴趣、循证医学知识的获取途径、临床实践中循证医学的应用情况统计分析。结果:从2005/2007级,医学生认为循证医学可以指导临床、指导科研和提升业务水平的人数,愿意参加循证医学相关培训、愿意继续参加循证医学课程、愿意继续关注循证医学信息的人数,通过课堂和学术讲座获取循证医学相关知识的人数的构成比逐年增加,并有统计学意义(P<0.05)。将循证医学应用于临床实践的主要障碍集中在对循证医学的认识不够、缺乏循证治病有效或有参考价值的病例。结论:循证医学已在眼科教学中开始普及推广,深入人心,但仍存在诸多阻碍因素。循证医学教育应进一步加强循证实践培训,向应用提高阶段转化。

AIM:To investigate the cognitive attitudes of evidence-based medicine(EBM) in medical graduates(major in Eye & ENT and optometry) and to learn barriers to applying EBM in clinical practice in medical graduates.METHODS:Totally 273 medical graduates selecting the EBM courses were surveyed by questionnaires.Statistical analysis was conducted on the items of purpose,interest,knowledge obtaining and application practice of EBM courses.RESULTS:From Grade 2005 to Grade 2007,more and more medical graduates thought that EBM could guide research and improve clinical level.More and more students were willing to continue to participate in EBM programs or courses and focus on EBM information.More and more medical graduates acquired the knowledge of EBM through classroom and seminar.The differrence was statistically significant(P<0.05).The barriers to using EBM in clinical practice included the lack of awareness and effective cases.CONCLUSION:EBM education in our university has begun to popularize in the ophthalmic teaching and been firmly established,but there are still many obstacles.We should strengthen the training of EBM and transform it to the application phase.

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