Objective To investigate the use of evidence-based medicine (EBM) and barriers to applying EBM in clinical practice in medical postgraduates.
Methods Three hundred and sixty-five first and second-year medical postgraduates selecting the EBM courses were included. All the students were surveyed by questionnaires.
Result The response rate to the survey was 100%. About half of the students read 1~5 professional articles per month before postgraduate study. Fifty-six percent of the students used professional literature and research findings when making clinical decisions. Fifty-seven point three percent used electronic databases to search for practice-relevant literature before postgraduate study. Sixty-one point four percent found it difficult to obtain relevant clinical guidelines and 68.5% never applied relevant clinical guidelines in clinical decision-making. The barriers to using EBM in clinical practice included difficulties in searching and accessing full text of potentially relevant articles, lack of EBM knowledge, influences from clinical experience and authorities, uncertainties about the quality of evidence and time-consuming.
Conclusion EBM clinical practice and EBM medical education has transformed from dissemination and popularization stage to skill acquisition stage.
Citation：
CHEN Jin,ZHOU Liping. A Survey of the Application of Evidence-based Medicine in Medical Postgraduates. Chinese Journal of Evidence-Based Medicine, 2006, 06(8): 596-599. doi:
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Copyright © the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
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- 1. 陈进, 李静, 李幼平. 循证医学教学——高等医学创新教育实践. 中国循证医学杂志, 2003; 3(4): 273~276.
- 2. 陈进, 李幼平, 李静. 从考试改革探索循证医学教学方法. 中国循证医学杂志, 2005; 5(7): 511~514, 561.
- 3. Chen J, Li J, Li YP. Teaching Evidence-Based Medicine: a New Practice in Medical Education. Chin J Evid-based Med, 2003; 3(4): 273-276.
- 4. Chen J, Li YP, Li J. Method of teaching evidence-based medicine in medical postgraduates--examination paper analysis. Chin J Evid-Based Med, 2005; 5(7): 511-514, 561.
- 5. Landry FJ, Pangaro L, Kroenke K, et al. A controlled trial of a seminar to improve medical student attitudes toward, knowledge about, and use of the medical literature. J Gen Intern Med, 1994; 9(8): 436-439.
- 6. Tita AT, Selwyn BJ, Waller DK, et al. Evidence-based reproductive health care in Cameroon: population-based study of awareness, use and barriers. Bull World Health Organ, 2005; 83(12): 895-903.
- 7. Krahn J, Sauerland S, Rixen D, et al. Applying evidence-based surgery in daily clinical routine: a feasibility study. Arch Orthop Trauma Surg, 2006; 126(2): 88-92.
