Objective To explore the method of teach evidence-based medicine (EBM) for medical postgraduates through by analyzing EBM examination paper in 2003 and 2004.
Methods Participants: Two hundred and twenty one second year medical postgraduates who selected EBM course in 2003 and 2004 were included. Examination: Two parts were included in 2003: A test of EBM knowledge with open book in class (80 points) and an evidence-based case report on five steps of evidence-based practice (15 points). In 2004, the students were required to present an evidence-based case report on five steps of evidence-based practice (80 points). Evaluation: Based on the principle of EBM and five steps of evidence-based practice, we worked out an unified criteria and independently evaluated all examination papers. All scores were converted into the hundred percentage point system.
Results The distribution of the mean score in 2003 was nearly normal and in 2004 was skewed. The mean score (standard deviation) was 75.5 (6.5) points in 2003 and 69.8(11.8) points in 2004. The passing grade rate was 97.4% in 2003 and 95.3% in 2004. The comparison between basic knowledge of EBM and skills of EBM in 2003: The mean score (standard deviation) was 62 (6.4) in basic knowledge of EBM and 55.1(16.7) in skills of EBM. Feedback from students: About 80% students thought EBM course was very helpful; about 95% students mostly achieved their expected goals.
Conclusions We should teach and lead students to the method of self-directed learning and help them develop skills to use EBM in clinical practice.
Citation：
CHEN Jin,LI YouPing,LI Jing. Method of Teaching Evidence-Based Medicine in Medical Postgraduates-Examination Paper Analysis. Chinese Journal of Evidence-Based Medicine, 2005, 05(7): 511-514. doi:
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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[J]. 中国循证医学杂志, 2003; 3(4): 273～276.
- 2. 陈进, 王觉生. 临床科研设计课程效果评价[J]. 高等教育发展研究, 2001; 18(3,4):67～69.
- 3. 李幼平. 主编. 循证医学[M]. 第1版. 北京: 高等教育出版社; 2003.
- 4. .陈进, 李静, 董碧蓉. 循证医学研究生教学效果评估[J]. 中国循证医学杂志, 2005; 5(2): 157-170.
- 5. Chen J, Li J, Li YP. Teaching Evidence-Based Medicine: A New Practice in Medical Education[J]. Chinese Journal of Evidence-Based Medicine, 2003; 3(4): 273-276.
- 6. Chen J, Wang JS. The Effect of Teaching Clinical Epidemiology[J]. Research in Higher Education Development, 2001; 18(3,4):67-69.
- 7. Li YP. Evidence-Based Medicine[M]. 1st edition. Beijing: Higher Education Publication, 2003.
- 8. Sackett DL, Straus SE, Richardson WS, Rosenberg W, Hayne RB. Evidence-based medicine: How to practice & Teach EBM[M]. 2nd .London: BMJ Publish Group.2000.
- 9. Robert H,Kathryn N,Donald B. Teaching and evaluating first and second year medical students’practice of evidence-based medicine[J]. Med Educ, 2004; 38:868-878.
- 10. Chen J, Li J, Dong BR. Effect of Teaching Evidence-Based Medicine in Medical Postgraduates[J]. Chinese Journal of Evidence-Based Medicine, 2005; 5(2):157-170.
