Release date: 2015-01-14
Evidence-based medicine (EMM) is a new emerging discipline in the field of clinical medicine in recent years. Its core is the evidence-determining strategy, which provides a new model and method for the seven-year teaching of anesthesiology. . Its development has brought about new changes in the clinical medical education model, bringing new concepts and influences to clinical medical education, and becoming an important part of the seven-year education of clinical medicine.
In January 2015, Shi Yuan Xu Ying from the Anesthesiology Department of the Children's Hospital of Chongqing Medical University published an article in the "Education Progress" of Hans Publishing House, which made a preliminary exploration of the evidence-based medicine of the seven-year clinical anesthesia teaching. With regard to evidence-based medicine education, the article points out that on the one hand, teachers who teach evidence-based medicine must have rich clinical experience and master the skills of searching and reading literature. Through teaching, it not only helps to improve professional basic theories, basic knowledge and basic skills, but also Being able to understand the development trend and cutting-edge information of the subject in a timely manner, optimize the knowledge structure, and truly achieve the effect of “teaching and constructingâ€; on the other hand, evidence-based medical education requires students to develop the habits and abilities of continuous learning, and change learning to be a clever learning. Passive acceptance is an active search, and short-term "charging" is a lifelong education.
The instructor combined with evidence-based medicine to guide students in the practice and training of information retrieval, review writing, clinical case discussion, topic design, etc., to improve the ability of medical students to actively learn and solve problems, and lay the foundation for regulating their future clinical practice behavior. For the seven-year students who choose clinical anesthesiology in the professional direction, although the total study time is 2 years, most of the time is in other clinical special rotation studies. The specialist training time in anesthesia is only June, so the time is relatively short. . Moreover, the seven-year students of clinical medicine have not conducted specialist courses in anesthesiology at the undergraduate level, and the knowledge of anesthesia is very lacking. Therefore, there are characteristics of thin foundation and heavy tasks. Therefore, Shi Yuan Xu Ying believes that the instructor should develop the phased teaching plan as soon as possible according to the advantages and disadvantages of the seven-year students in clinical medicine.
The first stage: theoretical study and review of clinical anesthesiology, for a period of 6 months. At this stage, students generally have internships in other clinical specialties. First, let the students read through the "Clinical Anesthesiology" textbook to make students have a certain understanding of clinical anesthesia. Then assign one or two questions to the students by e-mail each month. At the same time, combined with the research of the master's tutor, the student is assigned a research direction, and the research progress of the research direction is carried out. In the process of writing a review, students first need to use the network resources such as the library and the clove garden to conduct literature search. Because the medical literature is vast and uneven, how to evaluate and select valuable documents is very important.
The second stage: clinical research under the evidence-based medicine model, for a period of 12 months. The clinical case summary under the evidence-based medicine model focuses on and evaluates patient-centered prognostic indicators, including total mortality, quality of life, and indicators of health economics (such as potency ratio), while intermediate or surrogate indicators. For reference only; the instructor can guide students to propose clinical problems to be solved according to the requirements of evidence-based medicine, establish a clinical case summary, and then develop a research plan to find the best by reading analysis cases, literature search and statistical analysis. Evidence, collate observation indicators, and analyze the risk factors of perioperative anesthesia treatment on clinical prognosis, and provide a certain reference for clinical work.
The third stage: evidence-based medical practice of clinical operation ability training and clinical problems, for a period of 6 months. At this stage, students will enter the clinical anesthesiology practice phase. On the basis of the previous stage, students entered the clinical line of anesthesiology to learn the basic skills of clinical anesthesia. This part of the seven-year program, because of the first time facing a new field of knowledge, is often very confused and helpless, taking on more stress and psychological stress. Tutors should encourage students to face challenges, create a good learning atmosphere and a competitive environment, emphasizing the spirit of support and maintaining mental health. Guide students to adopt a problem-centered self-educated learning approach to guide students through the collection of information, collect the best research evidence available, and then evaluate and comprehensively analyze the authenticity, reliability and practicality of the evidence obtained, and combine clinical The practical experience is analyzed and summarized, and finally the strategies and solutions for solving the problem are formed.
In summary, the introduction of evidence-based medicine into the seven-year anesthesiology teaching will have a significant and far-reaching impact on the further development of clinical teaching of anesthesiology, the cultivation of high-quality anesthesiologists and the improvement of medical quality.
Source: Thousand people think tank
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