摘要目的通过七年制临床医学专业循证医学课程教学模式改革,探索提高学生临床实践和研究能力的循证医学教学模式。方法2010年7月至2012年7月,将中国医科大学2006级和2007级临床医学专业学生在每一个年级内随机分成实验组和对照组。循证医学教学中,实验组采取新教学模式,对照组采用传统的讲授式教学模式,2012年6月集中进行问卷调查以了解循证医学教学效果。结果实验组学生用循证医学思想解决临床问题的实践能力优于对照组学生,两组学生的差异具有统计学意义；两组学生制作证据的研究能力的差异无统计学意义,但实验组学生发表1篇循证医学论文的人数高于对照组。结论新的循证医学教学模式得到学生的认可,提高了学生应用证据解决临床问题的实践能力及制作证据的研究能力,提高了循证医学教学效果。

abstractsObjective To explore the best evidence-based medicine teaching model to enhance students’ clinical practice and research capabilities by conducting a teaching model reform for seven-year program clinical medicine students. Methods From July 2010 to July 2012, seven-year program medical students of Grade 2006 and 2007 were randomly divided into experimental group and control group in each grade. During evidence-based medicine teaching, experimental group accepted new teaching model while control group accepted traditional teaching model. In June 2012, the researched students would be surveyed with questionnaire. Results When the follow-up was finished, there was significant difference between ex-perimental group and control group on enhancing clinical practice capability guided by evidence-based medicine. Though there was no significant difference between experimental group and control group on make evidence, the amount of papers published of experimental group was more than that of control group. Conclusions The survey results showed that evidence-based medicine teaching model reform achieved some success. The abilities of producing and applying evidence of students were enhanced.