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上海交通大学医学院课程内容介绍《循证医学》

上海交通大学 免费考研网/2013-01-08


《循证医学》

课程代码X711512学分/学时3.0/54开课时间
课程名称循证医学
开课学院医学院
任课教师施榕
面向专业
预修课程
课程讨论时数0 (小时)课程实验数0 (小时)
课程内容简介

KCJJ"循证医学是20世纪末产生的临床医学新兴交叉学科,广义的理解,循证医学即为医学实践和公共卫生服务寻找现有最好的证据,它包括针对个体病人的循证临床医疗实践和针对群体的循证宏观医疗卫生决策。循证医学其侠义的定义为慎重、准确和明智地应用当前所能获得的最好的研究依据,同时结合临床医生的个人专业技能和多年临床经验,考虑患者的价值和愿望,制定出适合该患者的最佳治疗措施。短短十几年时间,循证医学席卷了整个医学界,《柳叶刀》把循证医学比作医学实践中的人类基因组计划;美国《纽约时报》将它称为八十个震荡世界的伟大思想之一;《华盛顿邮报》称之为医学史上又一最杰出成就,将会彻底改变21世纪的医学实践模式。循证医学正在世界范围内引起医学科研方向和资助方式的调整、医学教育内容的改革和重组、医学教学模式的革命,以及对医学继续教育、医师资格评定、服务质量评估方法的重新定位。在美国等发达国家的大型医学院校,循证医学理论已潜移默化于临床指南制定、临床实践和医学研究。循证医学已成为当今世界医学领域最重要、最活跃、最前沿的新兴学科。循证医学不同于传统的医学教育模式,它以解决临床和卫生问题为出发点,培养医学生主动学习和解决问题的能力;循证医学也不同于传统的医学实践模式,它注重培养医学生进行医学科研的创新、设计、实施等方面的能力,摒弃那些低质量、重复的科研项目,以提高医疗卫生服务及科研质量。循证医学具体教学内容包括:循证医学概述;循证医疗卫生决策概述;循证医学研究方法;循证医学实施原则;循证医学研究证据的制作、检索与应用;统计学方法在循证医学中的应用;系统评价;病因学和不良反应研究证据的评价与应用;诊断研究证据的评价与应用;防治性研究证据的评价与应用;预后性研究证据的评价与应用;临床指南的评价与应用;卫生技术评估的基本方法与应用;循证医学实践的后效评价;临床决策分析、评价与应用;临床经济学证据的分析与评价等。"

课程内容简介(英文)

KCJJY"Evidence-Based Medicine, whose philosophical origins extend back to mid-19th century, became more mature and well developed during the 20th century as a new cross-subject discipline. A typical definition for the Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients in a way of more thoughtful identification and compassionate use of individual patients' predicaments, rights, and preferences. A broader definition for evidence-based medicine can be described as a methodology in making clinical decisions for the care of individual patients and the services of public health by integrating individual clinical expertise with the best available external clinical evidence from systematic research. During past decade, evidence-based medicine remains a hot topic for clinicians, public health practitioners, and the public. The number of articles about evidence-based practice has grown exponentially. Globally, the discipline’s positive impacts in clinical practice and medical education just begin and continue to evolve. It may result in a sequential reform and reconstructions in medical education and clinical research.Evidence-Based Medicine, differing from traditional ways of medical teaching and clinical practicing, motivates medical students to learn and solve practical public health and clinical problems by using both individual clinical expertise and the best available external evidences. It emphasizes the creativity in the design and conduct of clinical researches to achieve its goal of improving the quality of individual health care and public health.The course will cover: summarization of Evidence-Based Medicine; summarization of Evidence-Based Decision Making in Heath Care; method of Evidence-Based Medicine; principle of putting in practice; making、search and practices of evidence; statistics applying in Evidence-Based Medicine; systematic review; evaluate and apply to evidence of Etiology and adverse drug reactions; evaluate and apply to evidence of diagnoses; evaluate and apply to evidence of prevention and cure; evaluate and apply to evidence of prognosis; evaluate and apply to clinical practice guidelines; method and application of health technology assessment; reevaluation of practice in Evidence-Based Medicine; evaluate and apply to clinical decision analysis; evaluate and apply to evidence of clinical economics; etc."

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