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1.
医学期刊质量和编辑水平的提高与循证医学的关系 总被引：9，自引：2，他引：7
通过循证医学与医学期刊及编辑关系重要性的论述 ,使医学期刊同人意识到未来循证医学对刊物质量及编辑水平的提高有着不可忽视的影响 ,并应在实际工作中遵循循证医学理论来编审稿件 相似文献
2.
OBJECTIVE: To evaluate the adequacy of the MEDLINE instruction routinely given to all entering medical students at the University of Miami School of Medicine and the ability of students to search effectively for and retrieve evidence-based information for clinical decision making by the end of their third-year. METHODOLOGY: The authors developed and implemented a strategy for evaluating the search strategies and articles selected by third-year students, who participated in the Objective Structured Clinical Examination (OSCE) in June 1996, 1997, and 1998, and reviewed the literature on evidence-based medicine and evaluation of medical student searches. RESULTS: A mean of 5% of the students' search strategies and a mean of 26% of articles selected were ranked "excellent" or "good"; a mean of 26% of search strategies were ranked "fair" and a mean of 69% were ranked "poor"; and a mean of 22% of articles selected were ranked "fair" and a mean of 52% were ranked "poor" based on the strategy developed to evaluate student searches. CONCLUSIONS: Evaluating medical student searches for evidence-based information is an effective way of evaluating students' searching proficiency, and, in turn, the adequacy of the instruction they receive. Based on the results of the OSCE test, the school of medicine expanded the library's educational role and the library implemented major changes in the training program. Information on evidence-based medicine is now incorporated into the MEDLINE instruction. Library faculty evaluate the required searches performed by students for evidence-based information during their first and second years; 30% of students are identified for follow-up, individualized instruction based on the evaluation; and a new case-based curriculum has been proposed with a fourteen-week problem-based learning (PBL) block. These developments are timely in light of the evidence-based competencies recently published by the Association of American Medical Colleges. 相似文献
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Valerie A. Lynn 《Medical reference services quarterly》2013,32(2):121-131
Library integration into the medical school curriculum is a crucial aspect of meeting Liaison Committee on Medical Education (LCME) Accreditation Standards and the Association of American Medical Colleges (AAMC) Medical School Objectives Project (MSOP) guidelines. To accomplish this, academic health sciences libraries seek to develop evidence-based medicine (EBM) literature searching classes within the medical school curriculum. Establishing a basic understanding of the fundamental concepts behind health sciences database searching among medical students is a prerequisite for a more demanding evidence-based literature searching curriculum. The George T. Harrell Health Sciences Library, Penn State College of Medicine, sought to incorporate an evidence-based medicine literature searching structure by working within the existing problem-based learning system during the preclinical years. Students in the clinical years will participate in evidence-based assignments during their rotations. A fourth-year EBM elective will be created to reinforce and round out students' exposure to these concepts. 相似文献
4.
Faraino RL 《Medical reference services quarterly》1998,17(2):69-77
Health professionals as well as students vary greatly in their appetite for medical informatics and evidence-based medicine. The information professional is challenged by the need for instructional programs that support the use of medical informatics to a diverse audience. For teaching programs to be successfully received, the information professional must be able to offer an adaptable curriculum that can be arranged to meet the differing needs of a wide range of health professionals. The Educational Services Department at New York University Medical Center has designed and implemented a multidisciplinary curriculum that serves as a model for health and information professionals to meet a variety of goals and objectives. This paper describes how the curriculum evolved. It is presented as a menu of offerings that may be coordinated and adapted to meet the varying skills and needs of clinicians, basic scientists, residency training programs, medical student clerkships, and nursing and allied health programs. Informatics programs that may include workshops in basic computer skills, identification of information resources, the structure of information, developing search strategies in support of evidence-based medicine, identifying qualitative journal literature, and critical appraisal of the literature, are easily adapted to any audience and schedule. 相似文献
5.
Spasser MA 《Medical reference services quarterly》2005,24(2):71-85
Evidence-based medicine and, more generally, evidence-based practice (EBP), is the integration of the best available patient care evidence and clinical expertise-guided by and sensitized to patient values-into a patient-oriented decision-making process. It is increasingly clear that all health professions neither equally value nor draw upon the same pool of evidence. Although there are areas of overlap between evidence-based nursing and medicine, for example, there are important differences as well. Accordingly, this selective list of Web-based evidence-based nursing (EBN) resources attempts to capture the broader scope and practice of nursing in terms of its focus, subject matter, and research methods. 相似文献
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7.
Impact of an evidence-based medicine curriculum on medical students' attitudes and skills. 总被引：5，自引：0，他引：5
Josephine L Dorsch Meenakshy K Aiyer Lynne E Meyer 《Journal of the Medical Library Association》2004,92(4):397-406
PURPOSE: This evaluation study sought to assess the impact of an evidence-based medicine (EBM) course on students' self-perception of EBM skills, determine their use of EBM skills, and measure their performance in applying EBM skills in a simulated case scenario. METHODS: Pre- and post-surveys and skills tests were developed to measure students' attitudes toward and proficiency in EBM skills. Third-year students completed the voluntary survey and skills test at the beginning and completion of a twelve-week clerkship in internal medicine (IM) co-taught by medical and library faculty. Data were analyzed using the Mann-Whitney U test for a two-tailed test. RESULTS: A statistically significant increase was found in the students' self-assessment of skills. Students reported using the journal literature significantly more frequently during the clerkship than before, although textbooks remained their number one resource. A majority of students reported frequent use of EBM skills during the clerkship. Statistically significant improvement in student performance was also found on the posttest, although the level of improvement was more modest than that found on the post-surveys. CONCLUSION: The introduction of EBM skills to students during a clinical clerkship provides students an opportunity to practice EBM skills and reinforces the use of evidence in making patient-care decisions. 相似文献
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G. I. Nazarenko G. S. Osipov E. B. Kleimenova I. V. Smirnov L. P. Yashina A. I. Molodchenkov A. G. Nazarenko 《Scientific and Technical Information Processing》2013,40(5):302-310
This paper presents a multifunctional support system for evidence-based medical technology that permits medical publications and reference information to be searched for in external information resources, makes it possible to formulate questions in medically accepted formats and to perform a critical analysis of publications according to the principles of evidence-based medicine, enables clinical and statistical calculators to be used, and permits answers to clinical questions to be automatically formed and archived. The system has been tested at a multi-profile hospital and demonstrated efficiency in clinical decision-making support. 相似文献
10.
循证医学与医学文献检索 总被引：3，自引：0，他引：3
沈美萍 《大学图书情报学刊》2005,23(2):89-90,96
对如何获取循证医学资源进行介绍,在论述循证医学和文献检索关系的同时,提出医学文献检索服务及教学应积极参与循证医学实践,从服务的内容、层次、教学的方式、对象、内容等方面进行扩展,以适应现代临床医学发展的新趋势. 相似文献
11.
基于修正UTAUT模型,文章构建了一个包含绩效期望、努力期望、社会影响、促成因素,以及个人价值观的综合效应模型,同时验证了性别、年龄、盗版游戏软件的使用经验的调节效果。通过1888份有效问卷,文章运用结构方程模型进行了实证检验。结论发现,对盗版游戏软件的感知有用性、感知易用性、正版游戏的市场壁垒、乐于分享的文化价值观念会促进对盗版游戏软件的使用意愿;对正版游戏软件的质量敏感性、社会影响、对盗版游戏的感知风险、伦理道德感会抑制对盗版游戏软件的使用意愿;性别和盗版游戏软件的使用经验在部分影响因素与盗版使用意愿之间起到了调节效果。 相似文献
12.
Deborah Ward Susan E Meadows Joan E Nashelsky 《Journal of the Medical Library Association》2005,93(1):88-96
OBJECTIVE: This article describes the contributions of medical librarians, as members of the Family Physicians' Inquiries Network (FPIN), to the creation of a database of clinical questions and answers that allows family physicians to practice evidence-based medicine using high-quality information at the point of care. The medical librarians have contributed their evidence-based search expertise and knowledge of information systems that support the processes and output of the consortium. METHODS: Since its inception, librarians have been included as valued members of the FPIN community. FPIN recognizes the search expertise of librarians, and each FPIN librarian must meet qualifications demonstrating appropriate experience and training in evidence-based medicine. The consortium works collaboratively to produce the Clinical Inquiries series published in family medicine publications. RESULTS: Over 170 Clinical Inquiries have appeared in Journal of Family Practice (JFP) and American Family Physician (AFP). Surveys have shown that this series has become the most widely read part of the JFP Website. As a result, FPIN has formalized specific librarian roles that have helped build the organizational infrastructure. CONCLUSIONS: All of the activities of the consortium are highly collaborative, and the librarian community reflects that. The FPIN librarians are valuable and equal contributors to the process of creating, updating, and maintaining high-quality clinical information for practicing primary care physicians. Of particular value is the skill of expert searching that the librarians bring to FPIN's products. 相似文献
13.
This article elaborates on the opportunities and challenges that evidence-based medicine (EBM) has posed to the development of medical libraries and summarizes the research in the field of evidence-based medicine and achievements of EBM practice in Chinese medical libraries. Issues such as building collections of information resources, transformation of information services models, human resources management, and training of medical librarians, clinicians, and EBM users are addressed. In view of problems encountered in EBM research and practice, several suggestions are made about important roles medical libraries can play in the future development of EBM in China. 相似文献
14.
Librarians from Exempla Healthcare hospitals initiated contact with the chief medical information officer regarding evidence-based medicine activities related to the development of the system's Electronic Medical Record (EMR). This column reviews the librarians' involvement in specific initiatives that included providing comparative information on point-of-care resources to integrate into the EMR, providing evidence as needed for the order sets being developed, and participating with clinicians on an evidence-based advisory committee. 相似文献
15.
循证医学和医学论文中统计学问题编辑鉴审的必要性 总被引：5，自引：1，他引：4
介绍循证医学这一新兴学说及其对21世纪临床医学的影响。指出为适应这一转变，开展医学论文中统计学问题的编辑鉴审研究的必要性，开展此项研究可以：1)普及医学统计知识；2)提高临床与科研水平；3)提高作者撰写与阅读能力；4)提高医学期刊质量；5)丰富编辑学研究的内涵。并指出了编辑鉴审研究的初步思路。 相似文献
16.
Librarians provide instruction to medical students as part of a core course in the medical school curriculum. Instruction was provided, in part, through didactic sessions covering professional-level medical information resources, PubMed search skills, psychosocial information, and evidence-based medicine. Librarians redesigned instructional sessions with the goals of increasing student engagement and minimizing the lecture format, maximizing the number of students receiving feedback on their search and evaluation skills, and permitting students to see a variety of possible responses as well as engage in peer- and self-evaluation. Librarians integrated the use of a blog and an audience response system (ARS) into the instruction to help accomplish these goals. 相似文献
17.
Librarians provide instruction to medical students as part of a core course in the medical school curriculum. Instruction was provided, in part, through didactic sessions covering professional-level medical information resources, PubMed search skills, psychosocial information, and evidence-based medicine. Librarians redesigned instructional sessions with the goals of increasing student engagement and minimizing the lecture format, maximizing the number of students receiving feedback on their search and evaluation skills, and permitting students to see a variety of possible responses as well as engage in peer- and self-evaluation. Librarians integrated the use of a blog and an audience response system (ARS) into the instruction to help accomplish these goals. 相似文献
18.
循证医学是近十几年发展起来的一门新兴临床学科。《中图法》(第四版)中未设相关类目,给有关文献的检索和利用带来不便。以循证医学学科性质和文献现状为依据,讨论循证医学的具体类目内容及类目排列方法,并以中文科技期刊数据库中部分循证医学为例,对类目设置的实用性予以检验。 相似文献
19.
Jan K Hart Bruce W Newton Steven E Boone 《Journal of the Medical Library Association》2010,98(3):212-216
The University of Arkansas for Medical Sciences (UAMS) is planning interprofessional training in electronic health records (EHRs) and medical informatics. Training will be integrated throughout the curricula and will include seminars on broad concepts supplemented with online modules, didactic lectures, and hands-on experiences. Training will prepare future health professionals to use EHRs, evidence-based medicine, medical decision support, and point-of-care tools to reduce errors, improve standards of care, address Health Insurance Portability and Accountability Act requirements and accreditation standards, and promote appropriate documentation to enable data retrieval for clinical research. UAMS will ensure that graduates are ready for the rapidly evolving practice environment created by the HITECH Act. 相似文献
20.
The concept of clinical informationists is not new, but has recently been gaining more widespread acceptance across the United States. This article describes the lessons and challenges learned from starting a new clinical informationist service targeted to internal medicine residents in a large academic medical center. Lessons included the need for becoming immersed in evidence-based practice fundamentals; becoming comfortable with the pace, realities, and topics encountered during clinical rounds; and needing organizational commitment to both the evidence-based practice paradigm and clinical informationist role. Challenges included adapting to organizational culture, resident burnout, and perceptions of information overload. 相似文献