Objective To investigate the cognitive attitudes of evidence-based medicine (EBM) and barriers to applying EBM in clinical practice in medical postgraduates. Methods One thousand and one hundred and thirtyseven medical postgraduates selecting the EBM courses were surveyed by questionnaires.SPSS11.5 software was used for statistical analysis. Results Medical postgraduates acquired the knowledge of EBM through classroom and seminar. Medical postgraduates though that EBM could guide clinical research and improve operational lever and sever patient. More and more postgraduates will to take part in relevant training of EBM. The barriers to using EBM in clinical practice included lack of EBM knowledge, searching and accessing evidence, having influences from clinical experience and authorities, uncertainties about the effectiveness of evidence. Conclusions EBM education has transformed from dissemination and popularization stage to application stage. We should strengthen the training of clinical evidence-based practice.by evidence-based medical education.
Objective To investigate the use of evidence-based medicine (EBM) and barriers to applying EBM in clinical practice in medical postgraduates. Methods Three hundred and sixty-five first and second-year medical postgraduates selecting the EBM courses were included. All the students were surveyed by questionnaires. Result The response rate to the survey was 100%. About half of the students read 1~5 professional articles per month before postgraduate study. Fifty-six percent of the students used professional literature and research findings when making clinical decisions. Fifty-seven point three percent used electronic databases to search for practice-relevant literature before postgraduate study. Sixty-one point four percent found it difficult to obtain relevant clinical guidelines and 68.5% never applied relevant clinical guidelines in clinical decision-making. The barriers to using EBM in clinical practice included difficulties in searching and accessing full text of potentially relevant articles, lack of EBM knowledge, influences from clinical experience and authorities, uncertainties about the quality of evidence and time-consuming. Conclusion EBM clinical practice and EBM medical education has transformed from dissemination and popularization stage to skill acquisition stage.
Rehabilitation engineering is an important branch of rehabilitation medicine. Relying on combination of medical and engineering research projects to carry out the cultivation of rehabilitation medicine-engineering interdisciplinary postgraduates of medical engineering is an important way to train high-quality composite innovative talents. This article introduces the medicine-engineering interdisciplinary innovative training model of rehabilitation engineering medical workers piloted by the Department of Rehabilitation Medicine of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine and the Research Institute of Rehabilitation Engineering and Technology of University of Shanghai for Science and Technology. By clarifying the objectives of medicine-engineering interdisciplinary postgraduates training, strengthening the construction of mentor teams, establishing multi-disciplinary postgraduates courses, improving teaching arrangements and apprenticeship plans, and encouraging the exchange of postgraduates with different research backgrounds, this training mode cultivates postgraduates to be guided by clinical problems in rehabilitation medicine to expand scientific research and research ideas, pomotes the transformation of research achievements and their application in clinical practice, and cultivates compound-type rehabilitation engineering research talents with post competence. The purpose is to provide a reference for the training of future composite rehabilitation engineering research talents.