续　畅　马致洁　周　力　钟　萌　谢俊大　李　健　赵奎君▲.首都医科大学附属北京友谊医院中药剂科，北京　00050；.首都医科大学附属北京友谊医院心内科，北京　00050；.北京中医药大学基础医学院，北京　0009

循证医学在临床中药学教学中的实践与探讨

续畅1马致洁1周力2钟萌1谢俊大1李健3赵奎君1▲
1.首都医科大学附属北京友谊医院中药剂科，北京100050；2.首都医科大学附属北京友谊医院心内科，北京100050；3.北京中医药大学基础医学院，北京100029

为提高本院临床中药学的教学质量，在研究生教学中开展循证医学培训与锻炼。采用课堂教学与讲座相结合系统传授循证医学知识，利用网络资源丰富循证医学知识，教师带教过程中培养循证医学理念，基于问题的学习方法方式（PBL）与循证医学教学相结合，鼓励研究生撰写循证医学论文等教学方法，取得了丰富的教学成果。但目前仍存在以下教学难点：国内缺乏优质的随机对照试验（RCT）临床资料，研究生的统计学功底普遍薄弱，研究生缺乏自主发现、分析、解决问题的能力。总的来说，循证医学有助于临床中药学的学科建设与人才培养。

循证医学；临床中药学；研究生教育；教学方法；教学难点

[Abstract]In order to improve the teaching quality of clinical Chinese pharmacy in our hospital,we teach the graduate student evidence based medicine(EBM)knowledge.Teaching methods are as follows:classroom teaching and lecture combined to impart knowledge of EBM,using the network resources to enrich the knowledge of EBM,the idea of training EBM in the process of teachers'teaching,combination of problem based learning method(PBL)and EBM in teaching,encourage graduate students to write EBM papers.Although it has achieved a wealth of teaching results,but there are still the following teaching difficulties:the lack of high-quality randomized controlled trials(RCT)clinical data in China,graduate students'statistical ability is relatively weak,graduate students lack the ability to discover,analyze and solve problems.In general,evidence-based medicine is helpful to the discipline construction and personnel training of clinical Chinese pharmacy.

[Key words]Evidence-based medicine(EBM);Clinical Chinese pharmacy;Postgraduate education;Teaching method; Teaching difficulties

循证医学（evidence-based medicine，EBM），意为“遵循证据的医学”，是指应用现有最为可靠的研究证据，结合医师的临床技能及既往经验，在尊重患者的个人意愿的前提下，对患者做出的医疗决策与诊治方案[1]。自1992年Gordon Guyatt于JAMA杂志首次提出此概念始，循证医学迅速与临床各学科的教学实践相结合，在不断丰富与完善自身体系的同时，更促进了传统临床教育模式的转变[2]。……