循证医学与批判性思维.ppt

患者作为决策的受施者,理应参与决策的过程, 只有这样,才能保持良好的医患关系,才能在决策的实施过程中最大限度地获取患者及其亲属的合作,达到最佳的治疗目的。 计算机网络设备、现代化的诊疗设备 专门的循证医学期刊、数据库、权威的网络资源等 学生在系统学习疾病过程中遇到问题自行分析、解决，培养文献检索能力、批判性评价的能力，自我学习、更新自身知识的能力，从而 Search procedure： 1.ACP Journal Club： Input the following words in the search box: mammography AND breast Then choose “diagnosis” Case: Advice about mammography for a young woman with a family history of breast cancer Search procedure： 2.Cochrane Library： We try to use the following search strategy: mammography --------Title, abstract, or keywords AND breast -------- Title, abstract, or keywords AND screening -------- Title, abstract, or keywords AND family history -------- Title, abstract, or keywords Case:Advice about mammography for a young woman with a family history of breast cancer Search procedure： 3. Find Systematic Reviews in PubMed clinical queries : Input the following words in the search box: mammography AND breast AND screening AND family history Case: Advice about mammography for a young woman with a family history of breast cancer Search procedure： 4. Search by Clinical Study Category in PubMed clinical queries: Input the following words in the searching box: mammography AND breast AND family history And then choose diagnosis Case:Advice about mammography for a young woman with a family history of breast cancer Search procedure： 5.PubMed: Input the following words in the search box: mammography AND breast AND screening AND family history Case:Advice about mammography for a young woman with a family history of breast cancer 第四步： 文献评价 严格的方法学进行评价; 对评价的评价; Check list; Revman 评价软件 第五步： 必要时重新检索 3.循证医学资源 （一）循证医学专用数据库 Cochrane Library EBM Reviews 中国循证医学中心数据库 SumSearch TRIP Database CRD Database （二）相关期刊 ACP Journal Club EBM Online Bandolier （三）临床实践指南 NGC (National guideline clearinghouse) NICE (The National Institute for Health and Clinical Excellence) 结语 本次课是学