以核心能力为导向,循证医学为载体,终身学习为目的的医学人才培养模式研究(一)——医学生批判性思维现状.pdfVIP

Original Articles Chin J Evid-based Med 2010, 10(3): 298-302 以核心能力为导向，循证医学为载体，终身学 习为目的的医学人才培养模式研究（一） ——医学生批判性思维现状 * 陈  进  陈燕玲  郑会贤  李幼平  陈  斌  万晓莉  蔺  渊 四川大学华西医院循证医学与临床流行病学教研室（成都 610041 ） 摘要  目的 调查分析医学生批判性思维的现状，为探索建立“核心能力为导向，循证医学为载体，终身学 习为目的”的医学人才培养模式提供依据。方法 采用中文版批判性思维能力测量表（Chinese Version of Critical Thinking Disposition Inventory ，CTDI-CV ）调查分析四川大学617 名医学本科生和研究生批判性思维现状。 结 果 该组医学生批判性思维素质平均总分均高于 280 分，批判性思维呈正性。亚组分析结果显示，平均总分由高到 低依次为 8 年制（309 分）、研究生（298 分）、7 年制（287 分）和 5 年制（286 分）。平均总分两两比较，除 5 年制和 7 年制之间无明显差异外，其余各组平均相差均≥ 10 分。5 年制和 7 年制医学生“寻找真相”、“系统化能力”、“批判 性思维自信心”三项≤ 40 分，其中“批判性思维自信心”最低。不同性别和年龄间批判性思维总分和 7 项特质无差异。 结论 影响我国学生批判性思维的因素主要包括：教学理念、教学氛围、教学方式和教学评价体系。 关键词  批判性思维；医学人才培养模式；横断面调查 Medical Education Model with Core Competency as Guide, Evidence-Based Medicine as Carrier and Lifelong Learning as Purpose (1): Current Status of Critical Thinking on Medical Students * CHEN Jin, CHEN Yan-ling, ZHENG Hui-xian, LI You-ping , CHEN Bin, WAN Xiao-li, LIN Yuan Department of Evidence-Based Medicine and Clinical Epidemiology, West China Hospital, Sichuan University, Chengdu 610041, China Abstracts Objective To investigate critical thinking disposition inventory on medical students to offer evidence for building a medical education model with core competency as guide, evidence-based medicine as carrier and lifelong learning as purpose. Methods Chinese Version of Critical Thinking Disposition Inventory was used to investigate the current status of critical thinking of 617 medical undergraduates and graduates of Sichuan University. Results The average total score was more than 280 points. Average total scores of medical students in different educational systems from high to low were 309 points (eight-year-program), 298 points (postgraduates), 287 points (seven-year-program) and 286 points (fi