• 1. Post-Graduate Training Center, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
  • 2. Department of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
LIU Lei, Email: liuleihx@gmail.com
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Objectives To systematically review the application of evidence-based medicine (EBM) combined with problem-based learning (PBL) method in clinical teaching.Methods Databases including WanFang Data, CNKI, VIP, CBM, PubMed and EMbase were searched to identify eligible randomized controlled trials that compared EBM plus PBL with traditional lecture based learning (LBL) method in clinical teaching from inception to March 28th, 2020. Two reviewers independently screened literature, extracted data and assessed risk bias of included studies. Statistical analysis was performed using Stata 14.0 software.Results A total of 33 randomized controlled trials with 2 855 students were included. The results showed that students in EBM combined with PBL group obtained better scores of specialized theory (WMD=6.87, 95%CI 5.08 to 8.66, P<0.001), skills examination (WMD=10.57, 95%CI 8.98 to 12.16, P<0.001) and case analysis (WMD=9.79, 95%CI 4.71 to 14.88, P<0.001), comparing with those in LBL group. Besides, EBM combined with PBL method improved students’ overall ability including independent learning capability, clinical thinking ability, problem-solving capability, literature exploring capacity, communication and presentation skills and team-work ability.Conclusions Application of EBM combined with PBL method can improve clinical teaching quality.

Citation: YANG Yang, LIU Fang, LIU Lei. Application of evidence-based medicine combined with problem-based learning method in clinical teaching: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2020, 20(8): 962-968. doi: 10.7507/1672-2531.202004104 Copy

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