摘要:Clinical epidemiology (CE) and evidence-based medicine (EBM) have become an
important part of medical school curricula. This report describes the implementation
and some preliminary outcomes of an integrated CE and EBM module in the Faculty
of Medicine Universitas Indonesia (UI), Jakarta and in the University of Malaya
(UM) in Kuala Lumpur. A CE and EBM module, originally developed at the
University Medical Center Utrecht (UMCU), was adapted for implementation in
Jakarta and Kuala Lumpur. Before the start of the module, UI and UM staff followed
a training of teachers (TOT). Student competencies were assessed through pre and post multiple-choice knowledge tests, an oral and written structured evidence
summary (evidence-based case report, EBCR) as well as a written exam. All students
also filled in a module evaluation questionnaire. The TOT was well received by staff
in Jakarta and Kuala Lumpur and after adaptation the CE and EBM modules were
integrated in both medical schools. The pre-test results of UI and UM were
significantly lower than those of UMCU students (p\0.001). The post test results of
UMCU students were comparable (p = 0.48) with UI, but significantly different
(p\0.001) from UM. Common problems for the modules in both UI and UM were
limited access to literature and variability of the tutors’ skills. Adoption and
integration of an existing Western CE-EBM teaching module into Asian medical
curricula is feasible while learning outcomes obtained are quite similar.
关键词:Curriculum ;Medical students ;Under-graduate education ;Evidence-based medicine