文章基本信息

标题：Clever Nihilism: Cynicism in Evidence Based Medicine Learners
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作者：Chris Meserve ; Adina Kalet ; Sondra Zabar 等
期刊名称：Medical Education Online
电子版ISSN：1087-2981
出版年度：2005
卷号：10
期号：1
页码：4372-4381
DOI：10.3402/meo.v10i.4372
摘要：Evidence-based medicine (EBM) educators are often confronted with learners who use their new critical appraisal skills to dismiss much of the medical literature. Does this cynical attitude of "clever nihilism" affect educational outcomes, such that educators need to tailor their curricula to these learners? The authors proposed that this critical skepticism may be an intermediate developmental stage for EBM learners as they progress from "naïve empiricism" to "mature pragmatism" and sought to observe its effect on educational outcomes from an intensive, 6 week EBM course. In this course, fifty-four medical residents reported significantly improved skills in critical appraisal and electronic searching. However there was no association between a measure of clever nihilism and the self-reported educational outcomes. The role of clever nihilism in the EBM classroom remains a potentially important issue, and its lack of effect here may be a product of several methodological limitations addressed in the discussion. Such a construct requires further validation The question remains as to whether such cynicism is a learning style or a developmental phase.