Table of Contents
The Clinician’s Lament: How Can I Keep Up With
the Literature?
Medical School Education
The Slippery Slope
How do you learn about new developments in medicine?
JASPA* (Journal associated score of personal
angst)
Why Read the Medical Literature?
Reasons to Read the Medical Literature
Medical Publishing
A Paradigm Shift for Physicians
PPT Slide
Will it change your practice?
Generation and Strength of evidence
“Practice-changing” Journal Articles
ACP Journal Club
Why are Studies Accepted for Publication?
A Paradigm Shift for Physicians
Clinical Decision Making
Evidence-based Medicine: A Definition
EBM Skills
Types of Clinical Questions
Types of Clinical Questions
EBM Step #1: The Question
EBM Step #2: Find the Evidence
EBM Step #2: Find the Evidence
EBM Step #3: Are the methods valid?
EBM Step #4:
Magnitude of Results
Study Designs : Treatment of Acute MI
Magnitude of Results
EBM will NOT tell you what to do!
What will determine what you do:
Individual Clinical Expertise:
Best Available External Clinical Evidence:
Both are Needed:
BUT, External Clinical Evidence
Which is why you feel like you’re never
up-to-date and your JASPA score is so high!!
Work =
PPT Slide
PPT Slide
Hierarchy of evidence
Master some simple rules of evidence
Hierarchy of Evidence
Hierarchy of Evidence
Hierarchy of Evidence
PPT Slide
EBM Skills
How to Keep Up-to-date: 3 solutions
Clinical Decision Making
Teaching Evidence-Based Medicine: Ground Rules
PPT Slide
Evidence-based Medicine
HOW TO GET STARTED
When to Use EBM Resources
EBM RESOURCES
EBM RESOURCES
WHEN TO SEARCH FOR EVIDENCE
A FEW EBM RESOURCES
A FEW EBM RESOURCES
A FEW EBM RESOURCES
MAKING SENSE OF SYSTEMATIC REVIEWS
SYSTEMATIC REVIEWS
THE FOCUSED CLINICAL QUESTION
THE SEARCH IS EXHAUSTIVE |