Podcast
Questions and Answers
What can a doctor not do, even if they have time to read all published articles and studies?
What can a doctor not do, even if they have time to read all published articles and studies?
What does 'explicit' mean in the context of evidence-based practice?
What does 'explicit' mean in the context of evidence-based practice?
What is the ultimate goal of evidence-based medicine?
What is the ultimate goal of evidence-based medicine?
What does 'judicious' mean in the context of evidence-based practice?
What does 'judicious' mean in the context of evidence-based practice?
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What is evidence-based practice?
What is evidence-based practice?
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What is a result of the change in the way physicians practice medicine due to evidence-based medicine?
What is a result of the change in the way physicians practice medicine due to evidence-based medicine?
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When was the term 'Evidence-Based Medicine' first proposed?
When was the term 'Evidence-Based Medicine' first proposed?
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What led to the development of Evidence-Based Medicine?
What led to the development of Evidence-Based Medicine?
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Who led the group that consolidated and named the approach as Evidence-Based Medicine in 1992?
Who led the group that consolidated and named the approach as Evidence-Based Medicine in 1992?
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What is a characteristic of medical knowledge?
What is a characteristic of medical knowledge?
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What is an impact of the shift to Evidence-Based Medicine?
What is an impact of the shift to Evidence-Based Medicine?
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What was the original purpose of the committee formed in 1970?
What was the original purpose of the committee formed in 1970?
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What is a key feature of Evidence-Based Medicine?
What is a key feature of Evidence-Based Medicine?
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Where was the Department of Clinical Epidemiology and Biostatistics located?
Where was the Department of Clinical Epidemiology and Biostatistics located?
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What is a characteristic of Cochrane Systematic Reviews?
What is a characteristic of Cochrane Systematic Reviews?
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What is the primary difference between Cochrane Systematic Reviews and Non-Cochrane Systematic Reviews?
What is the primary difference between Cochrane Systematic Reviews and Non-Cochrane Systematic Reviews?
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What is the purpose of Critically Appraised Articles?
What is the purpose of Critically Appraised Articles?
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When would you need to access Unfiltered Information Resources?
When would you need to access Unfiltered Information Resources?
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What is MEDLINE?
What is MEDLINE?
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Why do research articles in journals require critical evaluation?
Why do research articles in journals require critical evaluation?
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What is the main difference between filtered and unfiltered information resources?
What is the main difference between filtered and unfiltered information resources?
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What is an example of an Unfiltered Information Resource?
What is an example of an Unfiltered Information Resource?
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What is the first step in the 5 As technique of Evidence-Based Medicine?
What is the first step in the 5 As technique of Evidence-Based Medicine?
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What is the primary purpose of critical appraisal in EBM?
What is the primary purpose of critical appraisal in EBM?
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What does PICO stand for in the context of critical appraisal?
What does PICO stand for in the context of critical appraisal?
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Which of the following is NOT a key question to consider during critical appraisal?
Which of the following is NOT a key question to consider during critical appraisal?
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What is the ultimate goal of the 5 As technique in Evidence-Based Medicine?
What is the ultimate goal of the 5 As technique in Evidence-Based Medicine?
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Why is critical appraisal necessary in Evidence-Based Medicine?
Why is critical appraisal necessary in Evidence-Based Medicine?
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What is the primary goal of a well-framed clinical question in EBM?
What is the primary goal of a well-framed clinical question in EBM?
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Which of the following is NOT a characteristic of a good clinical question in EBM?
Which of the following is NOT a characteristic of a good clinical question in EBM?
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What does the 'P' in PICO stand for?
What does the 'P' in PICO stand for?
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What is the purpose of the 'I' in PICO?
What is the purpose of the 'I' in PICO?
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What is the main difference between PICO and PECO?
What is the main difference between PICO and PECO?
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Which of the following is an example of an 'O' in PICO?
Which of the following is an example of an 'O' in PICO?
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What is the primary benefit of using a framework like PICO to frame a clinical question?
What is the primary benefit of using a framework like PICO to frame a clinical question?
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Why is it important to ask good clinical questions in EBM?
Why is it important to ask good clinical questions in EBM?
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Study Notes
Evidence-Based Medicine (EBM)
- EBM originated in the late 1980s, and was first proposed in medical literature in 1991 as a new way of teaching the practice of medicine.
- It was consolidated and named EBM in 1992 by a group led by Gordon Guyatt from McMaster University in Ontario, Canada.
- EBM is a change in the way physicians practice medicine, teach, and learn, and handle research.
Definition of EBM
- EBM is the conscientious, explicit, and judicious use of current best evidence in helping individual patients make decisions about their care.
- It integrates the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management.
- Conscientious means being careful and thorough, explicit means being up-front, open, and clear, and judicious means using good judgement and common sense.
Need for EBM
- Medical knowledge grows every day, and medical research is continually discovering improved treatment methods and therapies.
- Practitioners must keep up to date with current research, but not all studies are equally well-designed, conducted, or interpreted.
- Doctors lack the time to evaluate the value of each study, its methodology, outcome, and transparency.
Five Basic Steps of EBM
- Step 1: Clinical Question (ASK)
- Framing the question using PICO/PECO (Patient, Intervention, Comparison, Outcome)
- Examples: 47-year-old male with DM2 and cellulitis toe, 25-year-old female with DVT and chest pain
- Step 2: Find Best Evidence (Acquire)
- Filtered information resources: Cochrane Systematic Reviews, Non-Cochrane Systematic Reviews, Critically Appraised Articles
- Unfiltered information resources: Journal Articles, Research articles found in journals (e.g., MEDLINE)
- Step 3: Critical Appraisal (APPRAISE)
- Evaluate evidence for quality and usefulness
- Appraisal principles: PICO, methodology, bias, results, and relevance
- Step 4: Apply the Evidence (Apply)
- Implement useful findings in clinical practice
- Step 5: Evaluate (Assess)
- The information, intervention, and EBM process
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Description
Test your knowledge of Evidence-Based Medicine, its components, and importance, with this quiz designed by Dr. Nelly Hegazy, Lecturer of Public Health and Community Medicine.