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Evidence Based Medicine
Evidence Based Medicine (EBM) comprises of the best research evidence, clinical expertise and patient values. In the middle of these three aspects, the sweat spot one might add, is EBM. EBM recognizes that times, as well as research literature, treatments and technologies, are changing and that we as doctors need to change with it. This task of staying up-to-date is made easy by EBM and the Five Step EBM Model. At the end of the day, it is us doctors working with the lives of others, so it is our duty to stay up to date.
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Principles of Evidence Based Medicine
The world of science and medicine are constantly evolving with new discoveries and research. As a health care professional, it is important that we stay up to date with these innovations to provide the best possible care for our patients.
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The Five Step EBM Model:
EBM can be practiced in the following steps:
- Formulating answerable clinical questions
- Finding the evidence
- Appraising the evidence
- Applying the evidence
- Evaluating performance
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2. Finding the evidence
Once the question is compiled, one must seek relevant evidence that will help answer this question.
Source of information include:
- Textbooks and journals (although often disorganized or out of date)
- Colleagues of experts in the field
- Secondary sources of reliable...
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3. Appraising the evidence
Relevant articles should always be appraised for its validity, clinical usefulness, importance and applicability to the patient/patients of interest.
This is often a skill and involves learning how to ask a few key questions regarding the validity of the evidence and it relevance. This will...
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5. Evaluating performance
Not only after, but during our incorporation of EBM into routine clinical practice we should constantly be evaluating our approach at frequent intervals. Areas of improvement at each step of the process should be noted as well
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1. Formulating answerable clinical questions
A problem cannot be solved without a solution - and a solution start with a question.
It is often difficult to translate a clinical problem into a answerable question. However, it is good practice to be able to convert our information needs into answerable questions. Use the following acron...
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4. Applying the evidence
After appraising for the validity and importance of our evidence, we need to decide whether the evidence can be applied to our patient or population.
A very important step in this process is keeping in mind the patient's individual personal values and circumstances when making the decision...
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This is one of the most important steps to improved care and bettering of doctors in our country and around the world
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Real Criminal Profilers: Uniting Evidence and Expertise
Succinctly, real criminal profilers examine evidence for clients; they do so with expectation of giving evidence in court, no matter the circumstance (because if they are any good at what they do, it is going to wind up in court whether they like it or not); and they writ...
The second pass: Grasp the content
Duration: Can take up to 1 hour.
Activity:
- Read the complete paper.
- Ignore details such as proofs or equations.
- Take some notes at the margins of the paper and write down the key points.
- Look at any type of illustration in the paper like tables and fig...
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