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< the risks and efficacy of the evidence should be discussed with the patient and family at length to allow them to make an informed decision.
The costs and availability of resources in your local hospital or practice should be kept in mind if the evidence is applied.
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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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