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Evidence-based Medicine Curriculum. Faculty of Medicine University of Ottawa. EBM. Integrated through the undergraduate medical curriculum Self-Instructional Modules Content Clinical Vignette Large groups session –core concepts Small group session – presentation & review.
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Evidence-based Medicine Curriculum Faculty of Medicine University of Ottawa
EBM • Integrated through the undergraduate medical curriculum • Self-Instructional Modules • Content • Clinical Vignette • Large groups session –core concepts • Small group session – presentation & review
EBM: Year 1 sessions • Introduction to Evidence-based Medicine • Introduction to Formulating a Clinical Question • Introduction to Developing Literature Searching (Medline) Skills • Harm/Causation Module
EBM: Year 2 • Prognosis Module • Diagnosis Module • Therapy Module
EBM: Year 3 • Intro to Meta-analysis (link block) • Meta-analysis module • Clinical Practice Guidelines module
EBM Evidence-based medicine (EBM) has been defined as “the conscientious, explicit and judicious use of the current best evidence in making decisions about the care of individual patients.” EBM is a process of life-long, self-directed learning.
Evaluate impact of decision Practice Other triggers Integrate decision into practice Formulate a question Make a decision Select key article(s) Critically appraise the key article(s) EBM
Formulating a clinical question • Specify the person / patient involved • Indicate what exposure or intervention is being considered • Specify the outcome of interest
Critical Appraisal of an Article • What are the study results? • Are the study results valid? • Will these results help in the care of my patient?
Will the results help in caring for my patients? • Can the results be applied to your patient? • Were all clinically important outcomes reported? • Are the likely treatment benefits greater than the potential harms?
Critical Appraisal • Are the study results valid? • What are the study results? • Will the study results help in the care of my patient?
Remember • Strengths and weaknesses relate to the critical appraisal criteria • Apply the results to your patient.