Evidence Based Medine

Question 1

What is EBM…

Answer 1

EBM - evidence based medicine

It is the use of the evidence in making decisions about the care of individual patients. It means integrating clinical experiences with the best available external clinical evidence from systematic research.

Question 2

What are the 5 steps of evidence based practice:

Answer 2

1. Ask focussed questions
2. Find the evidence
3. Critical appraisal
4. Make a decision
5. Evaluate performance

Question 3

Hierarchy of evidence:

Answer 3

RCT 
Cohort 
Case- control 
Cross- sectional survey 
Case studies

Question 4

What is does PICO stand for and what is it used for?

Answer 4

P - Population (who looking at)
I - Intervention (What is used)
C - Control (compared to)
O - Outcome (what was the result)

Question 5

Once you have you PICO question what should you do?

Answer 5

Convert this into a search and find the evidence

PubMed is a good place to look

Critical appraisal of these articles - reliability, validity, applicability
Look at for type of trial, bias etc

Make a decision whether to use the information you found and analysed

Question 6

See EBS lecture

Answer 6

For hacks to search on PubMed