01. Intro to EBM

Question 1

Foreground Questions

Answer 1

Clinical questions that ask for specific knowledge about managing patients with a disorder

Question 2

Background Questions

Answer 2

Clinical questions that ask for general knowledge about a disorder

Question 3

How many questions generated per in-patient encounter?

Answer 3

5 per inpatient admission

Question 4

How many questions generated per outpatient encounter?

Answer 4

2-3 per outpatient encounter

Question 5

What is the ratio between skill level and knowledge of a provider over time?

Answer 5

Increasing diagnostic skills associated with decreasing current knowledge and clinical performance

Question 6

Patient oriented evidence (POE)

Answer 6

Mortality, morbidity, quality of life

Question 7

Disease oriented evidence (DOE)

Answer 7

Pathophysiology, pharmacology, etiology

Question 8

Amount of time providers spend reading medical literature

Answer 8

Most (89%) read 1-2 hrs per week

Question 9

Supply sensitive care

Answer 9

More patient beds & specialists = increased utilization; Increased utilization does not equal better care; Providers moving from low to high supply adapt practice to use excess supply

Question 10

Preference sensitive care

Answer 10

Wide variations in provider preference lead to wide variation in HC utilization; “Surgical signature,” “Medical signature,”

Question 11

Strengths of evidence-based medicine

Answer 11

Improve confidence with decision-making; Assists communication; Decreases time searching literature; Fosters productive research/reading habits; Lessens lag time for applying research findings; Dovetails with technology (PDAs, databases)