ABHD S2 Evidence Based Practise

Question 1

Define evidence based practice.

Answer 1

Integration of clinical expertise with external clinical evidence from systematic research.

Question 2

Why are systematic reviews of evidence and research required?

Answer 2

Narrative reviews may be biased
Quality of studies varies - can be poor.
Address clinical uncertainty
Highlight poor quality research

Question 3

What are the positives of systematic review of evidence and research?

Answer 3

Increased quality control and certainty.
Authorative, generalised an up-to-date conclusions offered.
Clinicians don’t have to themselves.
Reduced delay - research and implementation
Prevent biased decision being made.

Question 4

What are practical criticisms of evidence-based practice movement?

Answer 4

Difficult to maintain reviews across specialities/ hard to implement findings.
Limited trial opportunity due to choice of outcomes being biomedical
Good faith required on pharma companies

Question 5

What are philosophical criticisms of evidence-based practise?

Answer 5

Doesn’t align with Dr way of thinking
Population outcomes not individual outcomes
Creates ‘unreflective rule followers’
Responsibility and autonomy
Undermine trust in doctor-patient relationship.