Clinical Questions- Patterson

Question 1

How many questions do you get per patient encounters?
So how many clinical questions do you have per day?
How many clinical questions are answered?
If we answered all questions, could change (blank) management decisions per day

Answer 1

1 questions-> 2 to 3 patient encounters
11-12
40%
5-8

Question 2

What is a POE?

What is a DOE?

Answer 2

Patient oriented evidence

Disease oriented evidence

Question 3

What does PICO stand for?

Answer 3

patient
intervention
comparison
outcome

Question 4

What is a foreground question?

What is a background question?

Answer 4

• are about a particular patient or scenario

- a basic questions about a disease

Question 5

What are the components of disease oriented evidence?

Answer 5

• physiology
• pathophysiology
• epidemiology
• cause and effect

Question 6

What are the components of patient oriented evidence?

Answer 6

• diagnosis
• prognosis
• therapy
• risk
• harm

Question 7

What are common types of POE questions?

Answer 7

• clinical evidence: how to gather clinical findings properly and interpret them soundly
• Diagnosis: how to select and interpret diagnostic tests
• Prognosis: how to anticipate the patient’s likely course
• Therapy: how to select tx that do more good than harm
• Prevention: how to screen and reduce the risk for disease

Question 8

What kinds of questions are these:
Which physical exam techniques detect pleural effusions?
How is a thoracentesis performed?
What are possible causes of a bloody pleural effusion?
How are pleural effusions treated?

Answer 8

DOE questions

Question 9

What kind of questions are these:
What is the accuracy of diagnosing lung cancer by thoracentesis as compared to lung biospy?
Is pleurodesis by talc an effective method of controlling his effusion?
Should this patient be placed in isolation? (What is the predictive value of cough, fever and bloody effusion in the diagnosis of TB?)

Answer 9

POE questions