EBM

Question 1

6 steps in practicing EBM

Answer 1

Acknowledge
Ask
Acquire
Appraise
Apply
Assess

Question 2

Foreground

Answer 2

Looks for specific info to inform clinical decision-making for a particular pt

Question 3

4 essential components of clinical questions

Answer 3

Patient and/or problem
Intervention (exposure)
Comparison (if relevant)
Outcome

Question 4

Usefulness of info equation

Answer 4

U= VxR / W
V = validity
R = relevance
W = work to access and understand

Question 5

Internal validity

Answer 5

Extent to which the study properly measures what it intends to measure

Question 6

External validity

Answer 6

Extent to which the results of this study can be generalized to the patient/population of interest

Question 7

Applicability

Answer 7

Usefulness of the info to my clinical practice needs

Question 8

Background

Answer 8

General medical knowledge

Question 9

Foreground

Answer 9

Info specific to pt

Question 10

Types of questions

Answer 10

• Overview (MedScape, UTD, ClinicalKey)
• Synthesis of best practice recs (Nat; Guideline Clearinghouse, ClinicalKey, UTD, PubMed
• Answer to narrow question that isn’t addressed in synthesis resources (PubMed, ClinicalKey)
• Drug info (CDC, Drug info portal)
• Evidence-based info about alternative therapies (Clinical Trials)
• Info to share with pts (CDC, UTD)