Educating Evidence To Patients

Question 1

three components of Evidence-based medicine (EBM)

Answer 1

Patient values and preferences

Best evidence

Clinical expertise

Question 2

Systematic review

Answer 2

Strongest evidence

Answers a specific question through critical analysis of literature

Question 3

Grade guideline of EMB

Answer 3

A: high certainty to be beneficial, promote this service.

B: moderate substantial benefit, promote service

C: benefit is dependent on selective offering, promote only on individual circumstances

D: no net benefit/ greater harm than good, do not recommend

I: unknown, only offer if patient is aware of unknown

Question 4

PICO

Answer 4

Acronym for using EBM on clinically relevant topics

P: patient problem/question

I: Interventions available

C: comparison of evidence for interventions

O: Outcomes observed

Question 5

Case studies or cross sectional studies

Answer 5

Weakest evidence for hierarchies of evidence and research validity

Question 6

5 core competencies for all health care providers

Answer 6

Patient centered care

Interdisciplinary teams

Employ EBM

Quality improvements

Utilize informatics effectively with patients

Question 7

Reasons for EBM usage

Answer 7

Insurance companies use it to determine coverage

Most physicians are critiqued and possibly paid based patient outcomes (which are generally higher while using EBM)

EBM ultimately provides the best type of care to the patient while also staying within cost parameters

Allows you to tell your patient the pros and cons of treatment, the concerns, desires and goals of treatment and leads to more satisfied patients.

Question 8

Randomized controlled vs case controlled studies

Answer 8

Randomized is stronger evidence and case control is weaker