Elements of Clinical Decision Flashcards
components of evidence decision making (3)
clinician’s expertise and judgement
best available evidence
patient values
diagnosis question
how to select and interpret diagnostic tests
type of study for diagnosis questions
prospective, blind comparison to a gold standard or cross-sectional
therapy question
how to select treatments that do more food than harm and that are worth the efforts and costs of using them
type of study for therapy questions
randomized controlled trial > cohort study
prognosis question
how to estimate the patients likely clinical course over time (based on factors other than the intervention) and anticipate likely complications of disease
type of study for prognosis questions
cohort study > case control > case series
harm/etiology question
how to identify causes for disease (including iatrogenic forms)
type of study for harm/etiology questions
cohort > case control > case series
CODA accreditation standard
graduates must be competent in the use of critical thinking and problem solving, including their use in the comprehensive care of patients, scientific inquiry, and research methodology
CODA accreditation standard intent:
throughout the curriculum, the educational programs should use teaching and learning methods that support the development of critical thinking and problem solving skills
the oral health provider who is competent in critical thinking and problem solving will, (5)
ask acquire appraise apply assess
ask
convert info needs to ask a searchable question
acquire
search with maximum efficiency to acquire the best evidence to answer the question
appraise
critically appraise the evidence
