Evidence Based Medicine 1 (DONE)

Question 1

What is evidence based medicine?

Answer 1

A systemic approach to clinical problem solving which allows the integration of the best available research evidence with clinical expertise and patient values

Question 2

What is information mastery?

Answer 2

The application of the principles of evidence based medicine and the techniques used in the day to day practice of medical care

Question 3

The usefulness equation

Answer 3

Relevance: FOCC- feasible, outcome, common, change
POEM- patient orientated evidence that matters
Validity: considered using the hierarchy of evidence and statistical analysis, personal accountability for assuming validity, consider subjective opinions and bias
Work: foraging, hunting, hot-syncing

Question 4

Steps in a systematic review

Answer 4

Formulate review question
Define inclusion and exclusion criteria
Locate studies
Select studies
Assess study quality
Extract data 
Analysis/summary and synthesis of relevant studies
Present results
Interpret results/determining the applicability of results

Question 5

What is a meta analysis?

Answer 5

A statistical way of combining the results of similar studies to produce a single conclusive study which is superior to the individual studies

Question 6

What are the four stages of meta-analysis?

Answer 6

Identification- identification and collection of relevant evidences for study
Selection- analysis and filtration of studies that meet inclusion criteria
Abstraction- identifying and removing the relevant data from each study
Analysis- critical evaluation and reflection on the meta-analysis

Question 7

What are information foraging services? Give some examples

Answer 7

Specialist information gathering services that will distribute clinically and professionally relevant information to HCPs
e.g. NICE, WeMeReC, PSNC, Community Pharmacy Wales

Question 8

What is hot-syncing?

Answer 8

Instead of random reading or attending teaching sessions with a generic curriculum, the hour that NHS professionals spend on CPD every week can be spent reviewing summaries of evidence produced by trusted, public sector organisations covering just the conditions the individual practitioner commonly sees