Evidence Based Medicine

Question 1

Are clinicians considered lifelong learners?

Answer 1

Yes- there is a continuos need to maintain and enhance knowledge.

Question 2

Why are CMEs ineffective?

Answer 2

Because clinicians tend to go to CMEs that they have proficiency in, and thus dont learn anything new.

Question 3

What are three reasons for Evidence-based medicine?

Answer 3

1. Rapid advances
2. Textbooks are out of date
3. Journals are overwhelming & vary in validity

Question 4

T/F

Researchers who shadowed PAs reported that physicians required new info as often as 18 times in a day.

Answer 4

False.

16 times in a half a day.

Question 5

T/F

Quality of care rose in physicians that took CME classes in topics that they had a low preference for.

Answer 5

True

Question 6

“Expert”, Anecdotal, generalizing and pharmaceutical research all fall under what category:

1. Ping Pong syndrome
2. Tennis match syndrome
3. Soccer syndrome

Answer 6

Tennis match syndrome

Question 7

What is encouraged with EBM?

Answer 7

Outcome-based evidence

Question 8

” Trust me” and “it works because I said so” fall under what category?

Answer 8

Faith- “The Seductive” approach

Question 9

What is the bandwagon approach?

Answer 9

“This is how we all do it”

Question 10

What are the 2 types of evidence?

Answer 10

1. Disease Oriented

2. Patient Oriented

Question 11

Which evidence-patient or disease deals with morbidity, mortality?

Answer 11

Patient Oriented

Question 12

What are some journals that use evidence-based approach?

Answer 12

1. Journal of Family Practice
2. ACP Journal Club
3. Evidence based Medicine

Question 13

What is this equation for?

Relevance x Validity/ work involved

Answer 13

Usefulness of any source of information

Question 14

“If so, then what”? is what type of approach?

Answer 14

Systematic approach

Question 15

Should u compare the journal article to the problem common in your practice?

Answer 15

Yes, if there is sufficient commonality.

Question 16

What are the 3 questions to ask yourself prior to reading a journal article? ( & if you answered “yes” to each one, then you should read the article)

Answer 16

1. Will the info - if true- have direct bearing on the health of ur patient
2. Is the problem common in ur community?
3. Will it make u change your current practice?

Question 17

What does Reliability mean in regards to a study?

Answer 17

Are the results Reproducible.

Question 18

What does Validity mean- in regards to a study?

Answer 18

Did the study eValuate what it sought to evaluate?

Question 19

What does double blind mean?

Answer 19

Both the participants and the one administering the study do not know who is in what group and what they are receiving.

Question 20

What is NNT?

Answer 20

Number Needed to Treat- the # of patients who must be exposed to an intervention before the clinical outcome of interest occurred.

Question 21

When talking about randomization of study- what does that refer to? (in reference to selecting an article)

Answer 21

Therapy

Question 22

When talking about the appropriate spectrum of the sort of patients, what does that refer to? (in reference to selecting an article)

Answer 22

Diagnosis

Question 23

When talking about the death of a participant- that would fall under what?

Answer 23

Harm

Question 24

What does sensitivity mean?

Answer 24

proportion of truly diseased patients, as measured by the gold standard, who are identified as diseased by the test under study.

Question 25

What does this equation refer to?

True positives/ True positives + False negatives

Answer 25

Sensitivity

Question 26

What does Specificity mean?

Answer 26

The proportion of truly non-diseased persons, as measured by the gold standard, who are so identified by the diagnostic test under study.

Question 27

The extent to which a treatment reduces a risk, in comparison with patients NOT receiving the treatment of interest is called?

Answer 27

Relative Risk Reduction

Question 28

Should your questions for Evidence based medicine be

Broad

Precise

Inclusive

Focused?

Answer 28

Precise and Focused

Question 29

What is a major part of the evaluative process?

Answer 29

H&P

Question 30

Its all about _______________ !

Answer 30

the patient

Question 31

Which type of reasoning is based on pathophysiology- Inductive or Deductive reasoning?

Answer 31

Inductive

“It should work…”

Question 32

Which type of reasoning proves or demonstrates that something work- inductive or deductive?

Answer 32

Deductive

- proof!