Evidence Based Medicine Flashcards
Are clinicians considered lifelong learners?
Yes- there is a continuos need to maintain and enhance knowledge.
Why are CMEs ineffective?
Because clinicians tend to go to CMEs that they have proficiency in, and thus dont learn anything new.
What are three reasons for Evidence-based medicine?
- Rapid advances
- Textbooks are out of date
- Journals are overwhelming & vary in validity
T/F
Researchers who shadowed PAs reported that physicians required new info as often as 18 times in a day.
False.
16 times in a half a day.
T/F
Quality of care rose in physicians that took CME classes in topics that they had a low preference for.
True
“Expert”, Anecdotal, generalizing and pharmaceutical research all fall under what category:
- Ping Pong syndrome
- Tennis match syndrome
- Soccer syndrome
Tennis match syndrome
What is encouraged with EBM?
Outcome-based evidence
” Trust me” and “it works because I said so” fall under what category?
Faith- “The Seductive” approach
What is the bandwagon approach?
“This is how we all do it”
What are the 2 types of evidence?
- Disease Oriented
2. Patient Oriented
Which evidence-patient or disease deals with morbidity, mortality?
Patient Oriented
What are some journals that use evidence-based approach?
- Journal of Family Practice
- ACP Journal Club
- Evidence based Medicine
What is this equation for?
Relevance x Validity/ work involved
Usefulness of any source of information
“If so, then what”? is what type of approach?
Systematic approach
Should u compare the journal article to the problem common in your practice?
Yes, if there is sufficient commonality.
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)
- Will the info - if true- have direct bearing on the health of ur patient
- Is the problem common in ur community?
- Will it make u change your current practice?
What does Reliability mean in regards to a study?
Are the results Reproducible.
What does Validity mean- in regards to a study?
Did the study eValuate what it sought to evaluate?
What does double blind mean?
Both the participants and the one administering the study do not know who is in what group and what they are receiving.
What is NNT?
Number Needed to Treat- the # of patients who must be exposed to an intervention before the clinical outcome of interest occurred.
When talking about randomization of study- what does that refer to? (in reference to selecting an article)
Therapy
When talking about the appropriate spectrum of the sort of patients, what does that refer to? (in reference to selecting an article)
Diagnosis
When talking about the death of a participant- that would fall under what?
Harm
What does sensitivity mean?
proportion of truly diseased patients, as measured by the gold standard, who are identified as diseased by the test under study.
What does this equation refer to?
True positives/ True positives + False negatives
Sensitivity
What does Specificity mean?
The proportion of truly non-diseased persons, as measured by the gold standard, who are so identified by the diagnostic test under study.
The extent to which a treatment reduces a risk, in comparison with patients NOT receiving the treatment of interest is called?
Relative Risk Reduction
Should your questions for Evidence based medicine be
Broad
Precise
Inclusive
Focused?
Precise and Focused
What is a major part of the evaluative process?
H&P
Its all about _______________ !
the patient
Which type of reasoning is based on pathophysiology- Inductive or Deductive reasoning?
Inductive
“It should work…”
Which type of reasoning proves or demonstrates that something work- inductive or deductive?
Deductive
- proof!
