Evidence Based Medicine

Question 1

Define EBM.

Answer 1

A new way of making decisions
A tool for taking care of patients
A way to deal with the uncertainty of patient care
A method of answering questions about patients
A way to improve care
A new paradigm of care

Question 2

What is NOT EBM?

Answer 2

A formula for medicine
A replacement for physician decision making
Cookbook medicine
A way to deny care to patients

Question 3

Compare and contrast the new and the old paradigm of EBM.

Answer 3

Limited v. ubiquitous
experience v. medical literature
pathophysiologic v. scientific
any study v. randomized trials and meta analysis
paternalistic v. shared

Question 4

What are some limitations of pathophysiologic reasoning?

Answer 4

Association is not causation
Long chain of events between molecules and death
Small change of unpredictable events
Human beings are complex

Question 5

Bias

Answer 5

Did they define this?

Question 6

What is the EBM process?

Answer 6

1. Ask a clinical question
2. Search the literature
3. Critically evaluate the medical literature
4. Apply to your patient

Question 7

Contrast background and foreground questions.

Answer 7

What are these?

Question 8

How is information different than wisdom?

Answer 8

Wisdom is knowing how to apply that information to specific patients.

Question 9

Case report

Answer 9

Individual case reported

Question 10

Case series

Answer 10

series of cases reported

Question 11

Epidemiological studies

Answer 11

Study of distribution, dynamics, and determinants of health and disease