Patterson: Clinical Questions

Question 1

Do physicians with more experience deliver higher quality care?

Answer 1

no, studies have shown decreasing performance with increasing experience

Question 2

What is the problem with traditional conferences, medical lectures, and self-directed reading?

Answer 2

low retention rates (~10%)

Question 3

What are some barriers to answering our own clinical questions?

Answer 3

lack of time and resources
insufficiency with EMB
preference for most convenient vs appropriate resource
poorly formulated questions

Question 4

Compare background questions vs foreground questions

Answer 4

background: about the disease process
foreground: about the particular patient and their diagnosis, prognosis, and treatment

Question 5

Compare disease oriented evidence (DOE) to patient oriented evidence (POE)

Answer 5

DOE = physio, pathophysiology, epidemiology, and cause and effect

POE = diagnosis, prognosis, therapy, risk, harm

Question 6

What is the acronym for creating good POE questions?

Answer 6

PICO
P = problem or patient
I = intervention
C = comparison intervention
O = clinical outcome of interest