Quiz 1 Flashcards
What are the goals of EBM?
- Develop a set of evidence supported practice tools to further lifelong, self-directed learning
- Guide informed clinical decisions in caring for Pts
What does EBM serve to do?
- Standardize practice while maintaining Pt centered core
- Promote life-long learning
- Response to practice variability
- Provide granularity on complex questions & gray areas
How many questions are generated per outPt/inPt encounters?
2 ?s/3 outPt
5 ?s per inPt admission
What percent of questions do PCPs normally try to answer?
30-57%
Background vs. foreground questions
b - general knowledge about a disorder
f - specific knowledge for Pt
How does EBM help make good providers?
- Competence
- Providing highest quality care
- Providing individualized care
- Respecting the choices & decisions of the Pt
- Communicating risk & options to Pts effectively
- Utilization of best practices
What is the 3 pronged approach to EMB?
- Clinical problem solving
- Medical informatics
- Critical appraisal of medical literature
Why do we have evidence-based health care?
- Too many Pts
- Too many problems
- Too many journals
- Info overload
- Reimbursement
- Core measures
- Foster understanding
- Quality improvement
What is ‘the prescription’ for EBM?
- Formulate & ask a question
- Access the evidence
- Critically appraise the evidence
- Apply the evidence
- Assess the use of info in practice
POE vs. DOE
Pt-oriented evidence
mortality, morbidity, quality of life
Disease-oriented evidence
pathophysiology, pharmacology, etiology
What are the 4 kinds of clinical questions?
- Etiology
- Diagnosis
- Therapy
- Prognosis
What types of studies are used to find effective therapy?
randomized controlled trial
How do you ask a question?
PICO P - describe the Pt I - what is a possible Intervention C - what is the Comparison intervention O - what Outcome do you care about?
What is a confounding variable?
something that affects both the cause & effect
