Week 1 Flashcards
What is evidence based medicine?
The evidence itself
patient values and preferences
physical judgement and experience
What are the three pillars of EBP?
Patient values
Research evidence
Clinical experience
What is the relationship between clinical experience and quality of health care in Niteesh Choudrhry systematic review?
Quality of care decreases as clinical experience increases
What are the 2 fundamental principles of EBP and what do they mean?
Principle 1- there is a hierarchy of evidence (highest on pyramid is most reliable)
Principle 2- Evidence is never enough
What is the pyramid of hierarchy order?
1- meta analysis, systematic review
2- randomized controlled trial
3- cohort studies
4- case control studies
5- case series
Qualitative research
Who, what, why, when, and how (observation)
Quantitative research
How much? (Case control and cohort studies)
What are the 7 requirements of ethical research?
Social or scientific value
Scientific validity
Fair subject selection
Favorable risk/benefit ratio
Independent review
Informed consent
Respect for potential enrolled subjects (confidentiality)
What is the primary purpose of research?
Always to benefit future patients
Foreground research
Helps with decision making specific to PT
Background research
Something with a universal answer (what is the most common muscle torn in shoulder)
What does it mean to push evidence?
Learn how to get information you care about pushed to you
What does it mean to pull evidence?
Go in and look up research
What does PICO stand for?
P- patient
I- intervention
C- comparison
O- outcome
What are Boolean operators?
AND, OR, or NOT
Descriptive/observation study designs AIMS
Prevalence
Incidence
Practice audits
Cost of illness
Clinical/natural course
Diagnostic test accuracy
Understanding patient experiences
Predictive/exploratory AIMS
Risk of prognostic models
Casual/experimental AIMS
Treatment effectiveness
Treatment target
Treatment effect mechanisms
Prospective
Following someone into future
Retrospective
Looking back in time
Cross sectional
Looking at someone in the present
What are the 6 parts of a research paper?
Abstract
Intro
Methods
Results
Discussion
Conclusions
Where do we start with a research paper?
Find out if the paper is relevant to you (abstract)
What part of a research paper should we spend most of our time examining?
Method sections
What is a conflict of interest in research?
Industry sponsored research (bias towards favoring their industry)
