Evidence Based Medicine

1. Goals and Objectives
   1. To describe how to use the EBM template as a tool for systematically incorporating evidence into practice.
   2. To describe the EBM template for the 10 most common clinical question /study types.
   3. To describe how to facilitate learning of the EBM template in different clinical settings.
   4. To enhance clinical practice.
   5. To enhance teaching skills.
2. Process
   1. Learn by doing ­ learn it by teaching it ­ try to practice twice
   2. The group sets agenda
   3. Feedback/Feedback/Feedback ­ end of each session ­ written/oral
3. EBM Template (Skills to be learned, individually and as a whole)
   1. Question
   2. Search
   3. Critical Appraisal
      • Valid
      • Magnitude and precision of results
      • Useful for my patient
4. The Questions (Skills to be learned)
   • Therapy
   • Diagnostic Test
   • Harm
   • Prognosis
   • Systematic Review
   • Decision Rules
   • Decision Analysis
   • Disease Probability
   • Economic Analysis
   • Others
5. Context of Teaching (Skills to be learned)
   1. Bedside
   2. One hour
   3. Rounds
   4. Grand Rounds
   5. Journal Club
   6. Workshop
   7. Others
6. The Contract
   1. Set your own goals (consider the skills listed/ Write them explicitly)
   2. Early Disorientation
   3. Try to volunteer to go twice
   4. Teach something you are just learning yourself