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Thank you for visiting ECEBM. Please send us your questions about Evidence Based Medicine
Q: What are
the Steps in
the EBM Process?
A: Start with the patient -- a clinical problem or
question arises out of the care of the patient
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The question |
Construct a well built clinical question derived from the case |
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The resource |
Select the appropriate resource(s) and conduct a search |
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The Appraisal |
perform a critical appraisal of the retrieved information for validity (closeness to the truth) and applicability (usefulness in clinical practice) |
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The patient |
Return to the patient -- integrate the evidence with clinical expertise, patient preferences and apply it to practice |
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Self-evaluation |
Evaluate your performance with this patient |
Q: is EBM "cook book medicine"? Are
decisions based solely on the evidence, down playing sound clinical
judgment?.
A: EBM is NOT "cook book medicine". EBM should be one part of the
process. Decisions must be blended with individual clinical
expertise, patient preferences, and when available the best evidence
The Circle of Clinical Excellence
1. Ask
2. Acquire
3. Appraise
4. Apply
5. Audit