Evidence-Based Medicine: A Foundation and Partnership for EBBM Jason M. Satterfield, Ph.D. Associate Professor Director, Behavioral Medicine Div of Gen.

Slides:

Advertisements

Similar presentations

Evidence-Based Medicine Introduction Department of Medicine - Residency Training Program Tuesdays, 9:30 a.m. - 12:00 p.m. - UW Health Sciences Library.

Advertisements

Teaching Evidence-Based Medicine Across the Curriculum

Identifying the evidence Phil Hannaford NHS Grampian Chair of Primary Care.

#1 Construct your question #2 Track down the best evidence #3 Critically appraise the evidence #4 Integrate with clinical expertise and patient considerations.

PICO, Pyramids and PubMed: Teaching 1st Year Medical Students EBM

Clinic Staff Meeting, 10/24/07 Evidence-based Practice in Psychology (EBPP) Lindsey Cohen.

Teaching/Learning Strategies to Support Evidence-Based Practice Asoc. prof. Vida Staniuliene Klaipeda State College Dean of Faculty of Health Sciences.

Finding the Best Evidence Literature for Evidence Based Health Care.

What is going on with psychotherapy today? Carolyn R. Fallahi, Ph. D.

Existing knowledge can prevent…

October 14-17, 2006 Integrating Evidence-Based Medicine with the Medical School Curriculum Russell Smith, Educational Support Librarian.

Using the Biomedical Library & Its Resources: Becoming Efficient Information Managers Public Health & Epidemiology PHE 131 Winter 2010.

The Problems: To keep up to date in Internal Medicine, an internist need to read at least 17 articles a day, 365 days a year To keep up to date in Internal.

EBP Resources Demonstration USC Pharmacy Year 2 Pamela M. Corley

1 Department of Social Work Roberts Wesleyan College Overview of Evidence-Based Practice.

Evidence Based Medicine (EBM) and Evidence Based Practice (EBP) in CSD.

Information Use Behavior of Clinicians in Evidence-Based Medicine (EBM) Process in Thailand by Somrux Sahapong Sawasdee Kha.

Evidence Based Medicine (...healthcare). You are working in a community team and a few of the CNSs consistently advise dexamethasone 8 mg od for non specific.

Existing knowledge can prevent… Waste Errors Poor quality clinical care Poor patient experience Adoption of interventions of low value Failure to adopt.

Evidence Based Practice (EBP). EBP-Lecture -4 Asking Question Asking Question Responsibilities of the practitioner as individual Responsibilities of the.

International Clinical Librarian Conference

Julio A. Ramirez, MD, FACP Professor of Medicine Chief, Infectious Diseases Division, University of Louisville Chief, Infectious Diseases Section, Veterans.

Evidence-Based Practice A Stepwise Approach Bruce D. Friedman, PhD, ACSW, CSWM University of Texas – Pan American Social Work Department

Teaching EBM Natapong Kosachunhanun, M.D.. Why Teach and Practice EBM?  It is required to be taught by TMC.  Outcomes research has documented that patients.

REACH-SW Research & Empirical Applications for Curriculum Enhancement in Social Work Defining Research Evidence.

Introduction to Teaching Evidence-based Health Care Sharon E. Straus MD MSc FRCPC Associate Professor, University of Toronto Knowledge Translation Program.

1 Promoting Evidence-Informed Practice: The BASSC Perspective Michael J. Austin, PhD, MSW, MSPH BASSC Staff Director Mack Professor of Nonprofit Management.

Using the Biomedical Library and its Resources Public Health & Epidemiology PHE 131 Winter 2011 Becoming Efficient Information Managers.

Evidence-Based Public Health Nancy Allee, MLS, MPH University of Michigan November 6, 2004.

Introduction to Evidence-Based Medicine Dr Hayfaa A.A Wahbi Assistant Professor, Chair of Evidence Based Medicine and Knowledge translation.

Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Nursing Leadership & Management Patricia Kelly-Heidenthal

Overview of Chapter The issues of evidence-based medicine reflect the question of how to apply clinical research literature: Why do disease and injury.

TEACH LEVEL II: CLINICAL POLICIES AND GUIDELINES STREAM Craig A Umscheid, MD, MSCE, FACP Assistant Professor of Medicine and Epidemiology Director, Center.

An introduction to Evidence-based medicine Steve Allen, MD Scott & White Clinic Temple, TX.

Objectives Describe how validity, relevance and work impact the usefulness of information for clinicians Recognize when to search for original research.

Sparrow Health Sciences Library Information Resources Hierarchy Pyramid Less time, less searching skills, less evaluation required More time, more searching.

Studies Syntheses Synopsis of Syntheses Synopsis of Studies Summaries Systems.

Clinical Information Resources Sandra A. Martin, M.L.I.S. Health Sciences Resource Coordinator Instructor of Library Services John Vaughan Library Room.

Evidence-Based Medicine – Definitions and Applications 1 Component 2 / Unit 5 Health IT Workforce Curriculum Version 1.0 /Fall 2010.

The appraisal and assimilation of scientific evidence, and its application to patient care: A key competency in the design of the professional curriculum.

Preparing for Evidence- based Medicine Masoud Rahimian.

1 How to find literature - A very short introduction - How to start smart Students IIC/IID Medical Library, August 2013.

Evidence based Compendium Evidence-based Dentistry V.Yengopal.

From the Advanced Search page of the Cochrane Library, we have clicked on the Cochrane Reviews: By Topic hyperlink. This has displayed the Topics for Cochrane.

What Is This Thing Called EBM?

3rd year medical programme Department of Research in Biomedicine and Health.

“Hands-On” Evidence Based Medicine Rounds for Pediatric Residents Pamela Hargwood, MLIS AHIP,Librarian, Rutgers University, RWJ Library of the Health Sciences.

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 21 Evidence in Learning and Teaching.

How to Find Evidence- Based Resources Mary Catherine Santoro Outreach and Instruction Librarian Carilion Clinic Health Sciences Libraries.

Is the conscientious explicit and judicious use of current best evidence in making decision about the care of the individual patient (Dr. David Sackett)

National Center for Physician Training in Addiction Medicine Core Competency Webinar Series Core Competency: Practice-Based Learning and Improvement.

Component 1: Introduction to Health Care and Public Health in the U.S. 1.9: Unit 9: The evolution and reform of healthcare in the US 1.9a: Evidence Based.

Evidence Based Resources in Miner Library Online Psychiatry Residents

From the initial page of the Cochrane Library, we have clicked on the Cochrane Reviews: By Topic hyperlink. This has displayed the Topics for Cochrane.

Introduction to Evidence-Based Medicine Dr Hayfaa A.A Wahbi Assistant Professor, Chair of Evidence Based Medicine and Knowledge translation.

Not Just “MK-1” How learning the skills of EBM relates to the pediatric milestones Martha S Wright, MD, MEd Rainbow Babies and Children’s Hospital.

Sources of systematic reviews Arash Etemadi, MD PhD Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences.

American Association of Colleges of Nursing. © All Rights Reserved. This program generously funded by the Robert Wood Johnson Foundation Evidence-Based.

Ghada Aboheimed, Msc. Review the principles of an evidence based approach to clinical practice. Appreciate the value of EBM Describe the 5 steps of evidence.

A conceptual framework is described as a group of concepts broadly defined and systematically organized to provide a focus, rationale, and tool for the.

TEACHING BIOMEDICAL INFORMATICS LIBRARY AS PARTNER Evelyn B. Morgen, Director UConn Health Center Library

Introduction The importance of shared decision-making (SDM) in medical care is the hallmark of providing individualized, patient-centered care SDM is taught.

MUHC Innovation Model.

An Introduction to Evidence-Based Practice (EBP)

Evidence-Based Practice

Things to Remember… PubMed

Information Pyramid UpToDate, Dynamed, FIRSTConsult, ACP PIER

Evidence-based Medicine Curriculum

Research & scholarship

Integrating Evidence into RT Practice: An Important Focus for the Profession Chapter 15 HPR 453.

Presentation transcript:

Evidence-Based Medicine: A Foundation and Partnership for EBBM Jason M. Satterfield, Ph.D. Associate Professor Director, Behavioral Medicine Div of Gen Internal Medicine

Emergence of Evidence- Based Medicine 1910 Flexner report 1972 Archie Cochrane – Effectiveness and Efficiency 1972 RWJ Clinical Scholars Program 1982 Clinical Epidemiology (McMaster U) Clinical decision theory 1984 American College of Medical Informatics 1990 “Scientific medicine” and Evidence- based medicine Cochrane Collaboration

The 5 Step EBM Model n Formulate the question n Search for answers n Appraise the evidence n Apply the results n Assess the outcome

“Evidence-Based Capitulation” n Practicing clinicians are too busy to use all EBM steps will all patients n Increased focus on pithy clinical practice guidelines, synopses, and structured abstracts u ACP Journal Club u Cochrane database u “Up-to-date”

Pedagogy: How is EBM Taught? n Teaching EBP is about teaching a process – not just what tx have empirical support Journal clubs n Preceptorships/clinical supervision n Embedded throughout a curriculum n Role models demonstrate daily application

EBM: Top Lessons Learned n Buy-in from key stakeholders is essential for local adoption and national dissemination n EBM is a lifelong learning skill and not memorization of tx guidelines n Teaching should use active clinical cases with opportunities for practice and revision n The roles of clinical experience and patient values need to be emphasized often and integrated with best evidence

Mistakes when teaching EBM n Teaching EBM fails: u When learning how to do research is emphasised over how to use it u When learning how to do statistics is emphasised over how to interpret them u When teaching EBM is limited to finding flaws in published research u When teaching portrays EBM as substituting research evidence for, rather than adding it to clinical expertise, patient values and circumstances