Evidence-Based Medicine Resources KSOM Family Medicine Clerkship July 2010 Emily Brennan, MLIS
Subject Guides NML homepage → By Subject Evidence-Based Medicine http://norris.usc.libguides.com/ebm Family Medicine http://norris.usc.libguides.com/family-medicine Mobile Devices http://norris.usc.libguides.com/mobiledevices
Steps of Evidence Based Medicine ASK. Create a searchable, focused clinical question. ACQUIRE or ACCESS information. APPRAISE your results critically. APPLY results to your patient. ASSESS. Evaluate the effects of Step 4, reformulate and repeat process if necessary.
Evidence Pyramid – Publication Types Guidelines Systematic Reviews Meta-analysis Randomized Controlled Trials Cohort Studies Case Control Studies Case Series Case Reports Ideas, Editorials, Opinions Animal Research SUNY Downstate Medical Center ’s Evidence Pyramid: http://library.downstate.edu/EBM2/2100.htm
5S Pyramid of Evidence Resources http://www.henryfordconnect.com/sladen.cfm?id=720#Systems
Evidence Resources Summaries: Critically-appraised topics and guidelines National Guideline Clearinghouse, ACP Pier, Clinical Evidence Synopses: Critically-appraised individual journal articles ACP Journal Club Syntheses: Systematic Reviews DARE, Cochrane, MEDLINE (systematic reviews) Studies: Original Research MEDLINE (RCTs)
“Best Practices” EBM Assignment Download from MedWeb Family Medicine Clerkship Manual http://medweb.usc.edu/site/clerkships/family_med/fm_orientat ion_manual.pdf Year III Student Portal – FM Clerkship tab http://www.usc.edu/hsc/nml/portals/students/yr3-4.html Cut and paste completed assignment into Clinical Experience Portfolio (CEP) by 7/25 Turn in the preceptor’s evaluation on 8/12
Emily Brennan, MLIS ebrennan@usc.edu 323.442.1124 Questions? Emily Brennan, MLIS ebrennan@usc.edu 323.442.1124