1. Evidence-based Medicine Curriculum
Faculty of Medicine
University of Ottawa
1/1/2019

2. EBM Integrated through the undergraduate medical curriculum
Self-Instructional Modules
Content
Clinical Vignette
Large groups session –core concepts
Small group session – presentation & review
1/1/2019

3. EBM: Year 1 sessions Introduction to Evidence-based Medicine
Introduction to Formulating a Clinical Question
Introduction to Developing Literature Searching (Medline) Skills
Harm/Causation Module
1/1/2019

4. EBM: Year 2
Prognosis Module
Diagnosis Module
Therapy Module
1/1/2019

5. EBM: Year 3 Intro to Meta-analysis (link block) Meta-analysis module
Clinical Practice Guidelines module
1/1/2019

6. EBM
Evidence-based medicine (EBM) has been defined as “the conscientious, explicit and judicious use of the current best evidence in making decisions about the care of individual patients.”
EBM is a process of life-long, self-directed learning.
1/1/2019

7. Critically appraise the key article(s)
EBM
Critically appraise the key article(s)
Select key article(s)
Make a decision
Integrate decision
into practice
Evaluate impact
of decision
Formulate
a question
Practice
Other triggers
1/1/2019

8. Formulating a clinical question
Specify the person / patient involved
Indicate what exposure or intervention is being considered
Specify the outcome of interest
1/1/2019

9. Critical Appraisal of an Article
What are the study results?
Are the study results valid?
Will these results help in the care of my patient?
1/1/2019

10. Will the results help in caring for my patients?
Can the results be applied to your patient?
Were all clinically important outcomes reported?
Are the likely treatment benefits greater than the potential harms?
1/1/2019

11. Critical Appraisal Are the study results valid?
What are the study results?
Will the study results help in the care of my patient?
1/1/2019

12. Remember
Strengths and weaknesses relate to the critical appraisal criteria
Apply the results to your patient.
1/1/2019