1. CLINICAL QUESTION By: Resident Name

2. 25 y/o male w/ hx of ___, ____, and ____, who presented w/ _______ found to have ________ admitted for ______ and treated with _____ Tests ordered include… Outcome: Case Summary:

3. Pub Med – MeSH, “ irbesartan”, “heart failure” Found article: “Irbesartan vs. Placebo in patients with an ejection fraction of 45%”, JAMA 2008 How I did the search / Article P = Patient population I = Intervention, prognostic factor, or exposure C = Comparison O = Outcomes Clinical question… In patients with … ? Clinical Question:

4. Sensitivity / Specificity Size of population studied What kind of study was it (controlled randomized ? Case report?) For treatment, were the doses the same / same regimen we use in the hospital? For diagnostic tests, what was the gold standard? METHODS / RESULTS

5. What would have changed about the study? What are the limitations of the study? Does the patient population studied similar to the patients you treat in the hospital? Etc… Limitations of the study

6. What is the “take home message” Would this apply to our patient? Would you change your practice based on this article? What other areas might need to be studied? Summary / Application