1. Evidence Based Practice INLS 705

3. Better performance in medicine Diligence Do right Ingenuity

4. Goals

5. What is evidence-based medicine? evidence-based healthcare? evidence-based clinical practice? EBM?

6. Purpose of EBM Emphasizes evidence from clinical research New rules and skills for learning and awareness

7. EBM process Assess the patient Ask a question Acquire resources Evaluate and appraise the information Apply to the patient Evaluate your performance

8. Lifelong learning

9. Why is EBM necessary?

10. Opponents of EBM

11. Ask PICO question PATIENT/PROBLEM In school children with active head lice INTERVENTION is wet combing COMPARISON or malathion lotion OUTCOME a more effective treatment in eliminating live head lice?

12. Common types of questions Therapy Diagnosis Prognosis Harm/Etiology

13. Activity Here are some recent NY Times articles on health Phrase a PICO question that comes to your mind Share

14. Health evidence from research

15. Types of research designs - 1

16. Types of research designs - 2

17. Hierarchy of evidence

18. Appropriate research design

19. Example resources Summaries of the primary evidence ACP Journal Club UpToDate Clinical Evidence POEMs and InfoRetriever eMedicine DynaMed Evidence Matters Databases MEDLINE Cochrane Library EBM Reviews (Ovid) Electronic textbooks and libraries Harrisons MD Consult STAT!Ref Meta-Search Engines TRIP: Turning Research into Practice SUMSearch

20. Roles for information professionals

21. Learn more about EBM? INLS 890-03W: Evidence Based Medicine

22. Information synthesis

23. Sharing information Open movements – Open access – Open courseware Web 2.0: podcasts, etc.

25. Generation Percentage of knowledge transmitted 190% 281% 373% 466% 559% 653% 748% 843% 939% 1035% What a waste!

26. Transparent Convenient Universal tailored to personal needs

27. Mashups, GIS, visualization

28. Writing concisely In a Station of the Metro by Ezra Pound The apparition of these faces in the crowd; Petals on a wet, black bough. Ernest Hemingway

29. Tips Headings in MS Word Spreadsheets for writing Pretend you’re talking to your friend about the key points

30. Readings

32. Portal to good EBM resources http://www.mclibrary.duke.edu/subject/ebm?tab=contents