1. Evidence-Based Medicine Resources
KSOM Family Medicine Clerkship
July 2010
Emily Brennan, MLIS

2. Subject Guides NML homepage → By Subject Evidence-Based Medicine
Family Medicine
Mobile Devices

3. 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.

4. 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:

5. 5S Pyramid of Evidence Resources

6. 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)

7. “Best Practices” EBM Assignment
Download from
MedWeb Family Medicine Clerkship Manual
ion_manual.pdf
Year III Student Portal – FM Clerkship tab
Cut and paste completed assignment into Clinical Experience Portfolio (CEP) by 7/25
Turn in the preceptor’s evaluation on 8/12

8. Emily Brennan, MLIS ebrennan@usc.edu 323.442.1124
Questions?
Emily Brennan, MLIS