Assignment: Evidence-Based Medicine
For this project, you will complete a clinical case study analysis, research review, and PowerPoint video presentation about the pathophysiology of a topic of your choice. Just Make powerpoint part I will present it.
- Your presentation should follow a case study SBAR format (situation, background, assessment, and recommendations).
- You must include three (3) different medical-based evidence and/or research recommendations.
- You must include at least three (3) scholarly sources in your overall presentation. Assignment: Evidence-Based Medicine
Your PowerPoint presentation should include the following slides:
- Introduction to the case or situation
- Background detail
- Clinical assessment
- Application to future practice
- Reference slide: At least three (3) scholarly references supporting your ideas.
One of the toughest parts of practicing evidence-based medicine is developing a good clinical question. Fortunately, there are many websites, worksheets, & tutorials on this topic Assignment: Evidence-Based Medicine.
Clinical questions are often grouped into two main categories: background and foreground questions.
Background questions: Ask for general knowledge about an illness, disease, condition, process or thing
- what causes this disease/disorder?
- how does it present?
- what are some treatment options?
Foreground questions: Ask for specific knowledge to inform clinical decisions and usually concern a particular patient or patient population
Most foreground questions can be formulated in terms of a simple relationship between:
Evidence based medicine (EBM) was originally defined as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research.
(Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn’t. BMJ 1996; 312: 71-2) Assignment: Evidence-Based Medicine
The revised and improved definition of evidence-based medicine is a systematic approach to clinical problem solving which allows the integration of the best available research evidence with clinical expertise and patient values.
(Sackett DL, Strauss SE, Richardson WS,et al. Evidence-based medicine: how to practice and teach EBM. London: Churchill-Livingstone,2000)
Evidence-Based Practice is defined as, “Making a conscientious effort to base clinical decisions on research that is most likely to be free from bias, and using interventions most likely to improve how long or well patients live.”
(Mark H. Ebell, MD, MS, Professor, University of Georgia, Editor-in-Chief, Essential Evidence Plus)
What EBM skills do all practicing clinicians really need?
While EBM is a large step forward, these skills are necessary but not sufficient for the practice of contemporary medicine. All clinicians should:
- Find the best evidence for every day practice (Information mastery)
- Assess relevance before rigor. Is the evidence patient oriented?
- Evaluate information about therapies, diagnostic tests, and clinical decision rules. Is it true?
- Understand basic statistics.
- Have at fingertips “just in time” information at the point of care using web based and/or handheld computer based information and tools for clinical decision making
- Evaluate expert-based information, including colleagues, CME, presentations, reviews and guidelines.
- Critically evaluate information from pharmaceutical representatives Assignment: Evidence-Based Medicine.