Defining EBM
| Finding the Best Evidence
| Learning EBM Online
 Defining EBM
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"Evidence-based medicine is the integration of best research evidence with clinical
expertise and patient values."
Sackett, D. L. (2000). Evidence-based medicine: How to practice and teach EBM (2nd ed.). Edinburgh; New York: Churchill Livingstone.
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"Evidence-based medicine (EBM) involves caring for patients by explicitly integrating clinical research evidence with pathophysiologic reasoning, caregiver experience, and patient preferences."
Cook, D. J., and Levy, M. M. (1998). Evidence-based medicine. A tool for enhancing critical care practice. Critical Care Clinics, 14(3), 353-358.
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"Evidence-based medicine is 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, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., and Richardson, W. S. (1996). Evidence based medicine: What it is and what it isn't: It's about integrating individual clinical expertise and the best external evidence. BMJ, 312(7023), 71-72. http://www.bmj.com/cgi/content/full/312/7023/71
Finding the Best Evidence
Point-of-Care Databases
- DynaMed
- an evidence-based, clinical decision support tool containing more than 2000 up-to-date clinical topic summaries with information on etiology, directed history and physical findings,
differential diagnoses and diagnostic testing, prognosis, treatment, prevention, links to patient education resources,
and the most common ICD-9 Codes.
- PIER (From ACP)
- an evidence-based, clinical decision support tool containing more than 330 disease
modules, 11 videos, 14,000 pages of medical condition and diagnostic text, and 2500
graphs and tables. Integrated with STAT!Ref. Accessible from local and remote locations.
- UpToDate - an expert opinion and evidence-based, clinical decision support tool containing
more than 60,000 pages of original text covering 7,000 topics in primary care and
internal medicine from 3000 expert contributors, 250 patient education sheets, 15,000 graphics,
and 160,000 MEDLINE abstracts. Accessible only from the OSU CHS Campus on West 17th Street and the Health Care Center at
2345 Southwest Blvd.
- FIRSTConsult - an evidence-based, clinical decision support tool containing
more than 600 medical conditions, 1500 diagnoses, 300 signs and symptoms, 300
patient education sheets in English and Spanish, 1400 of the most common ICD-9 Codes,
and 30 Surgical/Diagnostic procedures. Accessible from local and remote locations.
- Cochrane Database of Systematic Reviews -
contains full text articles, as well as protocols focusing on the effects of healthcare. Data is evidence-based medicine and is often combined statistically (with meta-analysis) to increase the power of the findings of numerous studies, each too small to produce reliable results individually.
More Information
- Database of Abstracts of Reviews of Effects (DARE) -
includes comprehensive abstracts of published systematic reviews on the effects of health care from around the world, which have been critically analyzed according to a high standard of criteria. This database provides access to quality reviews in subjects for which a Cochrane review may not yet exist.
More Information
Indexes to Published Research Reports
Guides to the Medical Literature and EBM
- Users’ guides to medical literature: a manual for evidence-based clinical practice -
[McGraw-Hill Professional; 2nd Ed., 2008] demystifies the statistical, analytical, and clinical principles of evidence-based medicine, giving a hands-on, practical resource
that no other text can match. Learn how to distinguish solid medical evidence from poor medical evidence, devise the best search strategies for each clinical question,
critically appraise the medical literature, and optimally tailor evidence-based medicine for each patient. Abundant and current real-world examples drawn from the medical literature are
woven throughout, and include important related principles and pitfalls in using medical literature in patient care decisions. Uses practical focus on the key issues
in evidence-based practice: What are the results? Are the results valid? How to I apply to results to the care of my patients?
- Users' Guides to the Medical Literature : Essentials of Evidence-based Clinical Practice -
[McGraw-Hill Professional; 2nd Ed., 2008] distills the most clinically-relevant coverage from the parent Users' Guides to the Medical Literature into one highly-focused, portable resource.
Praised for its clear explanations of detailed statistical and mathematical principles, The Essentials concisely covers all the basic concepts in using evidence-based medicine-everything you need to
deliver optimal patient care. The perfect at-a-glance source for busy clinicians and students, helps to distinguish between solid medical evidence and poor medical evidence, tailor evidence-based medicine for
each patient, and much more. Abundant and current real-world examples drawn from the medical literature are woven throughout, and include important related principles and pitfalls in using
medical literature in patient care decisions.
- The Rational Clinical Examination: Evidence-based Clinical Diagnosis -
[McGraw-Hill Professional; 2009] created to bring the principles of evidence-based medicine to the diagnostic process. Featuring specific clinical questions, numerous case examples, and precise summaries of available evidence,
it provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency. Going far beyond the scope of traditional physical examination texts, this invaluable
resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies.
Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light.
Learning EBM Online
Evidence-Based Medicine for Medical Students (Medical Physiology--PE-8618)
This self-paced web tutorial is intended as a basic introduction to the principles of Evidence-Based Medicine for medical students in the Neurophysiology section of the Medical Physiology course (PE-8616)
at Oklahoma State University Center for Health Sciences and requires an Okey account login. It guides students through the complete EBM process, emphasizing the elements of a well built clinical question and the key issues that help determine the validity of evidence.
This tutorial teaches how to find evidence using the new generation, point-of-care knowledge databases like: DynaMed, UpToDate, and FIRSTConsult. These knowledge databases provide evidence-based answers to specific clinical questions quickly enough for real-time clinical scenarios.
Select content and organization is used with permission of Duke University Medical Center Library and the Health Sciences Library, UNC-Chapel Hill.
Introduction to Evidence-Based Medicine
This self-paced tutorial guides the health care professional through the complete EBM process, emphasizing the elements of a well built clinical question and the key issues that help determine the validity
of evidence. This tutorial was developed by
the Medical Center Library, Duke University and Health Sciences Library, University of North Carolina at Chapel Hill.
Evidence-Based Medicine and the Medical Librarian
This eight-week course is designed as an introduction for medical librarians to the practice of evidence-based medicine (EBM). Practicing EBM means combining clinical expertise, the preferences and values of the patient and the best available evidence to make good patient care decisions.
Evidence Based
Medicine (UMass)
Lamar Soutter Library at the University of Massachusetts Medical School
has developed a simple yet in depth online tutorial for Evidence Based
Medicine. This resource looks and feels
more like an online course than a tutorial. It is easy to navigate and
includes a number of internal links allowing users to decide their own
pace.
An Introduction
to EBM and Information Mastery
This is a Web-based course that introduces the basic concepts of Information
Mastery, Evidence-Based Medicine (EBP), and critical appraisal of the
medical literature. The course was developed by Dr. Mark Ebell at Michigan
State University.
SUNY
Downstate Medical Center Evidence Based Medicine Tutorial
Medical Research Library of Brooklyn, SUNY Downstate Medical Center
The tutorial introduces EBM principles and strategies used in
searching and evaluating the literature.
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