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Defining EBM | Finding the Best Evidence | Learning EBM Online


student studyingDefining EBM

  • "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.
  • "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.
  • "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

Email Alerts for Latest Clinical Evidence

  • BMJ Evidence Alerts -  BMJ Evidence Updates editors send daily or weekly free email alerts to notify clinicians about important new research on the diagnosis, treatment, prognosis, etiology and economics of medical conditions. BMJ critically appraises articles from over 120 leading medical journals, and abstracts systematic reviews based on original articles in over 800 journals in several languages. These alerts have the potential to change how clinicians diagnose and treat patients.

  • DynaMed Weekly Update -  DynaMed Weekly Update editors send a weekly email newsletter to notify clinicians about important new research that is most likely to change clinical practice in terms of diagnosis, treatment, prognosis, and etiology of medical conditions. DynaMed editors provide a brief and concise overview of research articles while providing sufficient information as well as links to additional information if the reader wants to know more. Content from over 500 medical journals and systematic evidence review databases is evaluated for inclusion in DynaMed updates.

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.  
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  • 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.  
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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.