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What is Evidence-Based Medicine?
"Evidence-based medicine (EBM) requires the integration of the best research evidence with our clinical expertise and our patient's unique values and circumstances."
Straus SE. Evidence-based medicine: How to practice and teach it. 4th ed. Edinburgh: Elsevier Churchill Livingstone; 2011.
Learn about EBM
Evidence-Based Medicine Tutorial
An online tutorial developed by the director of medical informatics education at the FSU College of Medicine.
Introduction to Evidence-Based Medicine (Duke Univ.)
This self-paced tutorial will take you 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.
AAFP EBM Glossary
Includes explanations of terms, study types, criteria for causation and abbreviations of evidence-based medicine and statistical terms.
Centre for Evidence-Based Medicine - Toronto.
In addition to an excellent glossary, worksheets, and statistics calculators, there is a wealth of material to support EBM.
Evidence-Based Practice for Academic Researchers
Excellent summary from the American College of Rheumatology.
Critical Appraisal Tools
The Joanna Briggs Institute (JBI) Critical Appraisal Tools, extensively peer reviewed and designed for use in systematic reviews, can also be used when creating Critically Appraised Topics (CAT), in journal clubs, and as an educational tool.
A Multi-Step Process
- Start with the patient -- a clinical problem or question arises out of the care of the patient
- Construct a well-built clinical question derived from the case
- Select the appropriate resource(s) and conduct a search
- Appraise that evidence for its validity (closeness to the truth) and applicability (usefulness in clinical practice)
- Return to the patient -- integrate that evidence with clinical expertise and patient preferences, and apply it to practice
- Evaluate your performance with the patient and the process
EBM: Resources by Levels of Evidence
Evidence-Based Medicine: Resources by Levels of Evidence
The above image was produced by Bradley A. Long and Audrey Rock, Central Michigan University Libraries (©2016). The image is based on the EBM Page Generator from Dartmouth College and Yale University (©2006) and the Coursera MOOC “Understanding Clinical Research: Behind the Statistics” (©2016).
Evidence-Based Clinical Practice