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Evidence-Based Medicine
How to Practice and Teach EBM
- 5th Edition - February 27, 2018
- Authors: Sharon E. Straus, Paul Glasziou, W. Scott Richardson, R. Brian Haynes
- Language: English
- Paperback ISBN:9 7 8 - 0 - 7 0 2 0 - 6 2 9 6 - 4
- eBook ISBN:9 7 8 - 0 - 7 0 2 0 - 6 2 9 7 - 1
Now in its fifth edition, this classic introduction to the practice and teaching of evidence-based medicine is written for busy clinicians at any stage of their career who want to… Read more
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Request a sales quoteNow in its fifth edition, this classic introduction to the practice and teaching of evidence-based medicine is written for busy clinicians at any stage of their career who want to learn how to practise and teach evidence-based medicine (EBM). It is short and practical, emphasizing direct clinical application of EBM and tactics to practise and teach EBM in real-time.
The online toolkit includes Critical appraisal worksheets, Educational prescription, Pocket Cards, EBM calculators, Educational Prescriptions, Clinical Questions log, Self evaluations.
Hospital-based doctors, general practitioners/primary care physcians/family doctors
Students of epidemiology, medical statistics and public health
Students of epidemiology, medical statistics and public health
- Cover image
- Title Page
- Table of Contents
- Dedication
- Copyright
- Contents of EBM Toolbox
- Index of Teaching Moments
- Preface
- Acknowledgements
- Introduction
- What is evidence-based medicine?
- Why the need for a new edition of this book?
- How do we practise EBM?
- Can clinicians practise EBM?
- What's the “E” in EBM?-
- What are the limitations of EBM?
- How is this resource organized?
- References
- 1 Asking answerable clinical questions
- Background and foreground questions
- Our reactions to knowing and to not knowing
- Where and how clinical questions arise
- Practising evidence-based medicine in real time
- Why bother formulating questions clearly?
- Teaching questions for EBM in real time
- References
- 2 Acquiring the evidence
- Orientation to evidence-based information resources: where to find the best evidence
- How to deal with the evidence that finds US (“push” evidence): keeping up to date efficiently
- Walking the walk: searching for evidence to solve patient problems
- References
- 3 Appraising the evidence
- Further reading
- 4 Therapy
- Further reading about individual randomized trials
- Further reading about systematic reviews
- Further reading about individual randomized trials and qualitative studies
- Further reading about clinical decision analysis
- Further reading about economic analysis
- Further reading about n-of-1 trials
- References
- 5 Diagnosis and screening
- What is normal or abnormal?
- Is this evidence about the accuracy of a diagnostic test valid?
- Does this (valid) evidence demonstrate an important ability of this test to accurately distinguish patients who do and don't have a specific disorder?
- Sensitivity, specificity, and likelihood ratios
- Practising evidence-based medicine in real time
- Screening and case finding—proceed with caution!
- References
- Further reading
- 6 Prognosis
- Types of reports on prognosis
- Are the results of this prognosis study valid?
- Is this valid evidence about prognosis important? (Box 6.2)
- Can we apply this valid, important evidence about prognosis to our patient? (Box 6.3)
- Practising evidence-based medicine in real time
- References
- Further reading
- 7 Harm
- Types of reports on harm/etiology
- References
- Further reading
- 8 Evaluation
- How am I doing?
- Is our practice improving?
- How much of our practice is evidence based?
- Evaluating our performance as teachers
- References
- Further reading
- 9 Teaching evidence-based medicine
- Three modes of teaching EBM
- Teaching EBM—top 10 successes
- Teaching EBM—top 10 failures
- Teaching and learning EBM on an inpatient service
- Teaching and learning EBM in the outpatient clinic
- Writing structured summaries of evidence-based learning episodes
- Incorporating EBM into existing educational sessions
- Integrating EBM into a curriculum
- Integrating EBM into 4-year medical school curriculum—a worked example,
- Learning more about how to teach EBM
- Tips for teaching EBM in clinical teams and other small groups
- References
- Appendix 1 Glossary
- Terms you are likely to encounter in your clinical reading
- Terms specific to treatment effects
- How to calculate likelihood ratios (LRs)
- Sample calculation
- Calculation of odds ratio/relative risk
- Appendix 2 Confidence intervals
- Statistical inference
- Calculating confidence intervals
- Multiple estimates of treatment effect
- Confidence intervals in meta-analysis
- Clinical significance section
- Comment
- References
- Index
- No. of pages: 336
- Language: English
- Edition: 5
- Published: February 27, 2018
- Imprint: Elsevier
- Paperback ISBN: 9780702062964
- eBook ISBN: 9780702062971
SS
Sharon E. Straus
Affiliations and expertise
Professor, Department of Medicine,Physician-in-Chief, St. Michael’s Hospital,University of TorontoPG
Paul Glasziou
Affiliations and expertise
Professor, Faculty of Health Sciences and Medicine, Bond University, AustraliaWR
W. Scott Richardson
Affiliations and expertise
Professor, Department of Medicine,University of Georgia/Augusta UniversityRH
R. Brian Haynes
Affiliations and expertise
Professor Emeritus of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada