Student Name          Block

Clerkship Site
                                                       
E-Mail address
      (If you do not have E-mail, please enter your home address)    
     

Describe your initial question.

     This question was based on:
previous rotation
personal interest
patient seen in FM clinic (outpatient)
patient seen in hospital

Describe your final question, including:
Patient/Problem, Intervention, Comparison, Outcomes

Your final question was based on:

(If you chose "Other reasons", please describe)

Identify source of your information (fill in all areas that apply)
Title & Author
Journal (name, volume #, etc.)
 
Source: (check all that apply)
Internet -  online OVID     online Medline
Library -   utilized research librarian   Index Medicus   CD-Rom     hardcopy
Other source not mentioned:

Describe the following components of your article:
Background:

Methods:

Result:

Conclusion:

Summarize validity based on the type of question asked & article selected.
(check the type(s) that most apply and summarize below)
Treatment article (discuss trial design, patients similar to your biases, significance
Diagnosis article (describe identification of disease & test, comparison w/ gold standard, reasonableness, patients similar to yours)
Prognosis article (discuss inception cohort, selection criteria, follow-up, patients similar to your, where subjects came from)

Why does this matter to you or your patient (Usefulness)

What is your interpretation of the information?

How will the information be applied to your clinical practice?

PRINT YOUR FORM AFTER SUBMITTING.

 

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Last updated: January 04, 2010

 

 

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