Each
EBM project will be approved by individual site directors. The student will be required
to:
Week 1 - Identify a clinical problem or a question that youve
encountered in the care of patients at the clinic site.
Week 2 - Conduct a literature search on that problem or question
and pick and article that you want to present.
Beginning, Week 3 - Critique the quality of the information gathered, i.e. are
the claims in the article supported by the research, using the Duke University Critical Appraisal
Worksheets.
Ending, Week 3 - Be prepared to discuss the article reviewed and conclusions
drawn from your research with the site director.* Students will fill out
the Evidence-Based Medicine Clerkship Worksheet on the Department of
Family and Preventive Medicine's Undergraduate Education website and
submit it electronically to Little Rock.
Last Day of Rotation All students will meet with Bridget Mosley, MPH, along with an AHEC faculty moderator and
present their project. Students will review their Evidence-Based Medicine Worksheets.
This is a requirement of the clerkship.
*If the project is not completed to the satisfaction of the clerkship
director, the fourth week of the clerkship will be utilized to address that problem.
Frequently Asked Questions
Why are we studying this?
As new diagnostic tests and treatments become available, physicians have to
consider if the way they are practicing medicine is still appropriate. With the increase
in medical literature both in printed form and through the Internet, and the increased
availability of this information for patients, it is important that physicians learn how
to appraise the literature for themselves. They can then apply useful information to their
practice.
What is the process of using evidence-based medicine?
-
Select specific clinical questions from patients problem
-
Search the literature for relevant clinical information
-
Appraise the evidence for validity and usefulness to the patient ant practice
-
Implement useful findings in everyday practice
How do I develop a good clinical question?
A good clinical question that can be used to search the medical literature has
four main parts:
-
Who is the patient or what is the problem being addressed?
-
What is the intervention?
-
What are the alternatives?
-
What are the outcomes?
Example:
In children under 3 years old (1), is a single Rocephin shot (2) more effective
than oral antibiotics (3) to treat recurrent otitis media (4)?
What is the criteria for article selection?
1.
All articles should be peer-reviewed and published in a medical/scientific
journal.
2.
For this exercise, the studies should be limited to experimental designs
(Randomized controlled trials), the more scientifically convincing
epidemiological/observational studies
(Cohort or case control designs), or some combination of any of the 3
designs.
3.
Keep in mind that many times information from more than one article is
necessary to make a good clinical or research-based decision on any
particular topic; however, this exercise is only requiring the selection of one article.
Articles should be patient oriented (POEM) instead of disease oriented.
What is a POEM?
POEMS (Patient Oriented Evidence that Matters) refer to medical research that
emphasizes outcomes that are important to patients: morbidity and mortality. DOES (Disease
Oriented Evidence) emphasize intermediate outcomes.
Example:
Under "Resources", choose the Critical
Appraisal Worksheet that pertains to your paper and use this as a guideline to review
your article. Then use the EBM Worksheet to type up your information for the EBM
presentation.
How do I use the Evidence-Based Medicine Worksheet?
Click below for the Evidence-Based Medicine Worksheet. After you have filled it
out, click submit and it will be e-mailed to Michelle Haygood. Be sure to print a copy so you
can read it during the Evidence-Based Medicine student presentation on the last day.
EBM
Worksheet
What do I do for the student presentation?
On the last day of the rotation, all students will meet with Bridget Mosley, MPH and an AHEC faculty moderator
and present their project. Students will review their Evidence-Based Medicine Worksheets. No extra presentations, slides, drawings, etc. are
needed. After your presentation, questions may be asked by your fellow students or the moderator.
For more information contact:
University of Arkansas for Medical Sciences
Department of Family and Preventive Medicine
4301 West Markham, Slot 530
Little Rock, Arkansas 72205
(501) 686-6560