This study aimed to compare evidence-based medicine (EBM) vs. conventional approaches to journal club sessions in teaching critical appraisal skills in reading papers by emergency medicine residents. This double cut off discontinuation regression quasi-experimental study was conducted among emergency medicine residents. EBM vs. the conventional approach were applied to teach critical appraisal skills for half of the residents as an experimental group and another half as a control group respectively. Both groups participated in one hour monthly journal club sessions for six months. Before and after the study, all participants were examined by two tests: the Fresno Test (FT) [to evaluate their knowledge about EBM] and the Critical Appraisal Skills Test (CAST) [to evaluate their competency with critical appraisal skills]. The allocation of the participants into the experimental or control groups was according to their CAST scores before the study. 50 emergency medicine residents participated. After the study, the scores of both groups in the FT and CAST significantly improved (p<0.01), and the promotion of scores of the FT and CAST in the experimental group were more than that of the conventional group (p<0.0001). The current study indicated that an evidence-based medicine approach in journal club sessions was comparatively more advantageous compared to the conventional approach in teaching critical appraisal skills for reading papers among the residents of emergency medicine.
Emergency Medicine ; Evidence-Based Medicine ; Internship and Residency ; Non-Randomized Controlled Trials as Topic

While the definition of EBM can be straightforward in other medical field, family and community medicine practitioners take on very different roles in different health systems. Despite the challenges presented, EBM is still necessary in family and community practice. Family and community medicine practitioners must be able to obtain, assess, apply and integrate new knowledge based on available evidence throughout their professional life. From the definition of EBM and the nature of family practice described previously, we propose to define “Evidence-based Family Practice as the conscientious and judicious use of the current, relevant, applicable and best available evidence in making shared clinical decisions for patient care. Such decisions must account for the capacity and setting of the family practitioner and patient preference”. The proposed steps are: 1) Framing the Clinical Problem, 2) Searching for the Evidence, 3) Critical Appraisal, 4) Informing the Patient About the Evidence, 5) Shared Decision Making, and 6) Evaluation of the Decision.
Evidence-Based Medicine ; Evidence-Based Practice

No abstract available.
Evidence-Based Medicine* ; Korea*

No abstract available.
Evidence-Based Medicine

The rapid expansion of biomedical knowledge has made the challenge to acquire and evaluate new information quite formidable. Evidence-based medicine (EBM), a clinical problem-solving approach designed to help clinicians meet the challenge of incorporating the best available external evidence in caring for patients, consists of the following 5 steps: (1) defining the clinical problem presented by the patient and formulating an answerable question, (2) searching for the best reported evidence, (3) critically appraising the validity and clinical importance of this evidence, (4) applying it to clinical practice, and (5) evaluating the effectiveness and efficiency in executing steps 1~4 and seeking ways to improve both the next time. This paper describes the definition of EBM, background of its development, and the five steps that are involved.
Evidence-Based Medicine* ; Humans

No abstract available.
Evidence-Based Medicine*

No abstract available.
Evidence-Based Medicine

In the earlier issues of the journal, there were articles that dealt with the issue of evidence-based medicine, its basic principles. Different approaches and methodologies to doing research were also discussed. The succeeding is a presentation on the common terms and measurements used in this area.
EVIDENCE-BASED MEDICINE ; RESEARCH

Despite wide acceptance of the idea of 'evidence based medicine (EBM)', there is still a huge gap between evidence and clinical practice. Pre-appraised resources help clinicians find correct answers to clinical questions more easily and rapidly. It will briefly explain the concept and history of EBM. Frequently used pre-appraised resources like as systematic review, evidence based guidelines, health technology assessment, synopses, and clinical information database systems are also introduced.
Biomedical Technology ; Evidence-Based Medicine

No abstract available.
Education, Medical* ; Evidence-Based Medicine*