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EBM WORKSHOP

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2

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EBM COMPONENT

S

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LEVELS OF EDUCATION IN EBM

A FRAMEWORK FOR TEACHING EVIDENCE BASED MEDICINE (EBM), A KNOWLEDGE TRANSLATION TOOL, ACROSS THE MEDICAL CURRICULUMInterest Group of the Society of Academic Emergency Medicine 4

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EBM COMPONENT

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ASK

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- ASK

7

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- PICOS

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- PICOS

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- PICOS

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- PICOS

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- ASK

EBM?

PubMed PICO!

hao0903.pixnet.net/ blog/category/558005/3 12

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ACQUIRE

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- ACQUIRE

Journal club

Cochrane Database ofSystematic Review

Cochrane Central Registerof Controlled Trials

Database of Abstracts ofReviews of Effectiveness

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- ACQUIRE

15

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16

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17

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19

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20

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21

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22

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- ACQUIRE

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24

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25

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26

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DIFFERENCE BTW PUBMED VS. OVID MEDLINE

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DIFFERENCE BTW PUBMED VS. OVID MEDLINE

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MESH HEADING - ACQUIRE

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MESH HEADING - ACQUIRE

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TEXT WORD SEARCHING - ACQUIRE

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TEXT WORD SEARCHING - ACQUIRE

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SEARCH PROCESS (1/4) - ACQUIRE

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SEARCH PROCESS (2/4) - ACQUIRE

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SEARCH PROCESS (3/4)

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SEARCH PROCESS (4/4) - ACQUIRE

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APPRAISAL

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- APPRAISAL

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Lancet 2002; 359: 57-61

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CRITICAL APPRAISAL

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ILLUSTRATION OF PRECISION VS. ACCURACY

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VALIDITY - RAM-BO

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- CRITICAL APPRAISAL vs.t-PA

RR for bad outcome (+)

EER/CER

0.56/0.66 = 0.83 NNT?

ARR for poor/no recovery

2/18 = 1/9 NNH?

AHI for bleeding

1/18 45

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- CRITICAL APPRAISAL

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APPLY

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- APPLY

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LRTHRESHOLD MODEL

Pretest probability = 5%, odds5/95 = 1/19CT (+), CTLR(+)=19post-testodds = 1/19 x 19 = 1Post-test probability = 1/(1+1) = 0.50 = 50%

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LIKELIHOOD RATIO - APPLY

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- APPLY

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TABLE FROM TINTINALLI

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- MEDCALC

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Practical Teaching inEmergency Medicine

,,

,

60

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Users' Guides to theMedical Literature:Essentials of Evidence-Based Clinical Practice,

Second Edition (Jama &Archives Journals)

,,

,

61

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Evidence-Based Medicine:

How to Practice and TeachEBM

,,

,,

62

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Evidence-basedMedicine Toolkit(Evidence-Based

Medicine)

63

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64

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65

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TAKE HOME POINTS

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