step 5: communication and evaluation. table of contents communication communicate with your patients...
TRANSCRIPT
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Table of Contents• Communication
• Communicate with Your Patients• Video 1• Communicate with Health Profession
als
• Evaluation• Evaluate Yourself• Video 2• How did you do?• Video 3• Case Example 1• Case Example 2
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Your results are important to:
• Your patients
• Other health professionals
• Yourself
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Communication with Your Patients
• Critical to the success of practicing EBM
• The explanation of the best evidence in terms or risks, benefits, and alternatives is necessary for your patient to make an informed decision.
• Must be in terms that patients understand
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Video 1
• View movie as:– QuickTime (.
mov)– Flash (.swf)
• Double-click on video for full-screen mode.
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Communication with Other Health Professionals
• Part of the team approach to patient care
• May cause a colleague or an institution to change the standard way of practicing
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Evaluation of Yourself
• Ask questions more appropriately
• Seek better solutions
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Video 2
• View movie as:– QuickTime (.
mov)– Flash (.swf)
• Double-click on video for full-screen mode.
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Video 3• View movie
as:– QuickTime
(.mov)– Flash (.swf)
• Double-click on video for full-screen mode.
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Case Example Question
• View movie as:– QuickTime
(.mov)– Flash (.swf)
• Double-click on video for full-screen mode.
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A Case Example• If mammograpy is 90%
sensitive and 95% specific, the chance that the patient has breast cancer isA. 1-5% B. 10-
15%C. 60-
65%D. 80-85%
E. 90-95%
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Case Example Answer
• View movie as:– QuickTime
(.mov)– Flash (.swf)
• Double-click on video for full-screen mode.
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How did you do?
Are you becoming more accurate in applying some of
the critical appraisal measures such as likelihood ratios, NNT,
NNH, and relative risks?
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How did you do?
Are you able to communicate your results to your patient in a
way to make him/her better informed?
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How did you do?
Are you able to justify why you did or did not follow a clinical decision based on integration
of the evidence with an individual patient?
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How did you do?
Are you able to see development in quality
improvement measures as a result of implementing EBM in
daily practice?
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Links to Other Websitesand Hands-On Activities
• Evaluation Questions– from the Centre of Evidence
Based Medicine