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Evidence-Based Medicine

"Evidence-Based Medicine is ... a set of procedures, pre-appraised resources and information tools to assist practitioners to apply evidence from research in the care of individual patients." – K.A. McKibbon, McMaster University

Essential Resources for UMMS/UMMHC Users

Use this list as you would a ladder, working your way from the top down. Look for best evidence first in Cochrane Database and if you can't find good evidence there, continue down the list, understanding that the farther down you travel, the weaker the evidence you will find.

  • Cochrane Database of Systematic Reviews (Full-text) – Via Ovid. A collection of structured systematic reviews and protocols (which are systematic reviews in process). Often include meta-analysis (statistical analysis) in the form of visual "forest plots."
  • Cochrane Database of Systematic Reviews (Browse only - no full text) – Use this site, hosted by The Cochrane Collaboration, to browse Cochrane Systematic Reviews by topic/Cochrane Review Group.
  • DynaMed – Evidence-based clinical review summaries.
  • DARE (Database of Abstracts of Reviews of Effects) – Abstracts of non-Cochrane systematic reviews.
  • ACP Journal Club – Abstracts of articles containing strong evidence from within the primary literature.
  • U.S. Preventive Services Task Force – Database of evidence-based recommendations in areas of prevention and screening.
  • PubMed Clinical Queries – PubMed/MEDLINE search feature that filters results in order to display only articles backed by good evidence. NOTE: At the PubMed home page, choose the Clinical Queries option from the choices under "PubMed Tools."
  • National Guideline Clearinghouse – Collection of guidelines from the federal government Agency for Healthcare Research and Quality (AHRQ) and professional medical societies.
  • TRIP Database – An EBM search engine that searches across multiple Evidence-Based information sites. While not all findings are full-text, TRIP includes many unique resources such as "Bandolier" and guidelines not found through National Guideline Clearinghouse.
  • Natural Standard – Graded evidence on complementary therapies.
  • eMedicine Clinical Knowledge Base – Background narratives, often with emphasis on best-evidence outcomes, covering topics across the medical and surgical spectrum.
  • UpToDate – Background narratives, often with emphasis on best-evidence with a special focus on internal medicine, family medicine, pediatrics and obstetrics and gynecology.
This site, a collaborative effort between the Lamar Soutter Library and the Department of Family Medicine and Community Health, was originally funded through the Medical School's Innovations in Medical Education Grants program.