A Novel EBM Curriculum for Use in a Family Medicine Clerkship

Presented at the 26th Annual STFM Predoctoral Education Conference
San Antonio, Texas -- January 28, 2000
Author: Frank J. Domino

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Table of Contents

A Novel EBM Curriculumfor Use in a Family Medicine Clerkship

Searching for Best Evidence

Review Articles (Oxman, JAMA, 1994)

Systematic Reviews(Oxman, JAMA, 1994)

Meta-Analyses(Oxman, JAMA, 1994)

What is the Cochrane Database of Systematic Reviews?

When should you use it?

A Sample Search

What is Best Evidence?

What is Best Evidence?

When should you use it?

When do I use this database?

Tips for Searching MEDLINE

Additional Searching Tips

Other EBM databases

Other EBM Databases

Statistical Interpretation and Question Development

Statistical Primer

In 1993, a study demonstrated that giving an HIV+ woman AZT during the second 20 weeks of pregnancy, and through the delivery, lowered the vertical transmission of the disease to the newborn. The vertical transmission rate in the placebo group was 25%, while in the treatment group, the rate was 8%.

1.____What type of study was this: A. Case-control B. Meta-analysis C. Clinical Trial D. Cohort

2.____What was the Absolute Risk Reduction(Attributable Risk): A. 8/25 = 32% B. 25-8 = 17% C. 25/8 = 300% D. (25-8)/25 = 68%

3.____What was the Number Needed to treat: A. 8/25 = 0 32 B. 1/(8/25) x 100 = 3.1 C. 1/(25-8) x 100 = 5.8 D. 1/ (17/25) x 100 = 1.5

Patient Oriented Evidence

Other Statistics

Question Development

Audience Case Presentations

Cochrane Demo Case

Best Evidence Demo Case