Post on 06-Apr-2018
transcript
8/3/2019 EBM Workshop CGMH EM
1/67
EBM WORKSHOP
1
8/3/2019 EBM Workshop CGMH EM
2/67
2
8/3/2019 EBM Workshop CGMH EM
3/67
EBM COMPONENT
S
3
8/3/2019 EBM Workshop CGMH EM
4/67
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
8/3/2019 EBM Workshop CGMH EM
5/67
EBM COMPONENT
5
8/3/2019 EBM Workshop CGMH EM
6/67
ASK
6
8/3/2019 EBM Workshop CGMH EM
7/67
- ASK
7
8/3/2019 EBM Workshop CGMH EM
8/67
- PICOS
8
8/3/2019 EBM Workshop CGMH EM
9/67
- PICOS
9
8/3/2019 EBM Workshop CGMH EM
10/67
- PICOS
10
8/3/2019 EBM Workshop CGMH EM
11/67
- PICOS
11
8/3/2019 EBM Workshop CGMH EM
12/67
- ASK
EBM?
PubMed PICO!
hao0903.pixnet.net/ blog/category/558005/3 12
8/3/2019 EBM Workshop CGMH EM
13/67
ACQUIRE
13
8/3/2019 EBM Workshop CGMH EM
14/67
- ACQUIRE
Journal club
Cochrane Database ofSystematic Review
Cochrane Central Registerof Controlled Trials
Database of Abstracts ofReviews of Effectiveness
14
8/3/2019 EBM Workshop CGMH EM
15/67
- ACQUIRE
15
8/3/2019 EBM Workshop CGMH EM
16/67
16
8/3/2019 EBM Workshop CGMH EM
17/67
17
8/3/2019 EBM Workshop CGMH EM
18/67
8/3/2019 EBM Workshop CGMH EM
19/67
19
8/3/2019 EBM Workshop CGMH EM
20/67
20
8/3/2019 EBM Workshop CGMH EM
21/67
21
8/3/2019 EBM Workshop CGMH EM
22/67
22
8/3/2019 EBM Workshop CGMH EM
23/67
- ACQUIRE
23
8/3/2019 EBM Workshop CGMH EM
24/67
24
8/3/2019 EBM Workshop CGMH EM
25/67
25
8/3/2019 EBM Workshop CGMH EM
26/67
26
8/3/2019 EBM Workshop CGMH EM
27/67
27
8/3/2019 EBM Workshop CGMH EM
28/67
DIFFERENCE BTW PUBMED VS. OVID MEDLINE
28
8/3/2019 EBM Workshop CGMH EM
29/67
29
DIFFERENCE BTW PUBMED VS. OVID MEDLINE
8/3/2019 EBM Workshop CGMH EM
30/67
MESH HEADING - ACQUIRE
30
8/3/2019 EBM Workshop CGMH EM
31/67
MESH HEADING - ACQUIRE
31
8/3/2019 EBM Workshop CGMH EM
32/67
TEXT WORD SEARCHING - ACQUIRE
32
8/3/2019 EBM Workshop CGMH EM
33/67
TEXT WORD SEARCHING - ACQUIRE
33
8/3/2019 EBM Workshop CGMH EM
34/67
34
8/3/2019 EBM Workshop CGMH EM
35/67
SEARCH PROCESS (1/4) - ACQUIRE
35
8/3/2019 EBM Workshop CGMH EM
36/67
SEARCH PROCESS (2/4) - ACQUIRE
36
8/3/2019 EBM Workshop CGMH EM
37/67
SEARCH PROCESS (3/4)
37
8/3/2019 EBM Workshop CGMH EM
38/67
SEARCH PROCESS (4/4) - ACQUIRE
38
8/3/2019 EBM Workshop CGMH EM
39/67
APPRAISAL
39
8/3/2019 EBM Workshop CGMH EM
40/67
- APPRAISAL
40
8/3/2019 EBM Workshop CGMH EM
41/67
Lancet 2002; 359: 57-61
41
8/3/2019 EBM Workshop CGMH EM
42/67
CRITICAL APPRAISAL
42
8/3/2019 EBM Workshop CGMH EM
43/67
ILLUSTRATION OF PRECISION VS. ACCURACY
43
8/3/2019 EBM Workshop CGMH EM
44/67
VALIDITY - RAM-BO
44
8/3/2019 EBM Workshop CGMH EM
45/67
- 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
8/3/2019 EBM Workshop CGMH EM
46/67
- CRITICAL APPRAISAL
46
8/3/2019 EBM Workshop CGMH EM
47/67
APPLY
47
8/3/2019 EBM Workshop CGMH EM
48/67
- APPLY
48
8/3/2019 EBM Workshop CGMH EM
49/67
8/3/2019 EBM Workshop CGMH EM
50/67
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%
50
8/3/2019 EBM Workshop CGMH EM
51/67
LIKELIHOOD RATIO - APPLY
51
8/3/2019 EBM Workshop CGMH EM
52/67
52
8/3/2019 EBM Workshop CGMH EM
53/67
53
8/3/2019 EBM Workshop CGMH EM
54/67
- APPLY
54
8/3/2019 EBM Workshop CGMH EM
55/67
TABLE FROM TINTINALLI
55
8/3/2019 EBM Workshop CGMH EM
56/67
56
8/3/2019 EBM Workshop CGMH EM
57/67
- MEDCALC
57
8/3/2019 EBM Workshop CGMH EM
58/67
58
8/3/2019 EBM Workshop CGMH EM
59/67
59
8/3/2019 EBM Workshop CGMH EM
60/67
Practical Teaching inEmergency Medicine
,,
,
60
8/3/2019 EBM Workshop CGMH EM
61/67
Users' Guides to theMedical Literature:Essentials of Evidence-Based Clinical Practice,
Second Edition (Jama &Archives Journals)
,,
,
61
8/3/2019 EBM Workshop CGMH EM
62/67
Evidence-Based Medicine:
How to Practice and TeachEBM
,,
,,
62
8/3/2019 EBM Workshop CGMH EM
63/67
Evidence-basedMedicine Toolkit(Evidence-Based
Medicine)
63
8/3/2019 EBM Workshop CGMH EM
64/67
64
8/3/2019 EBM Workshop CGMH EM
65/67
65
8/3/2019 EBM Workshop CGMH EM
66/67
TAKE HOME POINTS
66
8/3/2019 EBM Workshop CGMH EM
67/67
67