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Robert Mallin, MD

American University of Antigua

College of Medicine

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In seeking absolute

truth we aim at theunattainable andmust be contentwith broken

portions.William Osler

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http://www.hsl.unc.edu/services/tutorials/ebm/index.htm

Joshua H. Bennett , Allen F. Shaughnessy and David C. Slawson.Becoming a medical information master: feeling good about notknowing everything Journal of Family Practice. 38.5 (May 1994):p505.

Joshua H. Bennett , Allen F. Shaughnessy and David C. Slawson.Becoming an information master: a guidebook to the medicalinformation jungle Journal of Family Practice. 39.5 (Nov. 1994):p489.

http://www.hsl.unc.edu/services/tutorials/ebm/index.htmhttp://www.hsl.unc.edu/services/tutorials/ebm/index.htmhttp://go.galegroup.com.ezproxy.musc.edu/ps/aboutJournal.do?pubDate=119940501&actionString=DO_DISPLAY_ABOUT_PAGE&inPS=true&prodId=HRCA&userGroupName=musc_main&searchType=AdvancedSearchForm&docId=GALE|0689http://go.galegroup.com.ezproxy.musc.edu/ps/aboutJournal.do?pubDate=119941101&actionString=DO_DISPLAY_ABOUT_PAGE&inPS=true&prodId=HRCA&userGroupName=musc_main&searchType=AdvancedSearchForm&docId=GALE|0689http://go.galegroup.com.ezproxy.musc.edu/ps/aboutJournal.do?pubDate=119941101&actionString=DO_DISPLAY_ABOUT_PAGE&inPS=true&prodId=HRCA&userGroupName=musc_main&searchType=AdvancedSearchForm&docId=GALE|0689http://go.galegroup.com.ezproxy.musc.edu/ps/aboutJournal.do?pubDate=119940501&actionString=DO_DISPLAY_ABOUT_PAGE&inPS=true&prodId=HRCA&userGroupName=musc_main&searchType=AdvancedSearchForm&docId=GALE|0689http://www.hsl.unc.edu/services/tutorials/ebm/index.htmhttp://www.hsl.unc.edu/services/tutorials/ebm/index.htm

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define Evidence-Based Practice (EBP)

identify the parts of a well-built clinicalquestion

identify EBP searching strategies that couldimprove PubMed retrieval

identify key issues that help determine the

validity of the results of a study

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A 22 y/o recently sexually active woman, saysI know I need some sort of birth control, but Ireally cannot get pregnant now. Which is the

best? A 58 y/o man with prostate cancer; Doc, I am

confused about surgery or radiation, or bothfor my cancer. My oncologist says its my

choice; what do I do?

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A 41 y/o woman, whose mother just recoveredfrom breast cancer at age 75; My friends alltell me that I should have mammograms every

year; isnt all that radiation dangerous? A 51 y/o man; Doc I feel great since I started

taking 1,200mg of vitamin E every day.whatdo you think?

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Textbooks

Underutilized

Great for medical students

Strengths Comprehensive

Well referenced

Editions regularly updated

Weaknesses Older information

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NON-peer reviewed Journal of Hospital Medicine

Open Emergency Medicine Journal

Resident and Staff Physician

Peer-reviewed Journal of the American Medical Association

New England Journal of Medicine

American Family Physician Open access

Aging and Disease

American Journal of Infectious disease

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Original research

Clinical trials

Cohort studies

Prospective

Retrospective

Meta-analysis

Literature review

Case series

Case Studies

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Patient Oriented Evidence thatMatters

http://media.jaapa.com/documents/14/poems0510_3257.pdf

http://www.essentialevidenceplus.com/articles/EJHP_Feb04p64.pdf

http://media.jaapa.com/documents/14/poems0510_3257.pdfhttp://media.jaapa.com/documents/14/poems0510_3257.pdfhttp://www.essentialevidenceplus.com/articles/EJHP_Feb04p64.pdfhttp://www.essentialevidenceplus.com/articles/EJHP_Feb04p64.pdfhttp://www.essentialevidenceplus.com/articles/EJHP_Feb04p64.pdfhttp://www.essentialevidenceplus.com/articles/EJHP_Feb04p64.pdfhttp://media.jaapa.com/documents/14/poems0510_3257.pdfhttp://media.jaapa.com/documents/14/poems0510_3257.pdf

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Professional Associations

American Medical Association

http://www.ama-assn.org/

American Academy of Family Physicians http://www.aafp.org/online/en/home.html

American College of Physicians

http://www.acponline.org/

American Academy of pediatrics http://www.aap.org/

http://www.ama-assn.org/http://www.aafp.org/online/en/home.htmlhttp://www.acponline.org/http://www.aap.org/http://www.aap.org/http://www.acponline.org/http://www.aafp.org/online/en/home.htmlhttp://www.ama-assn.org/http://www.ama-assn.org/http://www.ama-assn.org/

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American College of Surgeons

http://www.facs.org/

American College of Obstetrics and Gynocology

http://www.acog.org/American Psychiatric Association

http://www.psych.org/

Government agencies

National Library of Medicine http://www.nlm.nih.gov/

Center for Disease Control http://www.cdc.gov/

http://www.facs.org/http://www.acog.org/http://www.psych.org/http://www.nlm.nih.gov/http://www.cdc.gov/http://www.cdc.gov/http://www.nlm.nih.gov/http://www.psych.org/http://www.acog.org/http://www.facs.org/

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Subscription Sites

eMedicine

Up to Date

Access Medicine DynaMed

MD Consult

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Wikepedia

Patient educations sites (often in goodresources such as AMA, AFP etc)

CNN (other news media outlets)