Introduction to Evidence-based Medicine Resources[介绍循证医学资源](-64).pptVIP

* Show them a guideline at . Have them browse by organization and see how many guidelines are there from their own specialty association. * * Show them the ePSS tool online. From this link, hit ePSS on the Web. Then Search for Recommendations. Have them put themselves into the search. Look at additional information for each recommendation. They are moving from an A, B, C, to High, Medium and Low rating scale. But only as each recommendation is updated. * * To practice EBM, some suggest that you should take your clinical question first to the Cochrane library and look for the highest quality answer, then if none is found, try Clinical Evidence (which we will talk about in a minute), then if not finding anything try for an InfoPOEM. No luck? Then proceed to the ACP Journal Club. What no answer? Then you should give up and look in something like a textbook or Up-To-Date, which despite it’s claims is expert opinion, or 5MCC. If all else fails, then you should then resort to the primary literature and try a Medline search for a journal article. No practicing physician has time to go to each of these distinct resources and see patients. For that reason, you should try to use ONE resource that contains all or most of these resources. We call these resources Hunting Tools. Reference: Volume 90 Number 3, ?July?2002; Figure 1.? Drilling down for information; J Med Libr Assoc.?2002 July;?90 (3): 298. Copyright ??2002,?Medical Library Association Grandage KK, Slawson DC, Shaughnessy AF. When less is more: a practical approach to searching for evidence-based answers. J Med Libr Assoc. 2002 Jul;90(3):298-304. Review. /articlerender.fcgi?artid=116402 * The definition of a Hunting tool is: A high-quality foraging tool employs a transparent process that filters out disease-oriented research and presents only patient-oriented research outcomes, demonstrates that a validity assessment has been performed using appropriate criteria, assigns levels of evidence, based