Libraries: Evidence-Based Medicine for the MSIII Surgery Clerkship: Goals & Objectives

Goals & Objectives

Purpose and Objectives for the MSIII Surgery Clerkship EBM Library Course, 2020-2021

Purpose: To become familiar with the principles of Evidence-Based Practice as it applies to Evidence-Based Medicine. Specifically this involves an understanding of how existing medical knowledge can be integrated into clinical practice.

Objectives: As a result of the EBM Library Course for the MSIII Surgery Clerkship and the group discussion led by Dr. Griswold or Dr. Haynes, participants will be able to:

• Identify and define the concept of Evidence-Based Medicine

• Recognize the 5-step process in Evidence-Based Practice

• Understand the key research methods needed to locate medical evidence

• Distinguish between various levels of evidence and their corresponding clinical study categories

• Appraise the evidence-based on validity, reliability, and applicability

• Integrate and apply the evidence within a clinical setting

The Five A's

ASSESS
Identify each component of the PICO pneumonic:
P = patient, problem, population
I = intervention
C = comparison
O = outcome

ASK
Identify and develop a well-articulated question about either patient care issues or research issues using the PICO Worksheet. Then determine the study question category as either diagnosis, therapy/prevention, prognosis, or etiology.

ACQUIRE
Gather appropriate EBM information that answers the PICO question and correlates to designated levels of evidence. Then locate an article that answers the PICO question by searching the following:
• EBM Reviews - ACP Journal Club
• EBM Reviews - Cochrane Central Register of Controlled Trials
• EBM Reviews - Cochrane Database of Systematic Reviews
• NLM PubMed's Clinical Queries
• NLM PubMed’s ComparativeEffectivenes

The Five A's

APPRAISE

Differentiate between the various types of primary and secondary studies and understand how they are weighted regarding the strength of evidence in relation to freedom from bias. Then critically appraise the quality of the identified article that answers the PICO question using the Dartmouth Library’s EBM Worksheets

APPLY AND EVALUATE

Present PICO question and critically appraised article in Dr. Griswold's Group Discussion.

Summarize and explain the retrieved information to Dr. Griswold and student peers.

Validate the application of the results to a particular patient.

Use the methods and understand the reasons for:

• integrating the evidence with clinical expertise

• communicating the information to the patient

• involving the patient in the decision making

• applying the evidence in the context of the patient's values

• transferring knowledge of EBM to the everyday practice of medicine

• sharing evidence effectively with peers

• determining the implications of your application of this type of EBM

Goals & Objectives (MS Word)