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Evidence Based Medicine

Evidence Based Medicine. Searching for Evidence. Evidence Based Practice: Steps. Ask focused clinical question Search for the best evidence Appraise/assess the evidence Apply results in practice Evaluate results. What Evidence is Best?. Question Types  Study Types. Clinical Scenario.

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Evidence Based Medicine

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  1. Evidence Based Medicine Searching for Evidence

  2. Evidence Based Practice: Steps • Ask focused clinical question • Search for the best evidence • Appraise/assess the evidence • Apply results in practice • Evaluate results

  3. What Evidence is Best?

  4. Question Types Study Types

  5. Clinical Scenario After routine surgery, a 65 year old male presents with deep vein thrombosis. He has no past history of DVT and no known risk factors for recurrence. After 5 days of heparin, you wonder how long you should treat him with warfarin: 3 months or 6 months?

  6. PICOT Our Question

  7. Clinical Question In a 65 year old male with deep venous thrombosis (DVT), after 5 days of heparin, what is the optimum duration of warfarin therapy: 3 months or 6 months?

  8. EBM Website

  9. PubMed Clinical Queries

  10. Other EBM Resources Higher level of evidence Least time-consuming

  11. Questions? We’re on call….

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