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Evidence-Based Medicine Presentation. [Insert your name here] [Insert your designation here] [Insert your institutional affiliation here]. Department of Obstetrics & Gynecology Greenville Hospital System University Medical Center Greenville, South Carolina. Patient Presentation.

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Evidence-Based Medicine Presentation


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evidence based medicine presentation

Evidence-Based Medicine Presentation

[Insert your name here]

[Insert your designation here]

[Insert your institutional affiliation here]

Department of Obstetrics & Gynecology

Greenville Hospital System University Medical Center

Greenville, South Carolina

patient presentation
Patient Presentation
  • Details of patient presentation that prompted the clinical question
clinical question
Clinical Question
  • State the clinical question
background
Background
  • What general knowledge about the clinical topic and or disease is needed PRIOR to searching for evidence to answer your specific clinical question?
  • Limit background slides to 2 slides at most
search strategy
Search Strategy
  • List the data sources you utilized
  • If you conducted a search of an electronic database, summarize your search strategy
search results
Search Results
  • For each data source, list the types of information that you identified
    • RCT
    • Case-control studies
    • Cohort studies
    • Case series
    • Guidelines, expert opinions, review articles
evidence appraisal
Evidence Appraisal
  • List which of the identified sources were appropriate to your specific clinical question
  • Summarize how you determined which of the identified studies were appropriate to use in answering your specific clinical question
  • Remember, you are not trying to present ALL of the evidence, just the BEST evidence
evidence appraisal1
Evidence Appraisal
  • For each BEST evidence source, perform a critical appraisal, to include some or all of the subsequent slide content
  • You must critically evaluate EACH evidence source that you believe helps to answer your clinical question.
hypothesis
Hypothesis
  • If an analytic study, what is the hypothesis that is being tested?
objectives
Objectives
  • What are the primary and secondary objectives of the study?
methods design
Methods: Design
  • What type of study was done?
    • Primary research (experiment, randomized controlled trial, other controlled clinical trial, cohort study, case control study, cross sectional survey, longitudinal survey, case report, or case series)?
    • Secondary research (simple overview, systematic review, meta-analysis, decision analysis, guideline development, economic analysis)?
  • If a “randomized trial” was randomization truly random?
methods setting
Methods: Setting
  • What is the setting in which the subjects were studied (e.g. inpatient, outpatient, community hospital, teaching hospital, university)?
  • If a clinical investigation, was the study conducted in “real life” circumstances?
methods subjects
Methods: Subjects
  • Who is the study about?
    • How were subjects recruited?
    • Who was included in and who was excluded from the study?
methods interventions
Methods: Interventions
  • What intervention or other maneuver was being considered?
methods outcomes
Methods: Outcomes
  • What outcome(s) were measured and how?
  • Was assessment of outcome (or, in a case-control study, allocation of cases) “blind”?
  • Was follow-up complete?
methods statistics
Methods: Statistics
  • What sort of data do the authors have?
  • What types of statistical tests were used and were they appropriate to the data type?
  • Have the data been analyzed according to the original study protocol?
results
Results
  • Were the groups similar at the start of the trial?
  • Aside from the experimental intervention, were the groups treated equally?
  • What are the key results?
conclusions
Conclusions
  • Do the results support the original study hypothesis?
commentary
Commentary
  • Does the evidence you found help to answer your original clinical question?
    • Can the results be applied to my patient case?
    • Will the results lead directly to selecting or avoiding therapy?
    • Are the results useful for reassuring or counseling patients?
recommendation
Recommendation
  • State what specific recommendation that you can make (if any) in regards to your clinical question and list the level of evidence for each recommendation:
    • Level I: Evidence obtained from at least one properly designed RCT
    • Level II-1: Evidence obtained from well-designed controlled trials without randomization
    • Level II-2: Evidence obtained from well-designed cohort or case-control studies analytic studies
    • Level II-3: Evidence obtained from multiple time series, with or without the intervention
    • Level III: Opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees