Evidence-Based Medicine: What does it really mean?. Sports Medicine Rounds November 7, 2007. What is Evidence-Based Medicine?. A Philosophical Framework? An Evolving Concept? A Method of Practice? A Quality Improvement Approach? A Teaching Tool?
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Sports Medicine Rounds
November 7, 2007
ALL OF THE ABOVE
The specific methodologies used to determine “best evidence” were largely established by a research group led by David Sackett & Gordon Guyatt at McMaster U.
“Evidence-based medicine is the conscientious, explicit, & judicious use of current best evidence in making decisions about the care of individual patients” David Sackett, 1996
“The integration of best research evidence with clinical expertise & patient values”
Sackett et al, 2000
Some are suggesting we may be
too EBM focused
1. Identify a patient-oriented/practice- oriented problem that is of interest
2. Develop a specific clinical question that targets the problem
3. Review the available evidence
4. Appraise the evidence → Decision
5. Integrate the evidence into your practice
6. Assess your outcomes (if appropriate)