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:: September 2014

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Evidence-Based Medicine

Providing evidence-based answers to complex clinical questions: evaluating the consistency of article selection. (Acad Med. 2005) "PURPOSE: Health care providers must maintain familiarity with current biomedical evidence, but clinicians struggle to maintain their awareness of current research because of the demands of daily practice and the exponential growth of medical knowledge. Clinical information specialists (informationists), trained experts in reviewing and filtering the medical literature in response to complex clinical queries, may be able to assist practicing clinicians. RESULTS: In general, both informationists and physicians trained in research methodology had a high degree of intergroup agreement for ranking article pertinence, while the generalists were less likely to agree on pertinent articles. CONCLUSIONS: These findings suggest that informationists consistently select articles relevant to answering complex clinical queries and may assist practicing clinicians by providing information relevant to patient cases."

Evidence-Based Medicine

History and development of evidence-based medicine. (World J Surg. 2005) "This article illustrates the timeline of the development of evidence-based medicine (EBM). The term 'evidence-based medicine' is relatively new. In fact, as far as we can tell, investigators from McMaster's University began using the term during the 1990s. EBM was defined as 'a systemic approach to analyze published research as the basis of clinical decision making.' Then in 1996, the term was more formally defined by Sacket et al., who stated that EBM was 'the conscientious and judicious use of current best evidence from clinical care research in the management of individual patients.' Computers and database software have allowed compilation of large amounts of data. The Index Medicus has become a medical dinosaur of the past that students of today likely do not recognize. The Internet has also allowed incredible access to masses of data and information. However, we must be careful with an overabundance of 'unfiltered' data. As history, as clearly shown us, evidence and data do not immediately translate into evidence based practice."


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