Evidence-Baced Medicine in Simple Words (Abstract)

Slide 1: The 1st Iranian Students' Evidence-Based Medicine (EBM) Symposium Tabriz University of Medical Sciences- Faculty of Medicine Evidence-Based Medicine (EBM): A Medical Librarian’s Viewpoint Farhad Shokraneh B.Sc Student Medical Library & Information Science Paramedical Faculty Tabriz University of Medical Sciences

Slide 2: Introduction Evidence-Based Medicine (EBM) is a method that uses best evidences in decision-making of clinical practice for certain patient in his/her special situation, regarding reliability and efficacy of evidences. May 20th 2008 Farhad Shokraneh

Slide 3: Implementations EBM needs clinical skills, information retrieval expertise (i.e. PICO search strategy), appraisal and critical thinking, and applying findings to reduce risks and improve care processes. May 20th 2008 Farhad Shokraneh

Slide 4: Process Steps or 5A So EBM users continue Evidence-Based Practice captured in 5A (Ask, Acquire, Appraise, Apply and Assess) to create a Critically Appraisal Topic (CAT)2, 5. May 20th 2008 Farhad Shokraneh

Slide 5: Quality of Evidences They use some tools like Journal Club in Appraise of quality5. Other way of Quality control of evidences is to classify them in three or four Levels1 to determine the Best Evidence. These levels ranked by the type of evident studies. For example Systematic review is base stone of EBM4, Clinical Trials, Randomized Control Trials (RCTs), etc. are other useful types. May 20th 2008 Farhad Shokraneh

Slide 6: May 20th 2008 Farhad Shokraneh

Slide 7: Pioneers Most famous pioneers of EBM are Avicenna in his book The Canon of Medicine in the 11th century3,6 and A. Cochrane, D. Sackett, and G. Guyatt in the 20th century1. May 20th 2008 Farhad Shokraneh

Slide 8: Databases Nowadays some websites and databases like Cochrane.org, Cochrane Library, TRIP Database, and BMJ.com1 made available EBM documents. May 20th 2008 Farhad Shokraneh

Slide 9: References 1. "Evidence-based medicine", From Wikipedia, the free encyclopedia. Accessed 13 May 2008, online Available At: <http://en.wikipedia.org/wiki/Evidence-based_medicine>. 2. Booth, Andrew (2007),"Evidence in 'real time': the story of an international workshop", Health Information and Libraries Journal 24, p. 227-231. 3. D. Craig Brater and Walter J. Daly (2000), "Clinical pharmacology in the middle Ages: Principles that presage the 21st century", Clinical Pharmacology & Therapeutics 67 (5), p. 447-450 [449]. 4. Kiley, Robert (2003), Medical Information on the Internet: A Guide for Health Professionals. New York: Elsevier (Churchill- Livingstone). 5. Pearce-Smith, Nicola (2006)" A journal club is an effective tool for assisting librarians in the practice of evidence-based librarianship: a case study". Health Information and Libraries Journal, 23(1), p 1-78. 6. Walter J. Daly and D. Craig Brater (2000), "Medieval contributions to the search for truth in clinical medicine", Perspectives in Biology and Medicine 43 (4), p. 530–540 [536]. May 20th 2008 Farhad Shokraneh

Slide 10: Conclusion My Resulted Quote: “Patients are not laboratory rats for your hypotheses examination, Use EBM to respect them.” May 20th 2008 Farhad Shokraneh

Slide 11: May 20th 2008 Farhad Shokraneh