Evidence Based Medicine Workbook - Finding and applying the best research evidence Written by Paul Glasziou, Chris Del Mar and Janet Salisbury - BMJ Publishing Group 2003.pdf

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Evidence-based Medicine Workbook
Evidence-based
Medicine Workbook
?
Written by Paul Glasziou, Chris Del Mar and Janet Salisbury
Finding and applying the best research evidence
to improve patient care
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Evidence-based Medicine
Workbook
Finding and applying the best evidence to improve patient care
Based on workshops presented by:
Professor Paul Glasziou
Professor Chris Del Mar
Centre for
Evidence-Based Practice
e University of Queensland,
Australia and Oxford, UK
e University of Queensland,
Australia
Concept development and writing by Janet Salisbury, Biotext, Canberra, Australia
Centre for
General Practice
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© BMJ Publishing Group
BMJ Books is an imprint of the BMJ Publishing Group
All rights reserved. No part of this publication may be reproduced, stored in
a retrieval system, or transmitted, in any form or by any means, electronic,
mechanical, photocopying, recording and/or otherwise, without the prior
written permission of the publishers.
First published in
by BMJ Books, BMA House, Tavistock Square
London WC H JR
www.bmjbooks.com
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
ISBN
is workbook has been developed from workshop handouts used at evidence-
based medicine workshops run by the Centre for Evidence-Based Practice,
Centre for General Practice, e University of Queensland. Its development
was supported by the Australian Department of Health and Ageing under the
Primary Health Care Research Evaluation and Development Strategy.
Production management by Biotext, Canberra
Design by Peter Nolan, Clarus Design, Canberra
Cartoons by Ian Sharpe, Canberra
Printed and bound in Spain by Graphycems, Navarra
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Introduction to this workbook
Medical practitioners, particularly GPs, are overloaded with information.
ey simply cannot keep up with reading all the scientifi c literature and other
information that arrives on their desk every week. Even when they have time to
read some of it, it is di cult to identify which information will be most useful
in clinical practice and to recall the most up-to-date fi ndings when they need
them.
But every day doctors encounter questions that need to be answered in order
to make the best decisions about patient care. is is where ‘evidence-based
medicine’ (EBM) comes in. e aim of this workbook is to introduce general
practitioners and other health care professionals to the concept of EBM and to
show them simple methods to fi nd and use the best evidence to answer their
clinical questions.
e workbook is practical and interactive, and will develop your skills in:
• asking clinical questions
• searching for answers
• using the answers to make clinical decisions.
At the end of this workbook, we hope that you will feel confi dent that you can
fi nd the best quality evidence for almost any clinical question that comes your
way and, with a little practice, use it to improve your clinical practice, all within
a few minutes.
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How to use this workbook
is workbook has been based on the evidence-based medicine workshops
run by the Centre for Evidence-Based Practice and Centre for General Practice,
University of Queensland and contains information and exercises to help you
learn how to use evidence-based medicine (EBM) in your clinical practice.
e workbook is divided into three main parts:
Part 1 (purple) contains an introduction to EBM and some clinical examples to
show how it can be applied.
Part 2 (blue) describes the practical application of EBM. It is subdivided into
fi ve modules, each describing an important stage in the EBM
process (how to formulate a question, how to track down the
best evidence, how to critically appraise the evidence, how to
apply the evidence and how to evaluate your progress).
Part 3 (yellow) contains information on useful internet sites and EBM
resources and a number of useful articles for further reading.
If you attend one of our workshops, you will fi nd that this workbook contains
all the information that will be presented during the workshop. is means that
you do not need to worry about writing down a lot of notes or copying down
slides. Just relax and concentrate on the sessions. ere are spaces in the kit for
you to write down information during the interactive sessions and record the
results of your EBM activities during the day.
e workbook has also been designed as a plain English resource document for
anyone who is interested in learning more about EBM to study at their leisure
or share with colleagues in small group training sessions.
In either case, we hope that you fi nd it useful.
So that we can improve the workbook in future editions, please provide us with
your feedback.
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