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Evidence-Based Medicine

  
 
EBM is a growing, international movement that encourages health professionals to seek out, appraise, and apply the best evidence from the medical literature when confronted with patient treatment decisions. The best available evidence, moderated by patient circumstances and preferences, is applied to improve the quality of clinical judgements and facilitate cost-effective health care.
(McMaster Evidence-Based Medicine Informatics Project)
 
POEM - Patient Oriented Evidence that Matters -  is relevant to primary care practice, and has the potential to change what you do.
 
Information Mastery - Feeling good about not knowing everything. (UVA OCE)
Background Literature & Essays     
Evidence Based Medicine Glossary from the Medical University of South Carolina
 
Netting the Evidence excellent Core Library for Evidence Based Practice from the University of Sheffield includes:
-Users' Guides to Evidence-Based Practice Journal of the Medical Association
-Systematic Reviews series Annals of Internal Medicine
-How to Read a Paper series British Medical Journal
 
Evaluating the Literature: Quality filtering and Evidence-Based Medicine & Health from the National Library of Medicine. "Not all studies are created equal. Not all articles are equally good." Essay reviews the importance of sampling, assignment, assessment, analysis, interpretation, and extrapolation
 
Levels of Evidence describes the ranked validity of different kinds of evidence 
 
EBM Reviews, Digests, Synthesized Literature
 
Free Resources
Cochrane Library site provides free, unrestricted access to the abstracts of systematic reviews and offers individual subscriptions to the full database. The full text of systematic reviews are also available via OVID and other commercial vendors.
 
DARE Database of Abstracts of Reviews of Effectiveness is a full text database from the University of York containing critical assessments of systematic reviews. 
National Guideline Clearinghouse makes evidence-based clinical practice guidelines and related abstract, summary, and comparison materials widely available to health care professionals. NGC is operated by the U.S.Dept. of Health and Human Services, Agency for Health Care Policy and Research (AHCPR) in partnership with the American Medical Association (AMA), and the American Association of Health Plans (AAHP).
 
SUMSearch from the University of Texas Health Sciences Center is a single gateway that  searches Merck Manual, MEDLINE for review articles and editorials that have full texts available, National Guideline Clearinghouse from the Agency for Health Care Policy and Research (AHCPR), Database of Abstract of Reviews of Effectiveness (DARE) and MEDLINE for original research.
 
Licensed Resources
Clinical Evidence -  a monthly, updated directory of evidence on the effects of common clinical interventions, published by the BMJ Publishing Group. It provides a concise account of the current state of knowledge, ignorance, and uncertainty about the prevention and treatment of a wide range of clinical conditions and summarizes the best available evidence. I 
 
Essential Evidence - evidence-based information for clinicians includes abstracts of Cochrane Systematic Reviews, 1,000 brief synopses, relevant, valid articles in the primary care literature, over 55 clinical prediction rules such as the Ottawa Ankle Rules, Strep Score, detailed information on diagnostic tests, history and physical examination maneuvers in a diagnostic calculator. Also includes POEMs from the  Journal of Family Practice - the editors of JFP review over 80 peer-reviewed medical journals and apply the "POEMs" criteria to identify the most important articles for primary care physicians.  Access via the Web or download to your PDA.
 
Evidence-Based Medicine Reviews (EBMR) contains the full text of Cochrane Database of Systematic Reviews, Best Evidence, a database that contains the journals ACP Journal Club and Evidence-Based Medicine, and the Database of Abstracts of Reviews of Effectiveness (DARE). While the Cochrane abstracts and DARE are available for free, OVID?s EBM Reviews provide the added convenience of simultaneous searching. These sources provide systematic reviews of important healthcare interventions as well as reviews of high-quality, clinically relevant journal articles.
 
 
Trip Database (Turning Research into Practice), hosted by the Centre for Research Support in Wales, is a meta-search engine of sorts and searches over 55 sites of high-quality medical information including Cochrane, DARE, GP Notebook Textbook, e-journals, practice guidelines, and more.  aims to support those working in primary care. 
Tutorials
 
 
Introduction to EBM from University of North Carolina and Duke University
 
Introduction to Information Mastery from the Michigan State University Dept of Family Practice - an extensive 15 hour course.
 
Tool Kits
 CEBM - Centre for Evidence Based Medicine from the Oxford Centre provides information on how to calculate Pre-Test probabilities, SpPins, SnNouts, NNTs, etc. Download worksheets, critical appraisal tools.
 
Evidence Based Medicine Tool Kit from the University of Alberta. An incredible resource for "how to" information, this collection of tools for identifying, assessing and applying relevant evidence for better health care decision-making is based on the work of the Evidence Based Medicine Working Group. The site includes User Guides with very helpful worksheets, search strategies, filters, etc.
 
Center for EBM from Mt Sinai Hospital University of Toronto contains syllabi with sample scenarios, searches, and completed worksheets for different disciplines, teaching tips, excellent resource lists, glossary of EBM terminology, Palm and Pocket PC calculators and tables for download.
 
Netting the Evidence : A ScHARR Introduction to Evidence Based Practice on the Net - a comprehensive collection of links compiled by Andrew Booth of the School of Health and Related Research (ScHARR) of the University of Sheffield, UK to EBM web sites.
 
March 24, 2008