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| EBM (Evidence Based Medicine) |
A new paradigm for medical practice is emerging.
Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. |
“Evidence-Based Medicine (EBM) is the integration of the best research evidence with clinical expertise and patient values.” Sackett |
- By best research evidence we mean clinically relevant research, often from the basic sciences of medicine, but especially from patient centered clinical research into the accuracy and precision of diagnostic tests (including the clinical examination), the power of prognostic markers, and the efficacy and safety of therapeutic, rehabilitative, and preventive regimens. New evidence from clinical research both invalidates previously accepted diagnostic tests and treatments and replaces them with new ones that are more powerful, more accurate, more efficacious, and safer.
- By clinical expertise we mean the ability to use our clinical skills and past experience to rapidly identify each patient's unique health state and diagnosis, their individual risks and benefits of potential interventions, and their personal values and expectations.
- By patient values we mean the unique preferences, concerns and expectations each patient brings to a clinical encounter and which must be integrated into clinical decisions if they are to serve the patient.
- When these three elements are integrated, clinicians and patients form a diagnostic and therapeutic alliance which optimizes clinical outcomes and quality of life.
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Today clinician’s use both individual clinical expertise and the best available external evidence, and neither alone is enough |
| Why EBM? |
- Daily need for information
- Inadequacy of traditional sources of information
- Disparity between our diagnostic skills and clinical judgment vs. up-to-date knowledge and clinical performance
- Develop skills for life long learning
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