4th June 2018
- Understand evidence-based practice (EBP), defined as the integration of the best research evidence with our clinical expertise and our patient’s unique values and circumstances.
- Recognise the rationale and origin of EBP.
- Practice the 5 steps of EBP: Ask, Acquire, Appraise and Interpret, Apply, and Reflect.
- Identify the preferred order of study designs for each type of clinical question, including the pros and cons of the major study designs
- Describe the distinction between using research to inform clinical decision making and practice vs. conducting research.
- Identify the difference between the types of questions that cannot typically be answered by research (background questions) and those that can (foreground questions)
- Identify different types of clinical questions, such as questions about treatment, diagnosis, prognosis, and aetiology
- Convert clinical questions into structured, answerable clinical questions using PICO
- Outline the different major categories of sources of research information, including traditional biomedical bibliographic databases or database resources which filter or pre-appraise research
- Design and conduct an appropriate search strategy for clinical questions
- Recognise the differences in broad topics covered by the major traditional databases
- Define strategies to obtain the full text of articles and other evidence resources
Appraise and Interpret
- Identify key competences relevant to the critical evaluation of the integrity, reliability, and applicability of health related research.
- Interpret different measures of association and effect, including key graphical presentations
- Critically appraise and interpret a systematic review
- Critically appraise and interpret a treatment study.
- Critically appraise and interpret a diagnostic accuracy study.
- Distinguish evidence-based from opinion-based clinical practice guideline.
- Identify the key features of, and be able to interpret, a prognostic study.
- Explain the use of harm/aetiologies study for (rare) adverse effects of interventions.
- Explain the purpose and processes of a qualitative study.
- Engage patients in the decision making process, using shared decision making, including discussing the evidence and their preferences
- Outline different strategies to manage uncertainty in clinical decision-making in practice
- Explain the importance of baseline risk of individual patients when estimating individual expected benefit.
- Interpret the grading of the certainty in evidence and the strength of recommendations in health care
- Recognise potential individual-level barriers to knowledge translation and strategies to overcome these.
- Recognise the role of personal clinical audit in facilitating EBP