McMaster Evidence-Based Clinical Practice Workshop Resources – Systematic review module

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• Format Lessons, Texts
• Language/s English
• Target Audience Further education
• EBM Stage 3 - Appraising evidence, 4 - Decision making
• Duration >15 mins
• Difficulty Intermediate

Key Concepts addressed

• 3-3a Do the advantages outweigh the disadvantages for you?
• 3-3b How certain is the evidence?
• 2-3g Statistical significance is not the same as importance
• 2-3b Relative measures of effects can be misleading
• 2-3c Average measures of effects can be misleading
• 2-3f Confidence intervals should be reported
• 2-3h Don’t confuse “no evidence” with “no effect”
• 1-3a Beware of conflicting interests
• 1-3b Anecdotes are unreliable evidence
• 1-3c Expert opinion is not always right
• 2-2a Reviews of fair comparisons should be systematic
• 2-2b All fair comparisons and outcomes should be reported
• 2-1a Comparison groups should be similar
• 2-1c Comparison groups should be treated equally
• 2-1d People should not know which treatment they get
• 2-1e Peoples' outcomes should be assessed similarly
• 2-1g All should be followed up
• 2-1h Peoples' outcomes should be analyzed in their original groups
• 1-1a Treatments can harm
• 1-1b Dramatic treatment effects are rare
• 3-2a Do the outcomes measured matter to you?
• 3-2b Are you very different from the people studied?
• 3-2c Are the treatments practical in your setting?
• 1-2c Association is not the same as causation
• 1-2e Comparisons are needed to identify treatment effects
• 1-2f Consider all of the relevant fair comparisons
• 1-2g Common practice is not always evidence-based
• 1-2h Newer is not necessarily better
• 1-2i More is not necessarily better

Details

This is the Systematic review module resources provided to the attendees at the McMaster Evidence-Based Clinical Practice Workshop.

This contains:

• Clinical problem: an outline of the module objectives and a specialty-specific clinical scenario describing a patient problem relevant to the module (Internal Medicine, Family Medicine, Emergency Medicine, Paediatrics, and Surgery).
• Clinical article: one or more speciality-specific clinical papers pertinent to the problem posed in the scenario (Internal Medicine, Family Medicine, Emergency Medicine, Paediatrics, and Surgery).
• Worksheet: Critical appraisal worksheet for organizing ideas as readers work through articles.

This package is one of several other packages included in the McMaster Evidence-Based Clinical Practice Workshop such as Therapy, Diagnosis, and Prognosis.