Not to derail the discussion or anything, but Justus's comment reminded me of an anecdote about EF Schumacher, the author of "Small is Beautiful".  He was reported as saying that if he had grown up in a society in which everything was run in small-scale enterprises, he would have written a book called "Big is Beautiful".

There are analogous reasons why EBHC focuses on the E part.  If we lived in an era in which everything was evaluated with unbiased systematic reviews and individual studies, perfectly reported and widely accessible, we might be talking about "Expert-based health care" instead.

cheers

Douglas

 On 12/04/2012 13:28, Justus Krabshuis wrote:
[log in to unmask]" type="cite"> Neil,

How is it that we always focus on the
'evidence' part of the equation and invariably take 'clinical expertise' for granted - the very quality we should hope to strengthen with EBP
Is this because we cannot measure 'clinical expertise' ? or can we?
Any evidence here ? Is there a scale ?
Best
Justus




On 12/04/2012 14:17, Swennen, M.H.J. wrote:
[log in to unmask]" type="cite">
Hi Neil,



What about...



Evidence-based Practice (EBP) is a problem solving approach that can be applied to clinical decision making. EBP is believed to reduce unwarranted variations in clinical decisions by assisting clinicians in the translation of both latest best research evidence and clinical experience into individualized patient care.



Best wishes,

Maartje



________________________________
Van: Evidence based health (EBH) [[log in to unmask]] namens Anoop Balachandran [[log in to unmask]]
Verzonden: donderdag 12 april 2012 14:10
To: [log in to unmask]
Onderwerp: Re: Definitions of EBM/EBP

Hi Neil,

If I get it right, it is the "best research available".So if there are no systematic reviews, you just go down the levels of evidence and pick the next best one RCT, Observational study and so forth. But as you go down the levels, the uncertainity goes up too.

This is from Sharon.E Strauss Book- Evidence Based Medicine ( How to Practice and teach it)

Thanks!
Anoop



On Thu, Apr 12, 2012 at 2:56 AM, Neil Pakenham-Walsh, UK <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Thanks David and all,

Has anyone collated the definitions of EBM and/or EBP? Is there a consensus definition?

Many (most) of the definitions that I have seen talk about 'available evidence' but do not make it clear that this means 'all available evidence'. In my understanding, EBP is fundamentally about cumulation of evidence (usually in the form of systematic reviews). I hear, very often, health professionals, researchers and others worldwide apply erroneously the term EBP to include practice that is supported by a single research study that the practitioner has identified.

Best wishes,
Neil

At 20:03 11/04/2012, you wrote:
Content-Type: TEXT/PLAIN; charset=UTF-8; format=flowed
X-MIME-Autoconverted: from 8bit to quoted-printable by bofur.jiscmail.ac.uk<http://bofur.jiscmail.ac.uk> id q3BJ3tmP011335


This is what the Scout Report finds for the phrase Evidence Based Medicine


http://scout.wisc.edu/Archives/SPT--AdvancedSearch.php?Q=
Y&FK=Evidence-Based+Medicine&RP=10&SR=0&ST=Quick

.

A shorter URL for the above link:

.

http://tinyurl.com/7ow97sf

.

.

This is what Intute finds for Evidence Based Medicine

http://www.intute.ac.uk/cgi-bin/advancedsearch.pl?field=
All&term1=evidence+based+medicine&Search=Search&limit=
0&subject=All&coo=Any&rank=score&fielddisplay=All

.

A shorter URL for the above link:

.

http://tinyurl.com/cgdcna4

.

.

This is what Pogofrog finds for the phrase Evidence Based Medicine

http://www.pogofrog.com/results?cx=015250969076115358911%
3A_ctwnwkmr5m&cof=FORID%3A9&q=%22evidence+based+medicine%
22&as_qdr=all&sa=Search

.

A shorter URL for the above link:

.

http://tinyurl.com/84c8gse

.

.

This is what the Open Directory Project finds for the phrase Evidence Based Medicine

http://www.dmoz.org/search?q=%22evidence+based+medicine%22

.

.

This is what Net-Gold has for the phrase Evidence Based Medicine

http://www.google.com/search?q=allintitle%3A%20globalization&hl=
en&sa=N&tab=sw#q=%22evidence+based+medicine%22+AND+%22net-gold%
22+AND+%22temple.edu<http://22temple.edu>%22&hl=en&prmd=imvns&filter=0&bav=
on.2,or.r_gc.r_pw.r_qf.,cf.osb&fp=193b680415c1a72a&biw=1280&bih=827

.

A shorter URL for the above link:

.

http://tinyurl.com/cn6mcql

.

.

Also of possible interest:

PERIODICALS DIRECTORIES :

PERIODICALS: DISCUSSION GROUPS :

DIRECTORIES: PUBLISHING PUBLICATION PUBLISHER BOOK PERIODICAL:

NewJour: A New Journals and Newsletters Available on the Internet

http://groups.yahoo.com/group/Net-Gold/message/38220


.


.


Sincerely,
David Dillard
Temple University
(215) 204 - 4584<tel:%28215%29%20204%20-%204584>
[log in to unmask]<mailto:[log in to unmask]>
http://workface.com/e/daviddillard

Net-Gold
http://groups.yahoo.com/group/net-gold
http://listserv.temple.edu/archives/net-gold.html
Index: http://tinyurl.com/myxb4w
http://groups.google.com/group/net-gold?hl=en

General Internet & Print Resources
http://guides.temple.edu/general-internet
COUNTRIES
http://guides.temple.edu/general-country-info
EMPLOYMENT
http://guides.temple.edu/EMPLOYMENT
TOURISM
http://guides.temple.edu/tourism
DISABILITIES
http://guides.temple.edu/DISABILITIES
INDOOR GARDENING
http://tech.groups.yahoo.com/group/IndoorGardeningUrban/
Educator-Gold
http://groups.yahoo.com/group/Educator-Gold/
K12ADMINLIFE
http://groups.yahoo.com/group/K12AdminLIFE/
The Russell Conwell Learning Center Research Guide:
THE COLLEGE LEARNING CENTER
http://tinyurl.com/yae7w79
Information Literacy
http://guides.temple.edu/content.php?pid=22756&sid=2223487


SPORT-MED
https://www.jiscmail.ac.uk/lists/sport-med.html
http://groups.google.com/group/sport-med
http://groups.yahoo.com/group/sports-med/
http://listserv.temple.edu/archives/sport-med.html

HEALTH DIET FITNESS RECREATION SPORTS TOURISM
http://health.groups.yahoo.com/group/healthrecsport/
http://groups.google.com/group/healthrecsport
http://healthrecsport.jiglu.com/
http://listserv.temple.edu/archives/health-recreation-sports-tourism.html


On Wed, 11 Apr 2012, Ben Goldacre wrote:

i love thennt.com<http://thennt.com>
Dr Ben Goldacre
Wellcome Research Fellow in Epidemiology
London School of Hygiene and Tropical Medicine
Keppel St, London WC1E 7HT
[log in to unmask]<mailto:[log in to unmask]>

On Wed, Apr 11, 2012 at 5:50 AM, Olive Goddard <[log in to unmask]<mailto:[log in to unmask]>> wrote:

     Hi,

     Â

     The Centre for Evidence-Based Medicine is always happy to link to useful and relevant websites, but we realise that we have not updated these for some time.

     Â

     If you could send me the URLs of appropriate websites I should be most grateful.

     Â

     All good wishes,

     Â

     Olive

     Â

     Olive Goddard

     Centre for Evidence-Based Medicine

     Department of Primary Health Care

     23 - 38 Hythe Bridge Street

     Oxford OX1 2ET

     Tel +44(0)1865 289337<tel:%2B44%280%291865%20289337>

     Fax +44(0)1865289336<tel:%2B44%280%291865289336>

     [log in to unmask]<mailto:[log in to unmask]>

     www.cebm.net<http://www.cebm.net>

     cid:d43bf047-6fd2-427e-bafe-d858f95c76b6

     Â



------------------------------------------------------------------------------

De informatie opgenomen in dit bericht kan vertrouwelijk zijn en is
uitsluitend bestemd voor de geadresseerde. Indien u dit bericht onterecht
ontvangt, wordt u verzocht de inhoud niet te gebruiken en de afzender direct
te informeren door het bericht te retourneren. Het Universitair Medisch
Centrum Utrecht is een publiekrechtelijke rechtspersoon in de zin van de W.H.W.
(Wet Hoger Onderwijs en Wetenschappelijk Onderzoek) en staat geregistreerd bij
de Kamer van Koophandel voor Midden-Nederland onder nr. 30244197.

Denk s.v.p aan het milieu voor u deze e-mail afdrukt.

------------------------------------------------------------------------------

This message may contain confidential information and is intended exclusively
for the addressee. If you receive this message unintentionally, please do not
use the contents but notify the sender immediately by return e-mail. University
Medical Center Utrecht is a legal person by public law and is registered at
the Chamber of Commerce for Midden-Nederland under no. 30244197.

Please consider the environment before printing this e-mail.


-- 
Mr Douglas Badenoch
Director, Minervation Ltd
-------------------------
23 Bonaly Grove
Edinburgh
EH13 0QB
-------------------------
Tel:  +44 131 441 4699
Web:  www.minervation.com
-------------------------
Minervation is a limited company registered in England and Wales 
Registered number: 4135916 
VAT number: 792674384
Registered Office: Salter's Boat Yard, Folly Bridge, Abingdon Road, Oxford, OX1 4LB  
United Kingdom