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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: > 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: >> 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. 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