Paul Glasziou wrote:
> Do you have suggestions about the curriculum for EBM? The forthcoming
> Sicily EBHC conference (28-31 Nov) will include afternoon discussions of
> the EBM curriculum. The Sicily Statement on the Curriculum for
> evidence-based practice arose out of the first Sicily meetings.
> We are planning to revise and extend the statement, and would appreciate
> suggestions and help.
I've enjoyed all the commentary so far. I would second the need to
incorporate conflict of interest in the critical appraisal step. I also
think that we need to be more explicit in incorporating clinical
judgment into EBM. There is a very nice article
Evidence-based decision making--the six step approach. Franz Porzsolt,
Andrea Ohletz, Anke Thim, David Gardner, Helmuth Ruatti, Horand Meier,
Nicole Schlotz-Gorton, Laura Schrott. Evid Based Med 2003: 8(6);
that tries to make this explicit through adding an extra step to the
classic five steps (form an answerable question, acquire the evidence,
etc.) The authors argue that an explicit step to acquire your internal
evidence (clinical experience) prior to acquiring external evidence is
needed. Then both the internal and external evidence need to be
integrated. I made a brief commentary about this article at my old
website, but it seems to have disappeared, so I am reproducing it at my
Steve Simon, Standard Disclaimer
Second free statistics webinar, Wed, Nov 4, 11am-noon CST.
"The first three steps in data entry, with examples in PASW/SPSS"
Details at www.pmean.com/webinars