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.
I have two suggestions, both relative to the starting steps:
1) Add a step on "setting a goal" at the beginning. Without a goal is
impossible to ask a question (in particular, to select an outcome)
Note that this would require to move the exploration of patient's values
at this stage, since obviously the patient should participate in the
choice of the goal (and hence in framing the question).
2)Integrate the proposal of Franz Portzolt of explicitly consider
current knowledge and expertise (and look for more expertise if needed
using background questions) while framing the problem.
Porzsolt F, Ohletz A, Thim A, Gardner D, Ruatti H, Meier H,
Schlotz-Gorton N, Schrott L. Evidence-based decision making--the 6-step
approach. ACP J Club. 2003 Nov-Dec;139(3):A11-2