Why read papers：An Introduction to Evidence Based Medicine.ppt

Why read papers: An Introduction to Evidence Based Medicine Arash Etemadi, MD PhD Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences aetemadi@tums.ac.ir Why do we read articles? Browsing For information For research For review A paper from someone we know For going to sleep! Do We Read ? Self-reported reading time per week. (University setting) Medical students 60 min. Interns none Senior residents 10 min. Fellows 45 min. Attendings graduating Post 1975 60 min. Pre 1975 30 min. Do We Read? University of Virginia Mailing to primary care physicians 50% had not read a medical journal article in the last year. The most commonly sited source of information was pharmacutical representatives. Why Don’t We Read ? We’re lazy? The fact of the matter is that none of us likes feeling out of date. We like it so little in fact that we are willing to work at night and on weekends in an effort to stay current. Frustration. Conflicting information No one taught us HOW or WHAT to read. What evidence-based medicine is: the integration of best research evidence with clinical expertise and patient values. Is EBM … reading articles? I. Best Research Evidence: clinically relevant research, often from the basic sciences of medicine, but especially from patient centered clinical research. Has a short doubling-time. Replaces currently accepted diagnostic tests and treatments with new ones that are more powerful, more accurate, more efficacious, and safer. II. Clinical Expertise: rapidly identify each patients unique health state and diagnosis, their individual risks and benefits of potential interventions, and their personal values and expectations. III. Patients’ Values Expectations the unique preferences, concerns and expectations each patient brings to a clinical encounter must be integrated into clinical decisions if they are to serve the patient. Traditional medicine Practice Based On Theory Retrolen