Evidence–Based Medicine is the integration of best research evidence with clinical expertise and patient values.
[Sackett DL, Straus SE, Richardson WS, et al. Evidence-based medicine: how to practice and teach EBM. 2d ed. Edinburgh: Churchill Livingstone, 2000.]

• Overview of EBM
• Asking the Clinical Question
• Acquiring the Evidence
• Appraising the Evidence
• Applying the Evidence
• Creating and Using CATs
• Critical Appraisal Worksheets

Overview of EBM

• Evidence-based Answers to Clinical Questions for Busy Clinicians - from the Centre for Clinical Effectiveness (CCE), Monash Medical Centre, Australia
• The Evidence Cycle - from the Duke Program on Teaching Evidence-Based Practice

Asking the Clinical Question

• The Clinical Question Worksheet- (PDF or WORD; Example) - from the Dartmouth Biomedical Libraries
• Focusing Clinical Questions - from the Oxford Centre for Evidence-Based Medicine
• Type of Question - from the Oxford Centre for Evidence-Based Medicine
• Study Design - from the Oxford Centre for Evidence-Based Medicine
• Types of Studies - from the SUNY Downstate EBM Tutorial

Acquiring the Evidence

• Evidence-Based Medicine Resources (resource pyramid and descriptions) - from the Dartmouth Biomedical Libraries
• Finding Evidence-Based Answers to Clinical Questions - Quickly and Effectively - from the Dartmouth Biomedical Libraries

Appraising the Evidence

• Critical Appraisal Worksheets - from the Dartmouth Biomedical Libraries:
  • Therapy - (PDF or WORD)
  • Therapy (long version) - (PDF)
  • Systematic Reviews - (PDF or WORD)
  • Practice Guidelines - (PDF or WORD)
  • Diagnostic Test - (PDF or WORD)
  • Prognosis - (PDF or WORD)
  • Harm/Etiology - (PDF or WORD)
  • Qualitative Research - (PDF or WORD)
• Evidence-Based Practice Teaching Tips - from the Centre for Health Evidence, University of Alberta [Click on “Balancing Benefits and Risk”, “Number Needed to Treat”, and/or “Risk and Risk Reduction” on the left side of the screen under “Therapy --“Risk”]
• Visual Rx - Numbers Need to Treat - from Dr. Chris Cates' EBM Website [click on links under "Visual Rx" on left side of screen]
• Stating the Meaning of Effect Size Measures in Plain English - from the Duke Program on Teaching Evidence-Based Practice
• "Appraising Systematic Reviews" - from the Joanna Briggs Institute
• Table for Comparing Several Types of Summary (Review) Articles - from the Duke Program on Teaching Evidence-Based Practice
• The AGREE Instrument for Appraising Practice Guidelines– from the AGREE Collaboration

Applying the Evidence to the Patient

• Applying the Evidence: Worksheet (PDF or WORD) - from the Dartmouth Biomedical Libraries
• Shared Decision Making resources:
  • Dartmouth-Hitchcock Medical Center's Center for Shared Decision-Making (Click on Resources on left side of screen)
  • Ottawa Personal Decision Guide
  • MedlinePlus - Authoritative information resources for patients/consumers from the National Library of Medicine

Creating and Using CATs

• CAT Worksheet- (PDF or WORD) - from the Dartmouth Biomedical Libraries
• Web Sources of CATs and Information about CATs - from the Dartmouth Biomedical Libraries
• Education Prescription - from the Duke Program on Teaching Evidence-Based Practice