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LBM 4

CRITCAL APPRAISING AND EVIDENCE BASED MEDICINE


Step 1
1. Evidence Based Medicine :
A process of systematically reviewing appraising and using clinical
research
Technical use for decision making in the management of patient
Integration of based research evidence with clinical expertise and
patient value
2. Critical Appraisal
Assessment critically
A process of examination, appraisal and repair of research before
taking new decision for applying to the patient
Critical study for determine whether paper or article is worth
revering to be as a guidance for making clinical decision or not
3. Prognostic
Prediction of the course to desease
Outlook for the patient
4. PICO
Patient/ problem
etc)
Intervention
and

Comparison
Outcome

: Characteristic of patient (gender, age, etnic,


: Which by research methodology diagnostic test
treatment
: Comparing between therapy and medicine
: final result / expectation

5. Therapeutic
Healing
The result medical handling that suitable with what we expected
Branch of medical that is concern to treatment desease
Step 2
1. What is the definition of EBM?
2. What is the purpose of EBM?
3. How to get start EBM?
4. What are the advantages of EBM?
5. What factors will encourage EBM?
6. What are the steps to do EBM?
7. How to develop EBM?
8. Why EBM needed in learning?
9. How to apply EBM in medical?
10.What is the definition of CA?
11.What are the purposes of CA?
12.What are differences between EBM and CA?
13.What are the relations between EBM and CA?
14.Why EBM and CA can make we update?
15.What is the relationship of EBM and PICO?

Step 3
1. What is the definition of EBM?
The process of systematically riviewing, appraising, and using clinical
research finding to aid the delivery of optimum clinical care to patient
Technic use for decision making to integrating three factors there are
skills and clinical expertise of physician, the interest of patient,
scientific evidence.
The best evidence of research
2. What is the purpose of EBM?
Hope will get optimal result in curing process
Help physician to make the best clinical decision
To find out whether the action of physician is right or not
Help clinicans provide better medical service
Allert clinicans to important advances in internal medicine by selecting
from medical literature
3. What are the advantages of EBM?
Clinicans can find the best research
Allows the patient acess recent clinical knowledge
Reducing the risk of medication mistake in giving to patient
Can help provider makes better use of limit resources by enabling them
to evaluate clinical effectiveness of treatments and services
Potential to improve continuity and uniformity of care through the
development of common approaches and guidelines
4. What are the steps to do EBM?
Define the problem
: formulate the clinical question (patient, intervention, comparisson,
outcome)
Tracking down the information source needed
: find out evidence which can answer the question
Crtically appraising the information
: CA to prove whether the evidence the 2nd step is valid, important,
applicabilty
Appliying information to the patient
: The thruth of evidence can apply and intergrated to the patient
Evaluation how effective it
: Improve it the activity and efficiency the steps
5. What factors will encourage EBM?
Critical thingking
Independent
Creative
6. Why EBM needed in medical practice?
In daily work, doctors faced on the information needs of medical problems that are relevant
(evidence-based) while the flow of information is changing fast. therefore there needs to be EBM
to change the quality of patient care

EBM, dr. Darwin Amir, Sp.S

7. How to apply EBM in medical?

1.
2.
3.
4.
5.

Define the problem (generating clinical question).


Tracking down the information source needed
Critically appraising the information
Applying the information with your patients
Evaluating how effective it is.

EBM, dr. Darwin Amir, Sp.S

8. What is the definition of CA?

Critical appraisal is the process of systematically examining research evidence to


assess its validity, results, and relevance before using it to inform a decision
(Hill and Spittlehouse, 2001, p.1)
9. What are the purposes of CA?

Be a link between the research result with practical applications


Analyzing the quality of research
Hill, A. What is critical appraisal. Hayward Medical Publication.3(2).18).
10.What are differences between EBM and CA?
11.What are the relations between EBM, CT, CA?
12.Why EBM and CA can make we update knowledge?
In daily work, doctors faced on the information needs of medical problems that are relevant
(evidence-based) while the flow of information is changing fast. Therefore there needs to be EBM
and CA to change the quality of patient care

EBM, dr. Darwin Amir, Sp.S


13.What is the relationship of EBM and PICO?
PICO is a part of the process in making question in EBM
In every consultation decicion need PICO to make question.
EBM, dr. Darwin Amir, Sp.S

PATIENT
PROBLEM
EBM

CA

RESULT OF
CRTICAL TRIALS

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