Evidence-based Medicine
Scenario
Katie Quease is a secondary school teacher who is early in her her first pregnancy. All is going well, but she is having a miserable time with nausea. She would like your advice on what to do about it.
Reading
For an explanation as to the "how" and "why" of EBM, take a look at the "Doing EBM" links at http://www.cebm.net/
For a deliciously cynical view, read the report of the Clinicians for the Restoration of Autonomous Practice (CRAP) Writing Group http://bmj.com/cgi/content/full/325/7378/1496
The task
Work out an EBM question based on the scenario above. Each group needs to assign members to develop evidence-based answers from:
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Yahoo http://www.yahoo.co.uk/ or Google http://www.google.co.uk/ search;
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Clinical Evidence (BMJ Publishing Group; your trainer should have issue 6; full text online via www.nelh.nhs.uk )
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BMJ http://www.bmj.com/ and BJGP http://www.rcgp.org.uk/ search;
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Medline search.
Two members of the group need to survey all GPs and Midwives in their practice with the same question.
Next week we need to find out:
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What is the evidence?
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Which is the best source of evidence-based information? "Best" may relate to speed and ease of access as well as quality of information.
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How well does GP and M/W advice reflect the evidence?
Written by: Michael Harris
Last update: 29 August 2007