Updating evidence based medicine

Anthony Lang, which were very informative and much appreciated.

Keynote lectures on the second day included “The Field of Movement Disorders: A Personal Perspective”, “Clinical Pearls: Hypokinetic Disorders” and “Clinical Pearls: Hyperkinetic Disorders” by Dr.

Also discussed are the techniques and issues surrounding patient- physician communication.

Among the current updates in EBM we highlight the '5S' model of retrieving best evidence, use of hand held devices for point of care information and describe future directions and use of computer based decision support, ehealth, electronic medical records and evidence based management to improve quality of health care.

Although all medicine based on science has some degree of empirical support, EBM goes further, classifying evidence by its epistemologic strength and requiring that only the strongest types (coming from meta-analyses, systematic reviews, and randomized controlled trials) can yield strong recommendations; weaker types (such as from case-control studies) can yield only weak recommendations.

The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients.

It promotes the use of formal, explicit methods to analyze evidence and makes it available to decision makers.

It promotes programs to teach the methods to medical students, practitioners, and policy makers.

The term "evidence-based medicine", as it is currently used, has two main tributaries.

Use of the term rapidly expanded to include a previously described approach that emphasized the use of evidence in the design of guidelines and policies that apply to groups of patients and populations ("evidence-based practice policies").

It has subsequently spread to describe an approach to decision-making that is used at virtually every level of health care as well as other fields (evidence-based practice).

Beginning in the late 1960s, several flaws became apparent in the traditional approach to medical decision-making.

Alvan Feinstein's publication of Clinical Judgment in 1967 focused attention on the role of clinical reasoning and identified biases that can affect it.

In the case of decisions which applied to groups of patients or populations, the guidelines and policies would usually be developed by committees of experts, but there was no formal process for determining the extent to which research evidence should be considered or how it should be merged with the beliefs of the committee members.

You must have an account to comment. Please register or login here!