Evidence-Based Medicine (EBM)
Evidence-based medicine will play a central role with the advent of the Affordable Care Act
The five steps of evidence-based medicine (EBM)
1. Asking answerable clinical questions
2. Acquiring the highest quality evidence available
3. Appraising the clinical relevance and validity of the evidence in the current clinical environment
4. Applying evidence-based interventions in the current clinical environment
5. Assessing the efficacy and utility of EBM practice
The three modes of using evidence-based medicine (EBM)
1. The "doing" mode where all steps of EBM are completed.
2. The "using" mode where all steps of EBM are applied with the exception of Step 3, where pre-appraised evidence is delivered or sought out.
3. The "replicating" mode where the opinion of leaders and peers in the field are utilized rather than acquiring and appraising evidence (Steps 2 and 3).
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*Straus SE, Glasziou P, Richardson WS, Haynes RB. Evidence-based medicine: How to practice and teach it. Edinburgh: Churchill Livingstone; 2011.
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