ebm from the classroom to the clinics - knowledge creation (step 1) john q. wong, md, msc 21 jun...
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EBM from the Classroom to the
Clinics - Knowledge Creation (Step
1) John Q. Wong, MD, MSc
21 Jun 2010
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The EBM Cycle
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The Knowledge Funnel
(part of the Knowledge-to-Action
Cycle)
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Knowledge Creation
Knowledge inquiry
Knowledge synthesis
Knowledge tools/products
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Knowledge Inquiry
First-generation knowledge
Raising the clinical question
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Knowledge synthesis
Second-generation knowledge
Aggregation and synthesis of existing knowledge
Meta-analysis, systematic reviews
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Knowledge tools/products
Third-generation knowledge
Synopses presenting knowledge in a clear, concise, and user-friendly format to facilitate uptake and application of the knowledge
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The EBM-wiki Project
Objective
Create a wiki of evidence-based answers to clinical questions
Purpose
Hone critical appraisal skills
Answer clinical questions
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Guidelines
A year-long class project
One wiki for the whole class
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Guidelines
Group work - For each module
Ask a question each on:
Diagnosis
Therapy
Prevention
Prognosis
Acquire the evidence
Appraise the evidence
Apply the evidence
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Guidelines
Use the suggested templates
Functions
Allow people to join
Track changes
All modules should be represented
Readers can provide feedback or discuss posted topics
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Guidelines
Milestones
Outputs due on last day of module
Outputs should be uploaded two days after they have been checked and returned
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Guidelines
Evaluation
Part of PH grade
Performed every module
By EBM lecturers
Criteria
Significance or importance of question (25%)
Critical appraisal process (50%)
Application to patient (25%)
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Sample wiki and website