step 5: communication and evaluation. table of contents communication communicate with your patients...
TRANSCRIPT
Table of Contents• Communication
• Communicate with Your Patients• Video 1• Communicate with Health Profession
als
• Evaluation• Evaluate Yourself• Video 2• How did you do?• Video 3• Case Example 1• Case Example 2
Your results are important to:
• Your patients
• Other health professionals
• Yourself
Communication with Your Patients
• Critical to the success of practicing EBM
• The explanation of the best evidence in terms or risks, benefits, and alternatives is necessary for your patient to make an informed decision.
• Must be in terms that patients understand
Video 1
• View movie as:– QuickTime (.
mov)– Flash (.swf)
• Double-click on video for full-screen mode.
Communication with Other Health Professionals
• Part of the team approach to patient care
• May cause a colleague or an institution to change the standard way of practicing
Evaluation of Yourself
• Ask questions more appropriately
• Seek better solutions
Video 2
• View movie as:– QuickTime (.
mov)– Flash (.swf)
• Double-click on video for full-screen mode.
Video 3• View movie
as:– QuickTime
(.mov)– Flash (.swf)
• Double-click on video for full-screen mode.
Case Example Question
• View movie as:– QuickTime
(.mov)– Flash (.swf)
• Double-click on video for full-screen mode.
A Case Example• If mammograpy is 90%
sensitive and 95% specific, the chance that the patient has breast cancer isA. 1-5% B. 10-
15%C. 60-
65%D. 80-85%
E. 90-95%
Case Example Answer
• View movie as:– QuickTime
(.mov)– Flash (.swf)
• Double-click on video for full-screen mode.
How did you do?
Are you becoming more accurate in applying some of
the critical appraisal measures such as likelihood ratios, NNT,
NNH, and relative risks?
How did you do?
Are you able to communicate your results to your patient in a
way to make him/her better informed?
How did you do?
Are you able to justify why you did or did not follow a clinical decision based on integration
of the evidence with an individual patient?
How did you do?
Are you able to see development in quality
improvement measures as a result of implementing EBM in
daily practice?
Links to Other Websitesand Hands-On Activities
• Evaluation Questions– from the Centre of Evidence
Based Medicine