scholarly journals Analysis of 1635 procalcitonin prescriptions in the emergency department of a university hospital: A gap between evidence‐based medicine and the real world?

2021 ◽  
Vol 75 (6) ◽  
Author(s):  
Sebastien De Ruffi ◽  
Marion Gornet ◽  
Laurent Ramont ◽  
Pierre Leroux ◽  
Guillaume Giordano Orsini ◽  
...  
Keyword(s):  
Emergency Department ◽  
Real World ◽  
Evidence Based Medicine ◽  
University Hospital ◽  
Evidence Based ◽  
The Real ◽  
Based Medicine

Exploring the Real World: Medical Librarians' Involvement in Supporting Evidence-Based Medicine (EBM) Practice

2013 ◽  
Author(s):  
Ping Li ◽  
Lin Wu
Keyword(s):  
Data Analysis ◽  
Survey Data ◽  
Real World ◽  
Evidence Based Medicine ◽  
Online Survey ◽  
Evidence Based ◽  
Supporting Evidence ◽  
The Real ◽  
Based Medicine

This paper reports the results of an online survey that explores medical librarians’ roles and activities in supporting EBM practice. More than 500 medical librarians replied to the survey. Data analysis reveals that librarians have been taking on various EBM-related responsibilities both routine by nature and project-related.Cet article présente les résultats d’un sondage en ligne portant sur les rôles et les activités des bibliothécaires du domaine des sciences de la santé pour soutenir les pratiques de médecine fondée sur les preuves (MFP). Plus de 500 bibliothécaires ont répondu au sondage. L’analyse des données révèlent que ces bibliothécaires ont participé à des activités routinières et à des projets relevant du domaine de la MFP. 

Evidence-based medicine and the real world: understanding the controversy

1999 ◽  
Vol 5 (2) ◽  
pp. 133-138 ◽  
Author(s):  
William A. Ghali ◽  
Richard Saitz ◽  
Peter M. Sargious ◽  
Warren Y. Hershman ◽  
Keyword(s):  
Real World ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
The Real ◽  
Based Medicine

scholarly journals Internal medicine, complexity, evidence based medicine, almost ‘‘without evidences’’

2013 ◽  
pp. 191-200
Author(s):  
Roberto Nardi ◽  
Tatiana Fabbri ◽  
Gelorma Belmonte ◽  
Paolo Leandri ◽  
Magda Mazzetti ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Evidence Based Medicine ◽  
Models Of Care ◽  
Evidence Based ◽  
Suitable Alternative ◽  
The Real ◽  
Economic Problems ◽  
Clinic Management ◽  
Individualised Care ◽  
Based Medicine

Background: Internal medicine has been defined as the specialty of the adult medical complex patients. Complexity science suggests that illness (and health) results from complex, dynamic, and unique interactions between different components of the overall system. In a patient, complexity involves the intricate entanglement of two or more systems (e.g.; body-diseases, family, socioeconomic status, therapies). Aim of the study: To evaluate the real applicability of Evidence Based Medicne (EBM) in clinical Departments of Internal Medicine and its critical perspectives. Discussion: Habitually the internist takes decisions in these situations: a) certainty (the ideal decision is adopted and the corresponding strategy follows), b) risk (the more suitable alternative selected can be the determination of the probable value or mathematical hope) and c) uncertainty, in which decisions linked to triple agents: beliefs and personal values of the doctors (I) for their patients (II) in the society (III). In the medical decisions there are often different factors that go beyond the field of technical and scientific knowledge (family, social, economic problems, etc.) and demanding an ethical analysis of the decision. Conclusions: The ‘‘evidence-based medicine’’, as other models of care, has — in itself — some limitations. ‘‘No evidence in medicine’’ matters that the postulates of the EBM are not always applicable to the real patients of Internal Medicine wards, mostly elderly, frail, complex, with comorbidities and polipharmacy, often with cognitive dysfunction and limitation of autonomy, with psycho-emotional, social and economic problems. The interacting effects of overall involved diseases/factors and their management require more complex and individualised care than simply the sum of separate guideline components. Further innovation is required to resolve the need to enhance integration of evidence with our patients’ values at the ‘‘bedside and/or clinic’’ management.

scholarly journals 777Teaching evidence-based medicine using authentic assessment the Whack-a-mole project

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Basia Diug ◽  
Bethany Howard ◽  
Kenneth Harvey
Keyword(s):  
Critical Thinking ◽  
Problem Solving ◽  
Student Perceptions ◽  
Real World ◽  
Evidence Based Medicine ◽  
Authentic Assessment ◽  
Evidence Based ◽  
Online Questionnaire ◽  
Authentic Assessments ◽  
Based Medicine

Abstract Introduction Authentic assessments facilitate student’s application of complex problem-solving skills and knowledge to real-world tasks. The whack-a-mole (WAM) project includes key critical thinking, biostatistics and epidemiology skills as well as elements of complexity and creativity skills that are particularly important when teaching evidence-based medicine to health professionals. Complementary and alternative medicines (CAMs) provide the current context as they are widely used in the Australian population making them an important subject amongst primary health care professional and policy makers. Aim To report student perceptions and learning after completion of the real-world authentic assessment WAM. Methods WAM required students to choose, document, investigate, identify, critically appraise and report on a complementary medication for sale in Australia. A total 464 students enrolled in a 3rd Biomedical Science capstone unit completed the WAM project report and video assessments in teams. Data on student perceptions was collected using an online questionnaire and analysed using SPSS 25 and NVIVO 11. Results The average overall mark for the WAM assessment was 52/60 (86%). 116 students (25%) completed the online questionnaire of which 92% of students indicated the whack-a-mole project changed their perceptions of complementary medicine and/or the regulation of goods and services in Australia. The majority of students found no (43%) or insufficient (55%) evidence to support product claims. These findings were supported by qualitative feedback. Conclusion Students applied the principles of EBM to the WAM project and in doing so altered their perceptions of CAM, regulation and scientific evidence. Key messages Authentic assessments play a key role in engaging student in real-world problem solving to advance their critical thinking and evidence-based medicine.

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