實證醫(yī)學簡介與實務(存儲版)
【正文】 ports Opinions Can hyperbaric oxygenation accelerates the healing rate of nonischemic chronic diabetic foot ulcers? PECOT ? P: nonischemic chronic diabetic foot ulcers ? E: Hyperbaric oxygenation accelerates ? C: wound care ? O: the healing rate ? T: one month Text + Graph VPN(Virtual Private Network) MEDLINE ? If a search of UpToDate, Best Evidence, and the Cochrane Library does not provide a satisfactory answer to a focused clinical question, it may be time to turn to MEDLINE. ? the first medical literature database ? something for everyone Steps ? Problem 1: You are trying to find a known paper – 眾裡尋她 ? Problem 2: You want to answer a specific question – 直指核心 ? Problem 3: You want to get general information quickly about a well defined topic – 綜覽主題 ? Problem 4: Your search gives irrelevant articles – 去蕪存菁 ? Problem 5: The search gives no articles, or too few – 絕處逢生 ? Problem 6: You don?t know where to start searching – 無從下手 ? Problem 7: Limiting a set loses important articles but does not exclude those of low methodological quality – 點石成金 ? Problem 8: Medline hasn39。t helped – 另謀蹊徑 Steps Up to 63% of all available RCTs may be missed by a search strategy limited to MEDLINE Antman EM, Lau J, Kupelnick B, Mosteller F, Chalmers TC. A parison of results of metaanalyses of randomized control trials and remendations of clinical experts: Treatment for myocardial infarction. JAMA. 1992。8:4. Purpose: ? To evaluate whether a course on EBM utilizing adult learning principals leads to both immediate and shortterm attitudinal, confidence, and behavioral change. Baum K. The impact of an evidencebased medicine workshop on resident’s attitudes towards and selfreported ability in evidencebased practice. Med Educ Online 2022。8:4. 執(zhí)行成果（九） ? 課程問卷調(diào)查結果 －－實證醫(yī)學 態(tài)度 前後測差異 執(zhí)行成果（十） ? 課程問卷調(diào)查結果 －－實證醫(yī)學 技巧 前後測差異 延伸學習 ? Oxford Centre for EBM – ? Canada Centre for health evidence – 操作 Reference ? How to read a paper: the Medline database ? New Zealand Guidelines Group (NZGG). Handbook for the preparation of explicit evidencebased clinical practice guidelines, 2022. ? The Users39。8:4. Baum K. The impact of an evidencebased medicine workshop on resident’s attitudes towards and selfreported ability in evidencebased practice. Med Educ Online 2022。 延伸學習 ? Centre for EBM 牛津?qū)嵶C醫(yī)學中心 – ? Critical Appraisal Skills Programme (CASP) – 英國國家健康保險之嚴格評讀技巧計劃 – (Integrati
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