Pre-Clerkship Library Resources
- Duke EBP Interactive Modules - Evidence Based PracticeThis excellent series of short, interactive modules walks you through the EBP process. From Duke University's School of Medicine
- EBM Tools - CEBMGo-to resource for everything EBM: from search strategies for finding the evidence, to worksheets for appraising study types for your scenario, to descriptions of study designs, to calculating NNT and LR. Excellent source for EBP.
- PubMed interactive PICO question builderGuides you through forming your own PICO question and getting your results in PubMed
JAMA Evidence: Evidence Based Medicine eBook
- Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd edThe leading guide to the principles and clinical applications of evidence-based medicine. From JAMA Evidence.
Begining your search
Background and Foreground Questions
In Evidence Based Practice, there are these two types of questions.
General questions that help you to build context and understanding. Answers are found in books and textbooks, clinical practice guidelines, and review articles.
What causes migraines? Search: cause and migraines
How is Type II Diabetes treated? Search: treatment and type 2 diabetes
What is the prognosis for stroke? Search: prognosis and stroke
Some common resources for finding answers to background questions include:
- Access Medicine (textbooks)
- Up to Date
- Essential Evidence Plus
- Review article in Pubmed
Specific questions intended for making clinical decisions. They are specific to a patient or particular population and they usually focus on comparisons: two drugs, two treatments, two diagnostic tests, etc.
Foreground questions may be further categorized into one of 4 major types: treatment/therapy, diagnosis, prognosis, or etiology/harm.
You would search journal article databases for insight to a foreground question.
A well known model for building a clinical foreground question is called PICO. It can be a very useful strategy for organizing and focusing your question.
P - Patient/Problem/ Population
I - Intervention
C - Comparison
O - Outcome
Example question: Does hand washing (I), compared to not washing hands (C), among healthcare workers (P) reduce hospital acquired infections (O)?
Some common sources for finding answers to foreground questions include:
Go to the "Literature Search Strategies (PICO)" page to learn more
Guides for Searching the Literature
- Finding Evidence-Based Answers to Clinical Questions-- Quickly and EffectivelyA one-page tip sheet from UC Davis on which resources to search for the type of question you're asking.
- Common Health Science ResourcesThese are the commonly used resources for answering health sciences questions, with a link and description for each resource.
How to read scholarly journal articles
- Art of Reading a Journal Article: Methodically and effectivelyThis is an often-cited article from PubMed on how to efficiently read medical articles. It offers useful tables and graphics that help aide understanding.
- How I read a Paper!From Sketchy EBM. This may be really helpful when you're in medical school and beyond. A shortcut to effectively and quickly reading a medical article. 4 minute video.
- Understanding Health Research: A tool for making sense of health studiesAnother article on the topic. Well written and easy to understand.
- Trust It or Trash It?Quick, interactive tool to critically evaluate the quality of health information you find online - including websites, handouts, booklets, etc.
- Last Updated: Jun 6, 2023 5:36 PM
- URL: https://guides.upstate.edu/preclerkship
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