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Psychiatry Portal: EBM & Critical Appraisal

These searches are completed quickly as follow up after Noon Conference; they are not exhaustive lists. Please use best clinical judgment before applying these to patient care or practice. Contact your clinical librarian Emily Shohfi for refined or revise

Evidence-Based Medicine


undefinedWeekly Journal Club Blog
C
lick the link above to be taken to the Internal Medicine journal club blog with the breakdown of key articles discussed this year

Calculating Results
Click the link above to go to an overview on biostats and ways to calculate results during critical appraisal

Critical Appraisal Sheets
Click the link above to be taken to the critical appraisal sheets used in methodically evaluating articles for personal use or in journal club

JAMA User's Guide to the Evidence
Click the link above to be taken to the JAMA User's Guide to the Evidence e-book, broken into chapters for ease of access.

 

Tutorials & Outside Links

The Cochrane Library

What is Evidence-Based Medicine?

"Evidence-based medicine is the conscientious explicit and judicious use of current best evidence in making decisions about the care of individual patients"

The concepts underlying EBM (also called EBP at times) is making sure that when decisions are made, they are made on the basis of the most up-to-date, solid, reliable, scientific evidence. These are the decisions about the care of individual patients. 

Key Components:

  1. Asking the right question

  2. Searching for the evidence

  3. Appraising the evidence

  4. Applying the evidence (using input from patient, too!)

EBM

EBM Process

The 5 A's

  1. Assess - Assess the patient or problem to determine the pertinent issues
  2. Ask - Ask a clear, answerable question to be pursued
  3. Acquire - Acquire the evidence from an appropriate source
  4. Appraise - Appraise the evidence to further examine its worth and reliability
  5. Apply - Apply the evidence to the particular patient and their unique values

Contact your Clinical Librarian

What is Clinical Rounding and how does it improve patient care?

When the clinical librarian joins your team, she will visit patient rooms with the rounding team. The team may have questions or conversations about best practices for patient care, why something has historically been done/why we've changed courses on patient management strategies, or have a need for background information related to a case.

Your clinical librarian can assist the team with either answering questions on the spot (searching on an iPad in real time), or accumulating questions to search, synthesize, and distribute later in the same day by email.

Clinical Librarians can also briefly demonstrate point of care tools and search strategies on rounds, and are happy to meet individually or in small groups at other times to improve these skills. 


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Your Clinical Librarian:

Emily Shohfi, MLIS, AHIP

Office: 301-395-2603
Building 1, Room 3456
emily.e.shohfi.civ@mail.mil

Currently available through situational telework

Contact Us

For WRNNMC Patients

  • TRICARE Appointment Line: 855-227-6331
  • Walter Reed NMMC Main Phone: 301-295-4611
  • TRICARE Health Services (Includes phone numbers)

Researching a medical condition?
Click on the button below!

For WRNNMC Healthcare Providers

Our Partners

Darnall Medical Library | Walter Reed NMMC | Building 1, Room 3458 | 8955 Wood Road | Bethesda, MD 20889 | 301-295-1184/85 | Open Monday-Friday, 0700-1730

After-hours access to the library is available to WRNMMC Staff via the CDO at 301-295-4611.