6-steps decision making
doi:10.1136/ebm.8.6.165
Evid. Based Med. 2003;8;165-166
Horand Meier, Nicole Schlotz-Gorton and Laura Schrott
Franz Porzsolt, Andrea Ohletz, Anke Thim, David Gardner, Helmuth Ruatti, approach Evidence-based decision making—the six step http://ebm.bmj.com/cgi/content/full/8/6/165 Updated information and services can be found at:
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Rapid responses http://ebm.bmj.com/cgi/eletter-submit/8/6/165 You can respond to this article at: service Email alerting the top right corner of the article
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EBM notebook
Practice corner: setting EBM in motion
In addition to time pressures that we encounter when searching for evidence to support care decisions for individual patients, it may be difficult for clinicians to apply the evidence that we find.
The rate limiting step may not be doing the search, but the steps needed in “setting evidence-based medicine (EBM) in motion.”
We present an example of a search for evidence by a Physician
Assistant (PA) student that highlights this challenge. PAs receive accelerated training in the medical model and work in teams under physician supervision. Approximately 40 000 PAs currently work in the US in a wide range of settings and specialties.
Practising EBM has become an important component of training for PAs.
During an internal medicine rotation, a PA student encountered a common clinical practice unsupported by current evidence—administration of nebulised albuterol in patients with community acquired pneumonia (CAP). While this practice may be justified in patients with
Evid. Based Med. 2003;8;165-166
Horand Meier, Nicole Schlotz-Gorton and Laura Schrott
Franz Porzsolt, Andrea Ohletz, Anke Thim, David Gardner, Helmuth Ruatti, approach Evidence-based decision making—the six step http://ebm.bmj.com/cgi/content/full/8/6/165 Updated information and services can be found at:
These include:
Rapid responses http://ebm.bmj.com/cgi/eletter-submit/8/6/165 You can respond to this article at: service Email alerting the top right corner of the article
Receive free email alerts when new articles cite this article - sign up in the box at
Topic collections
EBM Notebook (112 articles)
Articles on similar topics can be found in the following collections
Notes
http://journals.bmj.com/cgi/reprintform
To order reprints of this article go to: http://journals.bmj.com/subscriptions/ To subscribe to Evidence-Based Medicine go to:
Downloaded from ebm.bmj.com on 10 August 2009
EBM notebook
Practice corner: setting EBM in motion
In addition to time pressures that we encounter when searching for evidence to support care decisions for individual patients, it may be difficult for clinicians to apply the evidence that we find.
The rate limiting step may not be doing the search, but the steps needed in “setting evidence-based medicine (EBM) in motion.”
We present an example of a search for evidence by a Physician
Assistant (PA) student that highlights this challenge. PAs receive accelerated training in the medical model and work in teams under physician supervision. Approximately 40 000 PAs currently work in the US in a wide range of settings and specialties.
Practising EBM has become an important component of training for PAs.
During an internal medicine rotation, a PA student encountered a common clinical practice unsupported by current evidence—administration of nebulised albuterol in patients with community acquired pneumonia (CAP). While this practice may be justified in patients with