Home > Health > Medicine > Evidence Based Medicine > Education
For tutorials, online courses, manuals and instructional articles about evidence-based medicine (EBM).
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1227410/pdf/cmaj_156_10_1411.pdf
The seminal paper on how to resolve discordance across systematic reviews, from the eminent expert Alejandro Jadad at McMaster University. [1997]
http://www.biomedcentral.com/1472-6920/15/39
Clinical trial comparing a blended learning (BL) versus didactic learning (DL) approach for teaching EBM, concluding that a multifaceted approach incorporating BL may be best suited for medical students. [2015]
http://www.clinmed.rcpjournal.org/content/10/4/358.long
Compares and evaluates the optimum grading system (SIGN, GRADE, GATE and NSF-LTC) for the type of guideline being developed or question being addressed by a specialist society. [2010]
http://www.abc.net.au/health/consumerguides/stories/2006/10/25/1837390.htm
Consumer guide to understanding and applying the concepts of evidence-based medicine to treatment.
http://cco.amegroups.com/article/view/4210/5898
Discusses the nature, types, and pros and cons of adaptive designs in oncology trials that use accumulating data to modify the ongoing trial without undermining the integrity and validity of the trial. [2014]
http://jco.ascopubs.org/content/29/6/606.short
Critically examines the potential benefits and disadvantages of adaptive trial designs, which use accumulating results in the trial to modify the trial's course. [2010]
http://ojrd.biomedcentral.com/articles/10.1186/1750-1172-3-11
A review of adaptive clinical trial design and adpative randomization, examining their impact, challenges, obstacles, and strategies for effective deployment. [2008]
http://www.hellenicjcardiol.org/archive/full_text/2015/5/2015_5_373.pdf
Examines the effect of EBM in changing physicians’ attitude towards clinical guidelines, and describes the facilitators and barriers to implementing those clinical guidelines in clinical practice. [2015]
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0082915
Systematic review of guideline appraisal tools identifying and comparing existing tools and their relative degrees of validation. [2013]
http://archderm.jamanetwork.com/article.aspx?articleid=479334
Provides criteria to use to critically appraise systematic reviews and meta-analyses, and documents some of the key pitfalls of each. [2003]
http://genomemedicine.biomedcentral.com/articles/10.1186/gm436
Given rapid development of new genomic biomarkers, this paper explores whether and how we can make randomized trials more adaptable to a changing landscape, and whether we still need such trials at all. [2013]
http://ajcn.nutrition.org/content/103/4/965.long
An overview of the design, analysis, and interpretation of Mendelian randomization studies, with a special emphasis on assumptions and limitations, and an examination of different analytic strategies for strengthening causal inference. [2016]
http://www.biomedcentral.com/1741-7015/13/199
Examination of how to develop trustworthy clinical practice guidelines that besides examining what is medically best also allow consistency with patients’ priorities, concerns, and preferences, thus delivering customized care at the level of individuals and their families. [2015]
http://www.york.ac.uk/inst/crd/SysRev/!SSL!/WebHelp/SysRev3.htm
Exceptionally detailed handbook of the procedures necessary to conduct a systematic review. From the authoritative Centre for Reviews and Dissemination (CRD) at the University of York, publisher of DARE (Database of Abstracts of Reviews of Effects).
http://www.cebm.net/
Provides workshops, resources and background information for healthcare professionals, with research tools and educational material to download. Based at Nuffield Department of Clinical Medicine, Oxford.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516459/
Discussion of study validity and the assessment of different forms of bias. [2012]
http://learntech.physiol.ox.ac.uk/cochrane_tutorial/cochlibd0e4.php
A twelve part nimated multi-part visual tutorial on the use and search of the Cochrane Library, developed by Oxford University.
http://www.criticalappraisal.com/
Learn to read clinical papers with confidence with courses on critical appraisal and evidence-based medicine
http://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-7-61
A 'how to' guide to the development of clinical practice guidelines, including synthesis, grading, presentation and the derivation of recommendations. [2012]
http://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-3-45
Critical review of six clinical practice guidelines development handbooks.
http://ctj.sagepub.com/content/12/2/101.full
Raises serious questions about the ethical propriety of adaptive designs where the probability of being assigned to one treatment versus its comparator is dependent on emerging data. [2015]
http://www.aerzteblatt.de/int/archive/article?id=171192
A review of guideline-assessing instruments, finding that alongside the comprehensive instruments such as AGREE II and DELBI, rapid-assessment instruments can be convenient tools for gaining a quick impression of the value of a guideline. [2015]
http://www.fasebj.org/content/27/9/3430.long
Critical review of RCT and non-RCT studies, finding that the implementation of RCT methods and the interpretation of the results can be flawed by poor trial design, observer bias, incentive bias, or simple misinterpretation. [2013]
http://moosenose.com/EBCalculator.htm
Free downloadable calculator computing sensitivity and selectivity, control event rates, numbers-needed-to-treat, and other evidence-based factors.
http://researchguides.uic.edu/ebm
This guide, tabbed by topic, is designed to assist health care professionals and students become effective and efficient users of the medical literature; includes a resource collection and glossary. From the University of Illinois at Chicago.
http://ebm.bmj.com/site/resources/index.xhtml
Collection of fulltext copies of talks about evidence-based medicine.
https://learn.amia.org/system/scidea/learning_resources/53/original/2B-1_Hoyt-Hersh__EBM__and_clinical_practice_guidelines_CX.pdf
Instructional review of the processes required to create and implement an evidence-based clinical practice guideline. [2014]
http://jeffline.tju.edu/Education/courses/informatics/activities/ebm_info.html
A tutorial on basic concepts, including a guide to searching literature and databases. From Thomas Jefferson University, Philadelphia, USA.
http://www.bmj.com/content/334/suppl_1/s10.full
A defense of evidence-based medicine from the perspective of women's health concerns.
http://adc.bmj.com/content/90/8/849.full
Fourth of a four-part comprehensive mini-course on Evidence-Based Medicine; covers a sample clinical scenario through the process of the art of formulating answerable clinical questions, finding evidence, critically appraising evidence, and putting evidence into practice.
http://systematicreviewsjournal.biomedcentral.com/articles/10.1186/2046-4053-3-80
Demonstrates an assessment of sugar-sweetened beverages and type 2 diabetes as an example to show how the new technique called ‘evidence mapping’ can be used to organize studies and evaluate design heterogeneity prior to meta-analysis. [2014]
https://repository.unm.edu/bitstream/handle/1928/24226/Evidence-Based%20Medicine.pdf?sequence=1&isAllowed=y
Concise review of the essential concepts and implementation of evidence-based medicine. [2014]
http://www.jclinepi.com/article/S0895-4356(16)00147-5/fulltext
Reflections growing out of a conversation by John Ioannidis with David Sackett in 2004 about evidence-based medicine (EBM), the movement Sackett had spearheaded, updated to developments through 2016. [2016]
http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.0020277
Discussion of the applicability of evidence-based medicine in Latin American countries.
http://content.healthaffairs.org/content/24/1/9.full
Proposes an integration of the two approaches to evidence-based medicine, evidence-based guidelines (EBG) and evidence-based individual decision making (EBID). [2005]
http://www.jaypeejournals.com/eJournals/ShowText.aspx?ID=2829&Type=FREE&TYP=TOP&IN=_eJournals/images/JPLOGO.gif&IID=222&isPDF=YES
A compact primer on evidence-based medicine, from basic definitions to fundamentals principles, with tips and commentary. [2012]
https://www.mja.com.au/journal/2001/174/5/evidence-based-medicine-useful-tools-decision-making
An article from the Medical Journal of Australia explains the basic processes and concepts, with descriptions of common computer-assisted research tools.
http://www.lenus.ie/hse/bitstream/10147/317326/1/EBPManual.pdf
Details the basic steps of evidence-based practice and provides signposts to more detailed information and assistance. Compiled by the Evidence-Based Practice Group South East and the Health Service Executive of Ireland. [2014]
http://www.ncbi.nlm.nih.gov/books/NBK174882/
Guidelines for when and how to search, and assess, "grey literature" (typically non-peer-reviewed conference abstracts, books, dissertations, regulatory reports, etc.) when conducting a systematic review or meta-analysis. From Agency for Healthcare Research and Quality (AHRQ). [2013]
http://www.biomedcentral.com/1741-7015/11/223
Compilation of presentations on how evidence-based medicine in resource-limited settings can be translated into improved health outcomes. [2013]
http://www.bmj.com/cgi/content/full/336/7650/924?ijkey=8f20c7c3da0ec780d5e7f5ca92fcb60abe52aaef&keytype2=tf_ipsecsha
The advantages of the GRADE system for rating the quality of evidence and strength of recommendations.
http://www.teachepi.org/documents/courses/grade/HJS_GRADE_Montreal_2010.pdf
Comprehensive (74 pp., as downloadable PDF) tutorial on GRADE, the leading consensus approach to grading quality of evidence and strength of recommendations. From McMaster University.
http://www.cmaj.ca/content/186/3/E123.full
Compilation of a comprehensive checklist of items linked to the relevant resources and tools that guideline developers should consider. [2014]
http://www.emeraldgrouppublishing.com/authors/guides/write/evidence_based.htm
Five-part author's guide to performing systematic reviews; illustrated, with examples. [2013]
http://onlinelibrary.wiley.com/doi/10.1348/000711010X502733/pdf
Comprehensive guide to the process of conducting meta-analysis: selecting articles, inclusion criteria, effect sizes, practical analysis execution, and estimating publication bias. From the British Psychological Society.
http://ecios.org/DOIx.php?id=10.4055/cios.2014.6.1.103
Describes and illustrates with practical examples the concept and procedure of random allocation as used in randomized controlled trials/studies (RCTs), including simple, block and stratified randomization. [2014]
http://onlinelibrary.wiley.com/doi/10.1002/cncr.28172/full
Describes I-SPY, a groundbreaking dynamic adaptive randomization model for accelerating both identification and regulatory approval of effective investigational agents. [2013]
http://meetinglibrary.asco.org/content/11500141-156
Improving Clinical Trial Efficiency: Thinking outside the Box
http://onlinelibrary.wiley.com/doi/10.1002/bjs.9644/full
Review of which locoregional endpoints are used in studies of breast cancer, and how these endpoints and their components are defined. [2014]
http://www.slideshare.net/featherr/inds-ebm-introlecturejan2013topost
Slide presentation given to second year medical students on the principles of evidence-based medcine. From the Faculty of Medicine at McGill University (Montreal, Canada).
http://guides.mclibrary.duke.edu/ebmtutorial
A self-paced tutorial on the principles and processes, designed for healthcare practitioners and students. From the Duke University Medical Center, Durham, USA.
http://medlib.bu.edu/tutorials/ebm/intro/
A five minute tutorial, with inbuilt self-assessment, from the Boston University Medical Library.
http://media.elsevierhealth.com.au/media/blfa_files/9780729541350.pdf
Provides a summary of the principles, processes, and foundations of evidence-based decision making. Chapter from "Evidence-based Practice Across the Health Professions". [2013]
https://peerj.com/preprints/665v1.pdf
Comprehensive guide to conducting a meta-analysis, including a detailed case study (43 pp.). [2014]
http://ije.oxfordjournals.org/content/44/2/496.long
An overview of the methodological approaches used in Mendelian randomization studies, with a discussion of MR assumptions and reporting of statistical methods. and a checklist for the reporting of MR studies. [2015]
http://ije.oxfordjournals.org/content/44/2/379.long
Critical review of the current status of and progress in Mendelian randomization studies, along with its potential limitations. [2015]
https://smw.ch/archives-search/article-detail/?tx_ezmjournal_articledetail[identifier]=smw.2012.13518
Critical examination of the pros and caveats about meta-analysis, and how the limitations can be overcome; also includes a illustrative case vignette. From CEB, the Basel Institute for Clinical Epidemiology and Biostatistics. [2012]
http://jama.jamanetwork.com/article.aspx?articleID=1895230
Critically examines the issue of what category of evidence should be placed at the peak of the evidence-based hierarchy/pyramid, either the randomized clinical trial (RCT), or the systematic review with meta-analysis (SR/MA), then outlines how to improve the value of meta-analytic evidence. [2014]
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3049418/
An introduction to and rationale for meta-analysis, including presentation, interpretation, and biases. [2010]
http://www.ccjm.org/index.php?id=107937&tx_ttnews[tt_news]=360745
Critical examination of key issues of study identification and selection; publication, search and selection bias; results heterogeneity, and data analysis. [2008]
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3868184/
Practical guidelines for minimizing the risk of conducting a mediocre meta-analysis and for supporting researchers to accurately evaluate the published findings. [2013]
http://www.racgp.org.au/your-practice/guidelines/
Resources and including evidence-based guidelines for primary care providers . From The Royal Australian College of General Practitioners (RACGP).
https://www.hsl.virginia.edu/collections/ebm/index.cfm
The University of Virginia School of Medicine presents a guide to using web-based medical search engines, with links to the major resources.
http://www.biochemia-medica.com/2014/24/199
Review of the strengths and weaknesses of observational versus interventional study design. [2014]
http://www.ncbi.nlm.nih.gov/books/NBK202087/
Demonstrates how observational studies may provide moderate- to (rarely) high-strength evidence in systematic reviews. [2014]
http://pmj.bmj.com/content/87/1032/670.full
A systematic review of barriers to guideline implementation through an examination of rates of awareness and agreement and adoption and/or adherence, along with a call for recommendations to improve guideline adherence.
http://ktclearinghouse.ca/cebm/practise/
Interative tips from the Center for Evidence-Based Medicine on formulating clinical questions and conducting critical appraisals, accompanying the text "Evidence-based Medicine: How to Practice and Teach EBM".
http://adc.bmj.com/content/90/8/837.full
First of a four-part comprehensive mini-course on Evidence-Based Medicine; covers basic EBM principles and motivation.
http://jama.jamanetwork.com/article.aspx?articleid=182722
Assessment of where we stand in evidence-based medicine as of 2008.
http://jco.ascopubs.org/content/25/15/2127.long
Standard definitions for efficacy end points and events in early-stage adjuvant breast cancer clinical trials, from Memorial Sloan Kettering. [2007]
http://r-clinical-research.com/
Presentation on the use of the R statistical package in Evidence-Based Medicine, especially in Clinical Research, intended mainly for, but not limited to, Bio-statisticians, especially those using SAS.
http://ejournals.library.ualberta.ca/index.php/JPPS/article/view/21494/16480
An update on and clarification of various random allocation techniques, especially simple randomization, blocking, stratified random allocation, and minimization, and a critique of non-random approaches. [2014]
http://www.nature.com/bjc/journal/v110/n3/full/bjc2013725a.html
Reviews the distinct roles, occasional tensions, and relative strengths and limitations of RCTs versus population-based observational studies, proposed as complementary forms of research. [2014]
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000500310&lng=en&nrm=iso&tlng=en
A review of common randomization strategies, and how to choose betweeen them. [2016]
http://virtualmentor.ama-assn.org/2011/01/pfor2-1101.html
An overview of several evidence grading systems, including the Oxford Center for Evidence-Based Medicine, the U.S. Preventive Services Task Force, and the journal of the American Academy of Family Physicians. From the AMA Virtual Mentor project. [2011]
http://www.journal-of-hepatology.eu/article/S0168-8278(05)00489-7/fulltext
The cautions needed in reading and conducting a systematic review, especially strong on sensitivity analysis, meta-regression, sub-group analysis, publication bias and missing data. [2005]
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0121054
A bibliometric analysis examing the scientific productivity of EBM research and publication trends over decades. [2015]
http://www.minervamedica.it/en/freedownload.php?cod=R02Y2008N07A0431
Part I of a two part series on how to select and interpret diagnostic tests to confirm or exclude a diagnosis, using a full working example. [PDF]
http://www.minervamedica.it/en/freedownload.php?cod=R02Y2008N09A0481
Part II of a two part series on how to select and interpret diagnostic tests to confirm or exclude a diagnosis, using a full working example.
http://jco.ascopubs.org/content/26/22/3721.full
Evaluation of the reporting of survival end points in cancer RCTs. [2008]
http://www.bloodjournal.org/content/116/17/3140.long
Detailed exposition of all the critical procedures of conducting SRs and MAs, with invaluable tips and guides, including on the use of the Cochrane automatic SR/MA software tool RevMan.
http://cjasn.asnjournals.org/content/3/1/253.full
Discusses the strengths and limitations of narrative and systematic reviews and meta-analyses and how to critically appraise them. [2008]
http://lgdata.s3-website-us-east-1.amazonaws.com/docs/2063/1270730/Finding_Evidence_for_Systematic_Reviews.pdf
Essentials of systematic reviews, and a step-by-step guide for how to conduct one. From Library Services of King's College, London. [2014]
http://www.teachepi.org/courses/sr&ma.htm
Exceptional learning resource: a comprehensive (300+ pp. as slides) course on the systematic review process, on their strengths and limitations, with step-by-step guidance, examples and case studies on how to perform a quality systematic review. In six downloadable (as PDFs) lessons, from McGill University.
http://www.ccace.ed.ac.uk/research/software-resources/systematic-reviews-and-meta-analyses
Detailed guidance on how to conduct a systematic review or meta-analysis, with accompanying lectures developed by the University of Edinburgh's Centre for Cognitive Ageing and Cognitive Epidemiology (CCACE).
http://jcb.sagepub.com/content/34/5/737.full
Discusses and details the important concept of conducting systematic reviews and meta-analyses for preclinical (in vitro and in vovo) research. [2014]
http://journalofethics.ama-assn.org/2013/01/medu1-1301.html
Presents three practical methods for actively teaching critical appraisal skills in an evidence-based medicine curriculum. [2013]
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3332120/?report=classic
Overview of the precepts of EBM and reflections on some current issues affecting its progress. [2012]
http://annals.org/article.aspx?articleid=718512
Guide to the Evidence-based Practice Center (EPC) program within the Agency for Healthcare Research and Quality (AHRQ). [2005]
http://www.ochsnerjournal.org/doi/full/10.1043/1524-5012-12.1.57
Strong defense of EBM, by reviewing practical examples of conflicting topics that evidence-based medicine has positively clarified to allow providing the best possible patient care. [2012]
http://www.libreriauniverso.it/pdf/9780387885544.pdf
Summary and critical review of hierarchies of evidence, contrasting the different current approaches and noting their limitations and merits. Chapter from "Neurology: An Evidence-Based Approach". [2012]
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3124652/
The origin of levels of evidence and their relevance to the EBM, with examples drawn from the field of plastic surgery. [2012]
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1121240/?tool=pubmed
Practical lessons on the highly variable quality of systematic reviews themselves, with an illustrative case study showing how different systematic reviews on the same question can arrive at opposite conclusions. [2001]
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692007000300023&lng=en&nrm=iso&tlng=en&ORIGINALLANG=en
How to use the PICO Strategy for the construction of an appropriate research question and review of the literature.
https://www.thieme-connect.de/DOI/DOI?10.1055/s-0030-1267062
Describes the random allocation process, and the associated methods of allocation concealment. [2010]
http://themedicalroundtable.com/article/role-experience-evidence-based-practice
Drs. Gordon Guyatt and Mark Tonelli participate in this Expert Roundtable Discussion to address how they see the role of expert opinion changing in the evolving framework of what is now considered the outmoded “evidence-based hierarchy” popularized over the past 20 years. [2012]
http://www.sciencedirect.com/science/article/pii/S0895435613004666
Discusses how significant results of many RCTs hinge on very few events, and suggests that reporting the number of events required to make a statistically significant result nonsignificant (the Fragility Index) in RCTs can allow for more informed decisions about the confidence warranted by reported RCT results. [2014]
http://ilarjournal.oxfordjournals.org/content/55/3/427.full
Details how the design, conduct, and analysis of animal experiments may be optimized through the use of systematic reviews. [2014]
http://www.cmaj.ca/content/171/6/611.full?etoc
Explains the use of confidence intervals in testing hypotheses. From the Canadian Medical Association Journal. [English and French]
http://www.cmaj.ca/content/171/4/353.full?etoc
Describes how to estimate a treatment's effectiveness and explains the concepts of risk reduction, and number needed to treat. From the Canadian Medical Association Journal. [English and French]
http://link.springer.com/article/10.1007/s11606-007-0391-1
Teaching tips on confounding variables and the statistical adjustment for differences in prognostic variables. From the Evidence-Based Medicine Teaching Tips Working Group.
http://link.springer.com/article/10.1007/s11606-008-0623-z
Teaching tips on the use of clinical prediction rules in applying evidence consistently in everyday clinical practice. From the Evidence-Based Medicine Teaching Tips Working Group.
http://link.springer.com/article/10.1007/s11606-007-0330-1
Teaching tips on using likelihood ratios. From the Evidence-Based Medicine Teaching Tips Working Group.
http://link.springer.com/article/10.1007/s11606-007-0453-4
Discriminates odds from risks, and the nature of an odds ratio as an alternative to a risk ratio. From the Evidence-Based Medicine Teaching Tips Working Group.
http://asheducationbook.hematologylibrary.org/content/2007/1/493.long
Guidance on some of the major limitations besetting systematic reviews (including limited datasets, unpublished data, and both statistical and clinical heterogeneity). [2007]
http://adc.bmj.com/content/90/8/840.full
Second of a four-part comprehensive mini-course on Evidence-Based Medicine; covers the purpose, design and different types of RCTs.
http://adc.bmj.com/content/90/8/845.full
Third of a four-part comprehensive mini-course on Evidence-Based Medicine; covers the principles, methodology and appraisal of systematic reviews and meta-analyses, including use of odds ratios and relative risks.
http://clincancerres.aacrjournals.org/content/19/14/3722.long
Explores the historic use of different endpoints, and the associated degree of regulatory flexibility shown, by the FDA to support regular and accelerated approval of cancer drugs. [2013]
http://www.bmj.com/content/336/7651/995.full
Reviews multiple alternative systems for rating the quality of evidence and the strength of recommendations.
http://clincancerres.aacrjournals.org/content/18/17/4498.long
Describes the potential superiority in well-defined cases of adaptive randomization which allocates more patients to the better treatments as the data accumulates in the trial. [2012]
Home > Health > Medicine > Evidence Based Medicine > Education
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