Evidence based medicine

Academic year: 2010-2011 Course code module 3BGEN-02 Semester: 2nd semester Credits: 3 Study load (hours) 84 Theory (hours): 10,00 Practice/Exercises(hours): 14,00 Other (hours): 8,00 Part-time program: Instructor(s) Paul Van Royen Gert Verpooten Language of instruction: Dutch Semester exam information: exam in the 2nd semester Contract restriction information: faculty decision 1. Prerequisites *Algemene competenties The student: - has basic knowledge of the pharmacology, knows what the most important medicines do and on what he has to pay   attention while using it. - has basic knowledge of the disease syndromes of the organ systems, dealt with in the previous modules. - is able to look for and to consult information autonomously inside the web-available databases availablea. *Sequentiality None all courses of Ba1 and Ba2 2. Objectives (expected learning outcomes) Medical expert Study aim 1. You can describe the different basic ideas of the EBM (effect size, end points) and you can retrieve these ideas and apply them on the data of a research article. Study aim 2. You can reformulate the approach of a complaint into a clinical question. You are able to formulate a PICO question (about which patient the problem is going on, what the proposed intervention is, between which options do we make the comparison, which ‘Outcome measure’ we choose and how we decide). Study aim 3. You can find quickly and efficiently the required information and use this for responding a clinical question.   Communicator Study aim 1. You can explain how you have to communicate evidence based information in  a correct and understandable wayn with the patient and/or his/her family.   Manager Study aim 1. You can name the economic cost of diagnosis and therapy (costs benefit analysis) and you can give examples of this. Study aim 2. You can explain how choices in care and treatment can be built upon health economical data and you can give examples of this.   Scholar Study aim 1. You can distinguish the sources and search strategies for evidence based medicine information – and you can use this for responding clinical questions. Study aim 2. You can name the value of guidelines, of evidence based medicine and evidence based health care. Study aim 3. You can develop the correct clinical questions, search efficiently and use a checklist to evaluate the quality of the evidence. 3. Course content In this module the necessity of and the handling of EBM principles are teached.   - What is evidence based medicine and how is this developed? - Basic notions of evidence based medicine: calculation of effect or outcome measures, hard end   points, biomarkers, effect size. - Asking for the right questions: to draw up a clinical question following a PICO scheme - Searching and selecting of literature, to focus on Cochrane Library and guidelines. - Judge critically articles with different designs and on the basis of appraisal lists. - How to apply evidence on patients: generalising, individualizing, what if there is no evidence,   communication with the patient about EBM. - Guidelines and recommendations: how to judge them on quality, how to use them ? - Evidence based medicine, evidence made medicine and evidence based practice. - Difficulties in EBM: class effect, end points applied by regulatory bodies.   The topics are illustrated with examples, linked with following syndromes (Topic from Canmeds) e.g.: hypertension, thoracic pain, lipid disorders, upper and lower respiratory infections, dyspnoe. 4. Teaching method Direct contact: Lectures Exercise sessions Seminars (possible question and answer sessions) Practical sessions 5. Assessment method Exam: Written, without oral presentation Continuous assessment: Assignments 6. Compulsory reading – study material Offringa M ea. (red), Inleiding in evidence-based medicine. Klinisch handelen gebaseerd op bewijsmateriaal. Tweede herziene druk. Bohn Stafleu Van Loghum. Houten/Diegem  ISBN 9031340065 7. Recommended reading - study material Van Driel M., Explaining lvocabulary for Evidence-Based Medicine. Minerva . 2001 ICHO 8. Tutoring laatste aanpassing: last update: 14/01/2010 11:09 david.kums