EBM from the Classroom to the

Clinics - Knowledge Creation (Step

1) John Q. Wong, MD, MSc

21 Jun 2010

The EBM Cycle

The Knowledge Funnel

(part of the Knowledge-to-Action

Cycle)

Knowledge Creation

Knowledge inquiry

Knowledge synthesis

Knowledge tools/products

Knowledge Inquiry

First-generation knowledge

Raising the clinical question

Knowledge synthesis

Second-generation knowledge

Aggregation and synthesis of existing knowledge

Meta-analysis, systematic reviews

Knowledge tools/products

Third-generation knowledge

Synopses presenting knowledge in a clear, concise, and user-friendly format to facilitate uptake and application of the knowledge

The EBM-wiki Project

Objective

Create a wiki of evidence-based answers to clinical questions

Purpose

Hone critical appraisal skills

Answer clinical questions

Guidelines

A year-long class project

One wiki for the whole class

Guidelines

Group work - For each module

Ask a question each on:

Diagnosis

Therapy

Prevention

Prognosis

Acquire the evidence

Appraise the evidence

Apply the evidence

Guidelines

Use the suggested templates

Functions

Allow people to join

Track changes

All modules should be represented

Readers can provide feedback or discuss posted topics

Guidelines

Milestones

Outputs due on last day of module

Outputs should be uploaded two days after they have been checked and returned

Guidelines

Evaluation

Part of PH grade

Performed every module

By EBM lecturers

Criteria

Significance or importance of question (25%)

Critical appraisal process (50%)

Application to patient (25%)

Sample wiki and website