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