Evidence-Based Medicine
A New Approach to Teaching the Practice of Medicine
Dados Bibliográficos
| ID | 23328446 |
|---|---|
| Autores | Gordon Guyatt, Gordon Guaytt (0000-0003-2352-5718, autor correspondente) |
| Ano | 1992 |
| Volume | 268 |
| Fascículo | 17 |
| Páginas | 2420 |
| Data de publicação | 1992-11-04 |
| Peer Reviewed | Sim |
| Open Access | Não |
| Tipo | ARTICLE |
| Periódico | JAMA (JOURNAL) |
| Identificadores do periódico | ISSN: 0098-7484 • E-ISSN: 1538-3598 |
| Editora | American Medical Association (AMA) (PUBLISHER) |
| DOI | 10.1001/jama.1992.03490170092032 |
| PMID | 1404801 |
| OpenAlex | W2128655828 |
| Idioma | EN |
| Citações recebidas | 258 |
| Referências citadas | 6 |
A NEW paradigm for medical practice is emerging. Evidence-based medicine de-emphasizes intuition, unsystematic clinical experience, and pathophysiologic rationale as sufficient grounds for clinical decision making and stresses the examination of evidence from clinical research. Evidence-based medicine requires new skills of the physician, including efficient literature searching and the application of formal rules of evidence evaluating the clinical literature. An important goal of our medical residency program is to educate physicians in the practice of evidence-based medicine. Strategies include a weekly, formal academic half-day for residents, devoted to learning the necessary skills; recruitment into teaching roles of physicians who practice evidence-based medicine; sharing among faculty of approaches to teaching evidence-based medicine; and providing faculty with feedback on their performance as role models and teachers of evidence-based medicine. The influence of evidencebased medicine on clinical practice and medical education is increasing. CLINICAL SCENARIO A junior medical resident working in a teaching hospital
Family medicine · MEDLINE · Traditional medicine · Clinical Reasoning and Diagnostic Skills · Health Sciences Research and Education · Medicine · Meta-analysis and systematic reviews
Feasible Models of Universal Health Insurance in Oregon According to Stakeholder Views
Paradigms, Coherence, and the Fog of Evidence
What's in a Guideline? Developing Collaborative and Sound Research Designs that Substantiate Best Practice Recommendations for Transgender Health Care
The Origins of Evidence-Based Medicine
Evidence-Based Medicine
How Should Clinicians' Performance Be Assessed When Health Care Organizations Implement Behavioral Architecture That Generates Negative Consequences
Evidence-Based Guidelines and Quality Measures in the Care of Older Adults
Evidence-based research, epidemiology and alcohol policy
Evidence-based medicine and patient autonomy
Why reading the title isn't good enough
La psicoterapia como relación entre sujetos y el papel de los protocolos de tratamiento
How should we diagnose disease in palaeopathology? Some epistemological considerations
Contextual influences on the role of evidence in e-cigarette recommendations
Evidence-based policy, knowledge from experience and validity
Evidence-based cervical screening
Types of Research in Health Sciences
Cumplimiento de las recomendaciones en rehabilitación respiratoria de la British Thoracic Society en pacientes con fibrosis quística
Harnessing local knowledge for scientific knowledge production
Desigualdades sociais, pobreza e desenvolvimento sustentável
An Evidence-Based Practice Developed in-situ
Clinical Physicians’ Attitudes towards Evidence-Based Medicine (EBM) and Their Evidence-Based Practice (EBP) in Wuhan, China
Patient and Public Involvement in Sexual and Reproductive Health
What Role Can Process Mining Play in Recurrent Clinical Guidelines Issues? A Position Paper
Methods Used to Evaluate mHealth Applications for Cardiovascular Disease
Translating and Validating the Vietnamese Version of the Health Sciences Evidence-Based Practice Questionnaire
Styles of Evidence-Based Practice in the Child Welfare System
Introduction to the Developmental, Evolving Practice Paradigm of Evidence-Based (Informed) Macro Practice
Evidence-Based Practice Knowledge and Utilization among Social Workers
Evidence-Based (Informed) Macro Practice Paradigm
An analysis of the economic impact of smoking cessation in Europe
Epistemic cultures in complementary medicine
Evidence-based practice
Lost in Translation
New Managerialism and Canadian Police Training Reform
Rationalities and Non-rationalities in Clinical Encounters
Using an Evidence‐Based Program Planning Model In a Macro Practice Course
Soignants et étudiants face à la mort
Learning from scientific disagreement
The feasibility and malleability of EBM
Seniors' Views of Medication Reimbursement Policies
What Is Direct Evidence-Based Policy-Making? Experience from the Drug Benefits Program for Seniors in British Columbia
Legislating Clinical Practice
Issues in Defining and Applying Evidence-Based Practices Criteria for Treatment of Criminal-Justice Involved Clients
Reforming medical education
Negotiating science and experience in medical knowledge
When I first came here, I thought medicine was black and white
What constitutes evidence in hospital new drug decision making
Pragmatic evidence and textual arrangements
The use of psychosocial criteria in Australian patient selection guidelines for kidney transplantation
Clinical guidelines and the fate of medical autonomy in Ontario
Accounting for EBM
Evidence-based policy’ and the government of the criminal justice system - only if the evidence fits
“Science and proven experience”
Evidence-based medicine
Geographical variation in hospital admission rates
Medicina baseada em evidências
Quality Improvement as a Tool for Translating Evidence Based Interventions Into Practice
Déprimer par les nombres
Quality and Effectiveness Issues Related To Oral Health
Evidence Generating Medicine
Do Treatment Restrictions Imposed by Utilization Management Increase the Likelihood of Readmission for Psychiatric Patients
A Comparison of the Impact of Information from a Clinician and Research‐based Information on Patient Treatment Choice in Dentistry
Towards an Evidence-Based National Health Service
Warranting Practices
Non-formal learning and tacit knowledge in professional work
Practitioner research readiness in public health
Cochrane reviews and the behavioural turn in evidence-based medicine
Advocating evidence-based health promotion
Evidence-Based Critical Care
Evidence-Based Practice
Evidence-Based Medicine
A Cognitive Approach to Understanding and Mitigating a Pernicious Infodemic
Metodologia
Public Management
Systematic Reviews
Randomized, Controlled Trials, Observational Studies, and the Hierarchy of Research Designs
Evidence based medicine
The well-built clinical question
The quest for evidence-based practice
Patient adherence to HIV medication regimens
What Is Conservation Science?
What Constitutes “Good” Evidence for Public Health and Social Policy-making? From Hierarchies to Appropriateness
Building Capacity for Evidence-Based Public Health
New directions in evidence-based policy research
Methodological quality (risk of bias) assessment tools for primary and secondary medical studies
The Need for Community-Responsive and Flexible Sex Ed for Historically Marginalized Youth
Applying the RE-AIM framework to evaluate two implementation strategies used to introduce a tool for lifestyle intervention in Swedish primary health care
Moving Evidence into Practice by Advanced Practice Nurses in Hospitalization Wards. Protocol for a Multicentre Quasi-Experimental Study in Three Hospitals in Spain
Evidence-Based Management
The development of an evaluation framework for injury surveillance systems
Potential to improve oral health care through evidence, protocols, and payment models
Patient preferences and treatment safety for uncomplicated vulvovaginal candidiasis in primary health care
The Opioid Documents
Assessing TDApp
Art and Evidence
Seeing Eye to Eye
A medida do possível
Epistemic injustice in the age of evidence-based practice
Wicked problems in a post-truth political economy
Reasoning under uncertainty in graduate health education
| Obras citantes distintas | 258 |
|---|---|
| Citações por ano | 8,06 |
| Intervalo de citações | 1994 - 2026 (33) |
| Velocidade de citação | current |
| Altamente citado | Sim |
| Tipos de citação | Neutras: 193 |