[Practice and application of evidence-based medicine].
Evidence-based medicine is an approach to clinical practice that aims to solve the patient's problems. EBM includes five steps: identifying patient's problems, searching medical literature efficiently, critically appraising the literature(evidence), applying it to patient care, and self-assessment of these steps. Since September 1999, we have practiced the EBM approach to patient care, in inpatient and outpatient settings at the department of General Medicine of Saga Medical School. We found ourselves more clearly differentiating between the EBM approach and past conventional practice. We found EBM to be more clinically useful and we have enjoyed reading medical literature because of the focus on patient's problems. To improve our use of the EBM approach, we need to study more about clinical epidemiology to evaluate and use medical literature in patient care.
Yamashiro
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Department of General Medicine, Saga Medical School, Saga 849-8501.
D004502:Education, Medical, Continuing / Q000379:methods; D019317:Evidence-Based Medicine / Q000193:education; D006801:Humans; D005791:Patient Care