Using and teaching evidence-based medicine: the Duke University child and adolescent psychiatry model.
Evidence-based medicine (EBM) is defined as a set of processes that facilitate the conscientious, explicit, and judicious integration of individual clinical expertise with the best available external clinical evidence from systematic research in making decisions about the care of individual patients. EBM focuses not only on grading the strength of the evidence but also on the processes and tools that are necessary for clinicians to continually upgrade their knowledge and skills for those problems encountered in daily practice. This article, authored by members of the Duke Pediatric Psychiatry EBM Seminar Team, (1) describes EBM as applied to the training of child and adolescent psychiatrists in the Division of Child and Adolescent Psychiatry, Department of Psychiatry at Duke University Medical Center; (2) presents a simplified discussion of EBM as a technology for training and patient care; (3) discusses the basic principles and procedures for teaching EBM in the setting of a multidisciplinary training program; and (4) briefly mentions two training and research initiatives that are furthered by incorporating EBM.
March
John S
JS
Department of Psychiatry and Behavioral Sciences, Duke Child and Family Study Center, Duke University Medical Center, 718 Rutherford Street (DUMC 3527), Durham, NC 27710, USA. jsmarch@acpub.duke.edu
Chrisman
Allan
A
Breland-Noble
Alfiee
A
Clouse
Kelly
K
D'Alli
Richard
R
Egger
Helen
H
Gammon
Pat
P
Gazzola
Marta
M
Lin
Anne
A
Mauro
Christian
C
Rana
Aasim
A
Ravi
Himabindu
H
Srirama
Madhanika
M
Su
Hansen
H
Thrall
Grace
G
van de Velde
Polly
P
D000046:Academic Medical Centers; D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration; D000296:Adolescent Psychiatry / Q000193:education* / Q000379:methods; D002648:Child; D002662:Child Health Services / Q000458:organization & administration; D002665:Child Psychiatry / Q000193:education* / Q000379:methods; D019317:Evidence-Based Medicine / Q000193:education*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D013663:Teaching / Q000379:methods*; D014481:United States