title: Using and teaching evidence-based medicine: the Duke University child and adolescent psychiatry model.
abstract: 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.
authors.affiliation: 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
authors.forename: John S
authors.initials: JS
authors.lastname: March
authors.forename: Allan
authors.initials: A
authors.lastname: Chrisman
authors.forename: Alfiee
authors.initials: A
authors.lastname: Breland-Noble
authors.forename: Kelly
authors.initials: K
authors.lastname: Clouse
authors.forename: Richard
authors.initials: R
authors.lastname: D'Alli
authors.forename: Helen
authors.initials: H
authors.lastname: Egger
authors.forename: Pat
authors.initials: P
authors.lastname: Gammon
authors.forename: Marta
authors.initials: M
authors.lastname: Gazzola
authors.forename: Anne
authors.initials: A
authors.lastname: Lin
authors.forename: Christian
authors.initials: C
authors.lastname: Mauro
authors.forename: Aasim
authors.initials: A
authors.lastname: Rana
authors.forename: Himabindu
authors.initials: H
authors.lastname: Ravi
authors.forename: Madhanika
authors.initials: M
authors.lastname: Srirama
authors.forename: Hansen
authors.initials: H
authors.lastname: Su
authors.forename: Grace
authors.initials: G
authors.lastname: Thrall
authors.forename: Polly
authors.initials: P
authors.lastname: van de Velde
mesh_terms: 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