EDUCATION Teaching and learning evidence based medicine skills in accident and emergency medicine Richard

It seems likely that the earlier application of the findings of high quality research may have reduced mortality and morbidity (a commonly cited example is the delay in implementing thrombolysis for acute myocardial infarction).' Evidence based practice seeks to improve the process and outcome of care by using high quality evidence together with clinical expertise and patient values and preferences.2 The purpose of this paper is to suggest a curriculum that is suitable for accident and emergency (A&E) medicine, and ways to teach, learn, and assess the skills of evidence based medicine (EBM). The following areas are discussed: