Modern medical care is influenced by two paradigms: 'evidence-based medicine' and 'patient-centered medicine'. In the last decade, both paradigms rapidly gained in popularity and are now both supposed to affect the process of clinical decision making during the daily practice of physicians. However, careful analysis shows that they focus on different aspects of medical care and have, in fact, l...

The College of Medicine at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) was established in January 2004. The four-year curriculum was based on the Problem Based Learning (PBL) format and involved the web-based graduate medical program adopted from the University of Sydney, Australia. At KSAU-HS, one additional semester was added to the beginning of this curriculum to prepare...

BACKGROUND Without systematic exposure to biomedical research concepts or applications, osteopathic medical students may be generally under-prepared to efficiently consume and effectively apply research and evidence-based medicine information in patient care. The academic literature suggests that although medical residents are increasingly expected to conduct research in their post graduate tra...

This commentary expands on concepts on research funding within emergency medicine as developed in Part I of the Future of Emergency Medicine Research Conference proceedings. Specifically, this article focuses on strategies to enhance the support of research emergency medicine and development of the research infrastructure in the specialty.

INTRODUCTION A journal club is a group of individuals who meet regularly to evaluate critically the clinical application of latest medical literature. Evidence-based medicine (EBM) is 'the use of current best evidence, in making decisions about the care of individual patients'. For this purpose, we organized journal clubs using standard EBM method, to substitute for traditional ones, evaluating...

JAMA: Evidence-basedmedicineoncewas criticized as “cookbook medicine.” Do you still encounter thatkindofcriticism,and if so, how do you counter it? DR GUYATT: One of my favorite talks to give is that evidence-based medicine is patient-centered medicine, so there are a number of things to point out. Perhaps most important is that evidence itself never tells you what to do, never. It’s always evi...

In fact, the 2 paradigms approach medical practice from radically divergent perspectives. Family-centered care rests on a biopsychosocial model of healing, is fundamentally holistic, and prioritizes the perspectives of patients and families in medical care, whereas EBM is, at its essence, the systematic application of science to practice. For most providers, EBM connotes provision of the highes...

One of the unfortunate side consequences of evidencebased medicine (EBM) is that sometimes there is no escaping how small the benefit of any individual treatment may seem. In the “days of the giants,” doctors saved lives; now we can consult league tables that bloodlessly inform us how many patients—10, 50, or 200—must receive a treatment to avert even a single bad outcome,1 EBM’s venerable numb...

Patients with acute coronary syndromes represent a clinically diverse group and their care remains heterogeneous. These patients account for a significant burden of morbidity and mortality in Australia. Optimal patient outcomes depend on rapid diagnosis, accurate risk stratification and the effective implementation of proven therapies, as advocated by clinical guidelines. The challenge is in ef...

Can J Emerg Med 2003;5(5):343-7 These Recommendations were approved by the CAEP Board June 8, 2003. *Chief, Schwartz–Reisman Emergency Centre, Mount Sinai Hospital, Toronto, Ont.; and Assistant Professor, Department of Family and Community Medicine, University of Toronto, Toronto, Ont. †Chief, Emergency Department, Queen Elizabeth Hospital, Charlottetown, PEI; and Associate Professor, Departmen...