OBJECTIVE To assess the educational effectiveness on learning evidence based medicine of a handheld computer clinical decision support tool compared with a pocket card containing guidelines and a control. DESIGN Randomised controlled trial. SETTING University of Hong Kong, 2001. PARTICIPANTS 169 fourth year medical students. MAIN OUTCOME MEASURES Factor and individual item scores from a...

BACKGROUND The influence, legitimacy and application of Evidence Based Medicine (EBM) in the world is growing as a tool that integrates, the best available evidence to decision making in patient care. Our goal was to identify the relationship between self-perception about the relevance of Evidence Based Medicine (EBM) and the degree of basic knowledge of this discipline in a group of physicians...

BACKGROUND Using Evidence Based Medicine (EBM) in clinical practice is an important strategy for improving and updating medical services. Therefore, EBM has recently attracted a lot of attention in many medical schools around the world. In this study we tried to evaluate the familiarity of clinical residents who are one of the main clinical decision makers in public hospitals and also the next ...

It is a great honour to be asked to comment on Dr Tonelli’s paper ‘Integrating evidence into clinical practice, an alternative to evidence-based approaches’. Dr Tonelli has consistently been one of the more thoughtful commentators on the evidencebased medicine (EBM) debate and, in fact, published one of the first critiques of EBM from a philosophical point of view (Tonelli 1998). In this paper,...

governance in health is cited as one of the key factors in balancing the concerns of the government and public sector with the interests of civil society/private players, but often remains poorly described and operationalized. richard saltman and antonio duran look at two aspects in the search for new provider models in a context of health markets signalling liberalisation: (i) the role of the ...