As described in the first part of this article, Evidence Based Medicine (EBM) is a growing part of medical practice which emphasizes on the best evidence. Finding this evidence by formulating an answerable question and searching strategies were described in the first part of this review. In this part, appraising the retrieved article (with the main focus on the diag...

BACKGROUND Clinical supervision and feedback are important for the development of competency in junior doctors. This study aimed to determine the adequacy of supervision of junior medical staff in Australian emergency departments (EDs) and perceived feedback provided. METHODS Semi-structured telephone surveys sought quantitative and qualitative data from ED Directors, Directors of Emergency M...

Quaternary prevention is an action taken to identify a patient at risk of overmedicalisation, to protect him from new medical invasion, and to suggest to him interventions which are ethically acceptable. It belongs mostly to family medicine because of the family physician's position who is the first contact to the patient and "leader" of patient through health care system. Family physician must...

OBJECTIVE To describe the development and validation of a test of knowledge and skills in evidence based medicine. DESIGN Cross sectional study. SETTING Family practice residency programme in California; a list server for those who teach evidence based medicine; and an evidence based medicine seminar series. PARTICIPANTS Family practice residents and faculty members (n=43); volunteers sel...

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,...

evidence acquisition a search of pubmed for studies on proximal fifth metatarsal fracture and jones fracture focusing on the classification and management was performed. the reference list of the retrieved articles was searched for additional related studies. conclusions lawrence and botte’s classification of proximal fifth metatarsal fractures is recommended by experts, due to its implication ...