Even though the evidence-based medicine (EBM) movement labels mechanisms a low quality form of evidence, consideration of the mechanisms on which medicine relies, and the distinct roles that mechanisms might play in clinical practice, offers a number of insights into EBM itself. In this paper, I examine the connections between EBM and mechanisms from several angles. I diagnose what went wrong i...

OBJECTIVE To explore the factors, including barriers and facilitators, influencing the practice of evidence-based medicine (EBM) across various primary care settings in Malaysia based on the doctors' views and experiences. RESEARCH DESIGN The qualitative study was used to answer the research question. 37 primary care physicians participated in six focus group discussions and six individual in...

Health care professionals are increasingly required to base clinical decisions on the best available evidence. Evidence based medicine (EBM) is a systematic approach to clinical problem solving which allows the integration of the best available research evidence with clinical expertise and patient values. This paper explains the concept of EBM and introduces the five step EBM model: formulation...

Health care professionals are increasingly required to base clinical decisions on the best available evidence. Evidence based medicine (EBM) is a systematic approach to clinical problem solving which allows the integration of the best available research evidence with clinical expertise and patient values. This paper explains the concept of EBM and introduces the five step EBM model: formulation...

Evidence-based medicine (EBM) is an emerging must-know topic for today's physicians. The present literature is inadequate in identifying the attitudes, practice, and educational needs and preferred interventions of EBM. The objectives of this survey were to identify a) the attitude toward and practice of EBM among physicians, b) perceived benefits of EBM in daily practice, c) barriers to EBM pr...

BACKGROUND Regular use of evidence-based medicine (EBM) among general practitioners (GP) is insufficient. OBJECTIVE To analyse whether knowledge and attitudes about EBM can be improved among mentors in general practice by involving sixth-year medical students as academic detailers. METHODS An interventional non-randomized before-and-after study included 98 GPs (49 in the intervention group ...

Introduction: The Accreditation Council for Graduate Medical Education (ACGME) endorses evolving scholarly education regarding evidence-based medicine (EBM) and its clinical application in Internal Medicine (IM). IM residents at Navy Readiness Training Center San Diego (NMRTC-SD) communicated the need both increased ambulatory didactic sessions as well a formal EBM curriculum. Prior to academic...

In 1992, the Evidence-Based Medicine Working Group produced a remarkable report in which evidence-based medicine (EBM) is characterized as emergent “new paradigm” for medical practice.1 This characterization seems, at first glance, innocent as it might represent a mere borrowing from the vocabularies of philosophy and history of science. Nevertheless, it is well to note that the word paradigm h...

BACKGROUND The Faculty of Occupational Medicine and NHS Plus are working to increase the availability and uptake of evidence-based guidelines (EBGs) among occupational physicians in the UK. Physicians' attitudes and beliefs may influence their uptake of EBG; additionally, there are barriers that may make physicians feel unable to practise evidence-based medicine (EBM). AIMS To determine the a...