Evidence-based medicine is a new direction in modern healthcare. Its task is to prevent, diagnose and medicate diseases using medical evidence. Medical data about a large patient population is analyzed to perform healthcare management and medical research. In order to obtain the best evidence for a given disease, external clinical expertise as well as internal clinical experience must be availa...

Primary care reforms that are perceived by family physicians as threats to professional autonomy and the traditional role of community-based family medicine can lead to reduced satisfaction and perceived value, and can make recruitment and retention difficult.1,2 Over the past 8 years, Canadian family physicians have experienced many changes to their practice landscape. • Government cutbacks to...

BACKGROUND Although midwives make clinical decisions that have an impact on the health and well-being of mothers and babies, little is known about how they make those decisions. Wide variation in intrapartum decisions to refer women to obstetrician-led care suggests that midwives' decisions are based on more than the evidence based medicine (EBM) model - i.e. clinical evidence, midwife's expert...

proceedings Why bother with clinical evidence? Medical decision making can be based on several approaches. Indeed , evidence based medicine represents just one of the several conceivable means to decide how to manage patients. confidence can all guide (or misguide) clinical decisions instead of evidence (1). Nonetheless, it now appears clear that prior clinical evidence, disseminated through pe...

Evidence-based medicine is a new direction in modern healthcare. Its task is to prevent, diagnose and medicate diseases using medical evidence. Medical data about a large patient population is analyzed to perform healthcare management and medical research. In order to obtain the best evidence for a given disease, external clinical expertise as well as internal clinical experience must be availa...

Y ou are caring for a 68-year-old man who has hypertension (intermittently controlled) with a remote gastrointestinal bleed and nonvalvular atrial fibrillation (NVAF) for 3 months and an enlarged left atrium (so cardioversion is unlikely). The patient has no history of stroke or transient ischemic attack. His father experienced a debilitating stroke several years ago, and when he learns that hi...